臺灣博碩士論文加值系統

以一間多院區的醫療設施而言，當遇到分配整建預算時，各院區都會提出各自的整建方案，但在總預算有限的情形下，並非所有的整建方案都能在同一時間內被執行。而此種多院區醫院大多採均分法平均分配總預算給各院區，在此種決策模式下產生了一些問題：有些重要及金額龐大的案子無法執行，分配結果忽略對醫院整體發展目標的考量，缺乏對設施及建築方面的專業考量。為解決上述之問題，本研究的目的為先對既有方案評選決策輔助方法進行回顧與檢討，進而提出一套多院區醫院評選整建方案的決策分析模型，並以台北市立聯合醫院為示範案例，操作解釋決策分析模型的操作流程並測試其結果。
透過方案評選的相關文獻回顧，我們選擇使用分析網路程序法（ANP）來幫助我們進行整建方案的評選。本研究提出之ANP決策分析模型的架構包含醫院提出的整體發展目標，各種整建類型的群組，各分院長、建築專家和設施管理主任多位決策者群組，評估準則群組，和所有候選的整建方案群組。透過台北市立聯合醫院其中三個院區的22個整建方案評選的示範案例操作與測試，本方法可以讓每位決策者的意見都充分的表達出來進而整合，讓方案都以相同的立足點依照其重要程度被評選，並讓評估準則的權重依照整體發展目標決定，可以多納入建築及設施之專業意見讓決策考量更為完善。本研究認為此評估模式的結果可輔助多院區醫院決策者作整建方案評選決策時的參考。

To select proper refurbishment projects can improve the existing space quality of the hospital, improve the operation efficiency of the hospital, and pay the hospital new ability. When a hospital with multiple facilities, there are too many refurbishment projects will be suggested. Under the situation with limited budget, not all refurbishment projects can be carried out at the same time. In order to enable limited funds to play the greatest benefit, we must select the most helpful project to carry out. The objective of this paper is to introduce a decision analysis model for hospitals with multiple facilities selecting refurbishment projects.
Refurbishment project selection problem is a multi-criteria decision-making problem. Through literature review of project selection theory, we suggest a decision analysis model using analytic network process (ANP). The method can combine several decision makers’ opinion. It also can let decision makers evaluate various criterions. This paper demonstrates an example of a hospital with multiple facilities in our country to illustrate how to prioritize a set of refurbishment projects by using the project selection model.

摘 要 I
謝誌 III
目 錄 IV
圖目錄 VI
表目錄 VII
第一章 緒論 1
1-1 研究背景與動機 1
1-2 研究目的 5
1-3 研究方法 5
1-4 研究流程 7
1-5 研究架構 8
1-6 名詞解釋 9
第二章 方案評選之文獻回顧 10
2-1 既有方案評選之方法 10
2-2 分析層級程序法（AHP） 12
2-3 分析網路程序法（ANP） 15
2-4 ANP操作步驟 18
2-5 ANP的優點與應用 20
第三章 評選最佳整建方案之決策分析模型建構 22
3-1 界定決策者 24
3-2 建立多院區醫院整建方案評選的決策層級架構 24
3-3 將整建方案評選架構中存在外部關係的元素進行配對比較 26
3-4 整建方案的評估準則間內部相互依存關係的配對比較 29
3-5 一致性檢定 31
3-6 超級矩陣的分析 31
3-7 在各評估準則下為所有整建方案評分 32
3-8 計算所有整建方案的總分及建立排序 33
第四章 實証研究---以台北市立聯合醫院為例 34
4-1 案例背景介紹 34
4-2 操作步驟 36
4-3 綜合討論―與原始決策之比較 52
4-4 ANP決策分析模型之評論 56
第五章 結論與討論 59
5-1 結論 59
5-2 討論 60
參考文獻 61
附錄一 分析網路程序法(ANP)專家問卷（院長） 64
附錄二 分析網路程序法(ANP)專家問卷（各分院長、建築專家、設施管理主任） 70
附錄三 各決策者的配對比較結果之評價表 77
附錄四 各決策者的方案評分表 87

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