臺灣博碩士論文加值系統

醫療產業是一個專業分工、知識高密度的服務業，醫院高階管理者為提高組織的創新能力及競爭力，需不斷獲得重要資訊及知識，而社會網絡是獲得資訊的重要媒介。過去文獻主要探討社會網絡結構和知識傳遞的關係，然而較少探討如何透過社會網絡獲得資訊及獲得資訊對經營策略採行的創新程度。本研究嘗試以社會網絡之弱連帶及結構縫隙理論，探討全國醫院高階管理者社會網絡、資訊可近性與經營策略創新的程度。

本研究針對全國醫院評鑑合格醫院533家，醫學中心共17家，區域乙類教學醫院共64家，區域非教學醫院共6家，地區乙類教學醫院共44家，地區非教學醫院共402家，回收96家(18.01%)。以問卷調查方式進行蒐集資料，以迴歸分析實證研究假設，最後得到之結果如下：

一、 醫院高階管理者個人網絡效率、網絡性別異質性、網絡關係異質性與醫療服務項目資訊可近性有相關。
1a：醫院高階管理者個人網絡效率、網絡性別異質性、網絡關係異質性與醫療服務項目資訊可近性有顯著負相關。
1b：醫院高階管理者個人網絡效率、網絡性別異質性、網絡關係異質性與醫療服務作業流程資訊可近性沒有顯著正相關。
1c：醫院高階管理者個人網絡效率、網絡性別異質性、網絡關係異質性與醫院管理資訊可近性沒有顯著正相關。
1d：醫院高階管理者個人網絡效率、網絡性別異質性、網絡關係異質性與醫療行銷資訊可近性有顯著正相關。

二、醫院高階管理者資訊可近性與經營策略創新的程度產生顯著正相關。
2a：醫院高階管理者醫療服務項目資訊可近性與醫療服務項目經營策略創新的程度有顯著正相關。
2b：醫院高階管理者醫療服務作業流程資訊可近性與醫療服務作業流程經營策略創新的程度有顯著正相關。
2c：醫院高階管理者醫院管理資訊可近性與醫院管理經營策略創新的程度有顯著正相關。
2d：醫院高階管理者醫療行銷資訊可近性與醫療行銷經營策略創新的程度有顯著正相關。



三、醫院高階管理者資訊可近性為個人網絡效率、網絡性別異質性、網絡關係異質性與經營策略創新的程度的中介變項無法獲得驗證。
3a：醫院高階管理者醫療服務項目資訊可近性為網絡效率、網絡性別異質性、網絡關係異質性與醫療服務項目經營策略創新的程度沒有顯著正相關。
3b：醫院高階管理者醫療服務作業流程資訊可近性為網絡效率、網絡性別異質性、網絡關係異質性與醫療服務作業流程經營策略創新的程度沒有顯著正相關。
3c：醫院高階管理者醫院管理資訊可近性為網絡效率、網絡性別異質性、網絡關係異質性與醫院管理經營策略創新的程度沒有顯著正相關。
3d：醫院高階管理者醫療行銷資訊可近性網絡效率、網絡性別異質性、網絡關係異質性與醫療行銷經營策略創新的程度沒有顯著正相關。


本研究結果在學術上具有實證的貢獻，在實務上有助於醫院高階管理者對於運用社會網絡關係獲得重要的資訊及資源進而採行創新的經營策略的啟發。

This study’s purpose was to examine the high-level management’s social network, information access and degree of innovation in operation strategy in hospitals.
The data of the study was reguested from 533 accredited qualified hospitals through questionnaires in Taiwan. Responding subjects came from 96 hospitals (18.01%). According to multiple regression analysis, the major findings were as follows:
1. There were significantly correlations between network efficiency, network sex heterogeneity, network relation heterogeneity and information access in hospitals.
1a. There were significantly negative correlations between network efficiency, network sex heterogeneity, network relation heterogeneity and service item information access in hospitals.
1b. There were unable significantly correlations between network efficiency, network sex heterogeneity, network relation heterogeneity and service process information access in hospitals.
1c. There were unable significantly positive correlations between network efficiency, network sex heterogeneity, network relation heterogeneity and managerial information access in hospitals.
1d. There were significantly positive correlations between network efficiency, network sex heterogeneity, network relation heterogeneity and marketing information access in hospitals.
2. There were significantly positive correlations between information access and degree of innovation in operation strategy in hospitals.
2a. There were significantly positive correlations between service item information access and degree of innovation service item in operation strategy in hospitals.
2b. There were significantly positive correlations between service process information access and degree of innovation service process in operation strategy in hospitals.
2c. There were significantly positive correlations between managerial information access and degree of innovation managerial in operation strategy in hospitals.
2d. There were significantly positive correlations between marketing information access and degree of innovation marketing in operation strategy in hospitals.
3. This study was unable to prove the mediating effects of information access among network efficiency network sex heterogeneity, network relation heterogeneity and degree of innovation in operation strategy in hospitals.
3a. There were unable to prove the mediating effects of ervice item informations access among network efficiency, network sex heterogeneity, network relation heterogeneity and degree of innovation service item in operation strategy in hospitals.
3b. There were unable to prove the mediating effects of service process information access among network efficiency, network sex heterogeneity, network relation heterogeneity and degree of innovation service process in operation strategy in hospitals.
3c. There were unable to prove the mediating effects of managerial information access among network efficiency, network sex heterogeneity, network relation heterogeneity and degree of innovation managerial in operation strategy in hospitals.
3d. There were unable to prove the mediating effects of marketing information access among network efficiency, network sex heterogeneity, network relation heterogeneity and degree of innovation marketing in operation strategy in hospitals.

The present study provides important implications for professional practice to improve high-level management social network efficiency, information access and competitive ability.

國立台北護理學院醫護管理研究所碩士論文摘要 II
ABSTRACT IV
目錄 VI
表目錄 VII
圖目錄 VIII
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究重要性 3
第三節 研究目的 4
第二章 文獻探討 5
第一節 社會網絡與社會資本相關理論 5
第二節 社會網絡與資訊可近性相關性 20
第三節 社會網絡與經營策略創新的相關性 25
第四節 資訊可近性與經營策略創新的相關性研究 29
第五節 社會網絡、資訊可近性與經營策略創新相關研究 31
第三章 研究方法 37
第一節 概念性之研究架構 37
第二節 研究變項與操作型定義 39
第三節 研究假設 40
第四節 研究對象及問卷回收 42
第五節 研究工具 43
第六節 量表信效度檢定 46
第七節 資料處理與分析方法 51
第四章 研究結果 54
第一節 描述醫院及高階管理者個人特性 54
第二節 研究變項的描述性統計分析 58
第三節 推論性統計分析及假說檢定結果 60
第四節 總結 81
第五章 討論與建議 83
第一節 研究結果與討論 83
第二節 研究限制 88
第三節 研究結果的貢獻 89
第四節 未來研究建議 91
參考文獻 93
中文部份 93
英文部份 95

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