醫院資材主管對物流的態度與實施意願之探討

A Study of the Implementation Status of Hospital Logistics and the Attitude and Adoption Willingness in Taiwan

本研究旨在探討醫院資材主管對引進物流系統之態度與實施意願之現 況。以台灣地區各層級醫院為研究對象，於92 年3 月進行508 家醫院問卷調 查，回收147 份有效問卷，回收率28.94% 。問卷專家故度CVI 值0.84 以土， Cronbachα=0.89 0 研究資料分析方法包括敘述性統計、交叉、相關、迴歸分析，卡方、無 母數檢定，資料分析工具使用SPSS 10.0 for window 等套裝軟體。 研究發現產業環境因素與醫院採用物流實施配送有顯著差異（ p <.05），而產業環境因素與同業競爭壓力與採用意願成正相閱（ r=0 . 393 、0.270 ， P < .01） ，物流配送利益與醫院採用物流實施有顯著差異（p < .05 ） ，而支持程 度、醫院內部能力、物流配送利益與採用意願成正相關（ 1' =0 . 254 、0.294 ， 0.338 , P < .01 ） ，提高工作效率、提升醫院形象與採用意願成正相關 （ r=0.399 、0.329 ， P < .001 ） ， 醫院過去滿意度愈高採用意願愈高（ X2 =13 .482， P < .01） ， 醫院屬性、層級、教學醫院與醫院採用物流實施配送有顯著差異（p <.05） ，醫學中心之抹用意願最高。 健保總額實施至今，醫界均尋求降低醫院經營成本之道， 善用物流可提 高顧客服務水準，因此期望透過物流機制進行醫院流程再造，將醫院重心放 醫療上，在專業分工的醫療領域裡'利用先進物流倉儲管理降低成本，提昇 空間使用效率成為醫院管理者最佳利器，本研究結果可作為各醫院實施物流 之參考。

The major purpose of this research is to find out the attitude, and adaptation willingness of material managers and implementation status of logistics system in difference levels of hospitals in Taiwan. The research population were 508 hospitals in Taiwan. A questionnaire was sent to each hospital 147 effective questionnaire were received, which was 28.94% of the research population. Results of the study are industrial environment benefit attitude of hospital logistics managers the past experience of hospital logistics managers and hospital characteristics have correlation with the current implementation of hospital logistics, and is partial related with the willingness to adopt. The National Health Insurance had implemented many policies to limit the rising medical expenses. All of these have reduced the revenue of hospital institutes. In this research, hospital material managers agreed will reduced storage space and costs of storage. Additionally, hospital logistics will be able to upgrade the service standards and satisfied customer s needs. Therefore, through the adopting of logistics mechanism, hospital will recognized their supply system and allow them to emphasize on medical services. Hospital logistics will enable the hospital to receive low cost medical supplies, and the logistic/warehouse administration techniques will reduce the management cost, and increase the efficiency in space utilization.