公辦民營醫院人力支援策略分析－－以南部某公立醫院為例

Analysis the Human Supporting Strategy of the Privatized Municipal Hospital -- An Example of a Public Hospital at Southern Taiwan

公立醫療機構之設立是具有其時代背景與意義。全民健保實施以後，公 立醫院在營運上遇到了瓶頸：為了解決此種困境及擴大民間參與，紛紛尋求 轉型的方法。「民營化」即為轉型的替代方案之一。本研究藉由個案研究法 與深入訪談法來探討個案醫院從公立醫院到由不同背景醫院的接手下，如何 施行人力支援策略，並探討比較分析個案醫院的人力資源模式競爭優勢所 在。在經營上，個案醫院紮根在品質上，以關懷社區的理念提供當地民眾過 切的醫療照護，為民眾的健康把關。個案醫院院長對於醫院的定位為「社區 醫院」，降低員工因不清楚定位的情況下所造成的重複工作情況。在醫療資源 方面透過支援醫院醫師調派或病床的直接提供，達到醫療性照護之目標。便 利的交通容易造成病患的流失、全民健保的壓力、醫療政策的不確定性，以 及近年總額制度的推行，使個案醫院必須面臨成本控制的問題：加上契約中 明文規定簽約的期限，承接支援醫院所有投資工作必須承擔相當的風險。面 對種種挑戰，個案醫院仍堅守在品質和健康照護的維持。事實上，醫療機構 並非一般公務機構，必須將經營績效與人事獎勵互相連結，才能適應社會與 醫療環境的快速變遷，提高服務績效，找尋到生存之道。

The public medical institution has unique background as well as prominent mission. Since the National Health Insurance has been implemented, public hospitals have faced management impact and dealt with cooperation to succeed. Privatized pubic hospital is one alternative. This study discussed the case hospital how to execute human supporting strategy in different stage. Then the advantages of the human resources patterns were analyzed with the competitors for the case hospital. In the management, the case hospital was focused on the medical quality that can provide more applicable medical care for local populace with caring about community idea. And the case hospital positioned itself in the community hospital reduced the repeating working frequency. In the medical resources aspect, doctors assigned and sickbeds directly provided from support hospital achieved the goal of the medical service. The risks investing the case hospital were included the patients hemorrhage for convenience transportation, national health insurance pressure, medical policy uncertainty, the Global Budget System introducing, and the covenant deadline for the supporting hospital. Facing all of challenges, the case hospital still preserved the level of quality and health care. Because of the medical institution is not the common official organization, it has to connect manage achievement and the human affairs rewards and could adapt the change of social and medical environment. And the case hospital needs to promote the service achievements to keep the survival.