醫務管理學系課程設計以及學生滿意度分析與未來出路意向之探討

Course Content Design for Medical Administration Department in College – Student Satisfaction Analysis and Future Vocational Placement Tendenc

本研究主要在瞭解國內醫務管理系其課程設計所包含的範疇，並希望藉由課程滿意度調查，進一步分析不同性別以及學系學制學生的未來出路意向，為醫管教育之課程設計做深入探討並提出建議。本研究採「內容分析法」進行各校課程內容分類，再以「問卷調查法」調查91學年度之應屆畢業生，從全國醫務管理學系中，以立意取樣方式決定個案學校總計17所，問卷共發740份。回收565份，其中有效問卷508份，無效問卷57份，有效問卷回收率為68.6%。研究結果之滿意度平均分數以『醫事管理』為最高；『財務管理』為最低。可以瞭解到各校致力於『醫事管理』核心課程發展的用心，並且需要加強『財務管理』之「課程實用性」、「教材內容」以及「課程完整性」。以性別來看學生畢業後出路意向發現，男性傾向升學；女性則傾向就業，學系學制部份則為大學院校學生選擇繼續升學；技職專校學生選擇就業，但技職專校選擇就業之學生多數不會選擇醫管作為就業時之考量。建議技職專校可加強瞭解背後之原因（例如市場需求、學生興趣……等），而適度調整課程設計內容。

Main theme of this study focused on the course content design relevant to medical administration department in colleges in Taiwan through probing into the students’ satisfaction, conducting further analysis of future vocational placement tendencies in terms of gender and departments. Thereafter, the author will provide suggestions based on the outcome of in-depth investigation relevant to course content design for medical administrative education programs. This study applied the “content analysis” method to classify the course content in the colleges, and used the tool of “questionnaire survey” to target the graduates of the 2002 scholastic year in 12 various medical academic institutions selected from the total sample modules of 18 different medical administrative departments by purposive sampling. A total of 740 questionnaires were sent out, 565 of which were returned. Effective sampling copies were 508, and ineffective ones were 57with the available returned rate of 68.6%. The results showed that “medical affairs management” scored the highest on the satisfaction, with “financial management” scoring the lowest. It is obvious that the colleges did their best to the development of the core course of medical affairs administrations, whereas the course of financial management should be enhanced in practicality, materials, and content comprehensiveness. By analyzing the differentiation of future vocational placement tendency in terms of gender, male graduates more incline toward continuous scholastic endeavor while female graduates more incline toward immediate vocational placement. In terms of the academic institutions, graduates from universities/colleges tend to favor higher education level, while vocational school graduates tend to prefer finding jobs quickly. In addition, graduates from vocational schools, who prefer immediately vocational placement, do not priorly consider the positions relevant to the medical management. Therefore, we suggest that the administrators in vocational schools should find out the market demands and student interests in order to design the appropriate course content for the students.