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研究生:薛美娥
研究生(外文):Mei-Ur Hsueh
論文名稱:組織變革與組織績效的關聯性~以某公立醫院為例
論文名稱(外文):Impacts of organizational change on organizational performance ~ A case study of a governmental hospital
指導教授:楊仁壽楊仁壽引用關係
指導教授(外文):Dr.Jenshou Yang
學位類別:碩士
校院名稱:國立雲林科技大學
系所名稱:企業管理系碩士班
學門:商業及管理學門
學類:企業管理學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:96
中文關鍵詞:組織績效組織變革變革驅動力
外文關鍵詞:Reform Driving ForceOrganizational PerformanceStructural ReformTotal Quality Management
相關次數:
  • 被引用被引用:18
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  • 下載下載:89
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政府對公立醫院的公務預算及人事費逐年縮減,再加上中央健保局自實施總額預算支付制度後,迫使醫院要自找生存之路。又公立醫院於民國八十八年七月起由原前省立醫院改制隸屬於行政院衛生署後,便要求公立醫院於五年內要改善體質,如果經營不濟,則將會被裁併或轉由財團法人、醫學中心接管。
由上述鑑之,公立醫院如果要永續經營必須轉型,改變過去依賴政府補助預算的經營模式,朝向企業管理的經營模式,注重顧客服務、提昇醫療品質,以爭取醫院績效是現今公立醫院院長對組織變革的一大挑戰及考驗,亦是本研究要探討的課題。
本研究主要在探討某公立醫院為因應環境改變而實施組織變革,以全面品質管理等活動來改善組織績效,是否達到其目標;並探討變革活動之因應措施、發生的阻力、變革結果之正面、負面影響因素。
本研究方法採個案研究,藉由文獻、蒐集實務資料、實地訪談為主,及由個案提供的問卷調查為輔,描述、分析個案組織變革活動與成效。期望有助於正在實施或未實施組織變革的醫院供之參考,並提供主管醫療機構對未來推動及規劃公立醫院組織變革有所省思。
Suffered from official budget and personnel expenditure constrained year by year and the implement of global budget imposed by BNHI, governmental hospitals are encountering the difficulty to maintain their financial balance. Hospitals of DOH, originated from previous provincial hospitals, were forced to be self-supporting since July of 1999. All these hospitals are facing being down-sized or merged by private financial organizations or hospitals of medical centers if the performance is not good enough.
Experienced the above example, governmental hospitals, which were used to receive government financial support, have to change their management way for long term business. Superintendents of these hospital’s chief have to meet this great challenge and take their responsibility...
The main purpose of this study is to confirm the interrelation between the structure reform by governmental hospitals due to environmental change, and Total quality management to improve organizational performance; to find the relevancy of the strategy taken and the resistance occurred during reforming process, and the reform action; to seek the relation of the applying reform activities to the outcome; to define whether there is relative between positive/negative influential factors of the reformation and hospital efficacy,and this study is explose of importance problems,too.
This study is based on quality method: mainly on literatures, collected and edited real data and actual visiting, and secondarily on the questionnaires provided by the target hospital. All materials were described and analyzed for finding the interrelationship, expected result and proposals of this study, and looking forward for giving reference to those hospitals that are implementing or are going to implement structure reform, and providing the conception of promoting and planning structure reform for superior medical organizations of DOH’s hospitals.
目錄
中文摘要 I
英文摘要 II
誌謝 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 1
第二節、 研究動機 2
第三節、 研究目的 3
第二章 文獻探討 4
第一節、 組織變革 4
第二節、 組織績效 14
第三章 研究方法 18
第一節、 研究架構 18
第二節、 個案背景簡介 19
第四章 資料分析 20
第一節、 變革的驅動力 20
第二節、 變革活動 27
第三節、 變革阻力與負面影響 31
第四節、 變革之效益與正面影響 33
第五節、 實地訪談結果 38
第六節、 文件資料調查 42
第五章 結論與建議 70
第一節、 研究結論 70
第二節、 本研究之建議 73
第三節、 研究限制 75

參考文獻 76
附錄 79
參考文獻
一、中文部份
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2.Maira,A.&Scott-Morgan,P.著,鍾漢清譯,加速度組織,台北,麥革羅.西爾,1997。
3.Steers R. M.著,韓經綸 譯,組織行為,台北,華泰書局,1992。
4.陳佩妮,醫療品質與經營績效關係之研究—以台北醫療區域各級醫院為例,1996,國立台灣大學公共衛生學院公共衛生研究所醫院管理組碩士論文。
5.彭朱如,省立醫院組織文化與生產績效之研究,七十九年六月,中國醫藥學院醫務管理研究所碩士論文。
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二、英文部份
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