醫療工作者工作價值觀對組織承諾關聯性之研究

The relationship between health employees’ work values and organizational commitment

醫療係高度人力密集之產業，近年台灣醫療產業在全民健康保險及醫院總額支付制度的框架下，經營績效大不如前，為求生存，醫院致力於開源節流，以因應經營環境的變動。本研究主要目的在於探討在現行經營環境下，暫時排除相關干擾因素的假設，醫療人員對工作價值觀、組織承諾的認知，工作價值觀是否影響其對組織承諾的認知，以及不同醫療工作類別、不同醫院服務層級的人員在工作價值觀與組織承諾的差異情形。本研究透過便利抽樣，對台灣醫院之醫師、護理、醫技人員及醫事行政人員進行問卷調查，共發出450份問卷，回收有效問卷361份，回收率達80.22%，並針對所回收之有效問卷進行敘述性統計分析、Pearson積差相關、T檢定、單因子變異數分析等分析法，以了解醫療人員工作價值觀對組織承諾間之關聯。研究得到結論：一、醫療人員的工作價值觀確實顯著影響其對醫院及組織的承諾。其中以工作價值觀之內在價值及晉升價值對組織承諾之關聯最為顯著且為正相關。二、醫療人員之工作價值觀會因受測者之個人變項（性別、教育、年齡、年資及主管職務）的不同而有顯著差異。三、醫療人員之組織承諾會因受測者之個人變項（教育、年齡、婚姻、年資、主管職務及醫院層級）的不同而有顯著差異。

This article reviews the sky walk construction project in Chia-Yi Christian Hospital. The article discusses how a hospital can plan for the integration of new structures with existing facilities while meeting the needs of the organization and fulfill its social responsibilities. After performing case studies of similar projects both in Taiwan and abroad, the following elements were considered during the design process: patients and other pedestrians’ convenience and safety, air ventilation of the sky walk, comfortableness of using the sky walk, and cover for both sun light and rain. At the same time, the sky walk should keep a modern and simple design that improves the cityscape. Lastly, an evaluation of the impact to surface traffic is done to give a better understanding of the need for such a project by analyzing the pedestrian’s volume and usage. The original estimate of traffic during daytime is 2,500 people. Actual traffic for entering and exiting the building reaches 5,000, which greatly exceeds original estimation. Survey of the satisfaction of the sky walk indicates overall satisfaction at 8.4 points. The populace is generally satisfied by the convenience and value of the sky walk, as expected during the planning and design phrases. The convenience and safety provides by the sky walk can increase the willingness of the populace to use the sky walk, thus improving patients, pedestrians, and medical staffs’ safety. Carefully design to balance urban landscape and traffic environment, beautiful and functional, allows the hospital to perform its role of maintaining social responsibilities, and indirectly improves the hospital image and reputation.