私立醫院資金來源及其改制醫療社團法人意願調查──以區域醫院為例

A Survey of Private Hospitals' Financial Resources and Their Willingness of Transforming to Medical Corporation Aggregate Hospital - An Example of Regional

目標：本研究旨在探討私立醫院資金來源，現制下永續經營的困難及改 制為醫療社團法人意願'俾提供醫療法人新制上路之參考。 方法：於92 年1 月至2 月，以91 年底衛生署公告之14 家私立區域醫院為研 究對象，進行半結構式深度訪談，並針對受訪者所提出的問題專家座談。 結果：共有12 家私立區域醫院院長、行政副院長或財務長等醫療行政主 要負責人接受深入訪談，並有6 家私立醫院院長、副院長、兩位學者及兩名私 立醫療院所協會代表參加專家座談。所有醫院受訪者與代表均表態要在修法 過後，立即改制為醫療社團法人，並有58% 的受訪者進一步贊成醫院應適用 公司法。 結論：傳統認知醫療機構均是由負責醫師獨資並總攬大權的情況幾已不 復存在，且因許多私立醫院已到世代傳承的時候，面臨醫院永續經營的壓力 更大，但又不願捐出所有財產改制為財團法人醫院，因此，對醫療機構社團 法人化的需求也就更迫切。

Objectives: The purpose of this study was to understand the financial resources and managerial structure of private hospitals under current system, as well as the willingness for private hospital to transform into Medical Corporation Aggregate in order to provide suggestive data to the Medical Care Act which took effect recently. Methods: In the study, 14 private regional hospitals were selected to conduct in-depth interviews with the CEOs. Besides, a panel discussion was held, with 6 representatives, 2 scholars and 2 representatives from Association of Private Hospitals, to clarify the questions raised from the interviews. Findings: There were 12 hospital CEOs completed the interview. All hospital CEOs who were interviewed or participated in the panel discussion were willing to transform their hospital to Medical Corporation Aggregate hospital right after the amendment of the Medical Care Act was passed. Fifty eight percent of them further endorsed that the Corporation Law is applicable to the hospital industry. Conclusions: The traditional image of a private hospital being financiallysupported and controlled by a single doctor is no longer true. Many private hospitals are in the process of handing-over, facing more pressure of everlasting operation, but unwilling to donate their property to become foundation hospitals. Thus, the transformation of a private hospital to a Medical Corporation aggregate hospital is urgently demanded.