醫療業中階主管職能模式之研究

A Competency Model Study of Middle Manager for Hospital Industry

本研究主要目的在探討台灣醫療業中階主管之職能模式，並建構其評量 工具。在量表的建構過程，採用文獻分析法、專家諮詢法及問卷調查法，歸 納出管理、規劃、人際、專業及個人特質等五大職能群組。其次參的學者專 家、醫療界資深主管的意見，歸納及選擇衡量指標，研擬初步量表題目共 101 個衡量題項，先以中部某二家區域醫院的44 位中階主管為預試對象，經 過重要性分析及預試分析後得到正式量表，共計保留了47 個題項。 正式量表之信度考驗採用Cronbach'sα 係數、題項對全體（Item-Total） 相關係數，來檢定量表內部一致性程度及其穩定性。本研究以環台策略聯盟 中的六家醫院之中階主管為正式施測對象，共發放160 份問卷，有效回收124 份，有效回收率77.5% '調查之資料經信度分析及項目分析，最後採用因素 分析來建構此量表之效度，經由分析後得到累積變異量達62.864% 的五大群 幸且。 根據研究結果發現，醫療業中階主管職能模式所包含的五個群組分別 是：「人際溝通能力」、「個人特質」、「規劃管理才能」、「團隊合作執行 力」及「專業才能」。根據所發展的五個群組、47 個題項再次進行信度分 析，其結果顯示各構面之Alpha 值皆大於0.7 ，顯示各構面之內部一致性高， 具有良好信度。 透過驗證結果將可確認量表之效度與信度，以作為醫療業衡量中階主管 職能的有效工具。並建議該職能模式能運用，如人員甄選（或招募）接班 人計劃、職涯發展與績技管理等在人力資源管理暨發展方面。

The purpose of this study was to explore competency model of middle management for the hospital industry; this study included secondary data analysis, experts interview and questionnaire survey methods. The purpose of this study was aimed to explore theories of the hospital industry, middle manager, and competency model development. After experts interview, five competence dimensions of the questionnaire were established as follows: managing, planning, interpersonal, expertise, and personal traits. The survey questionnaire based on secondary data analysis and the author developed expert’s opinions about competency middle of manager in the Taiwan hospital industry. 160 questionnaires were distributed to randomly select and this procedure resulted in 124 usable samples. This study reached the following conclusions: 1. The competency model of middle manager for the hospital industry in Taiwan consisted of five factors; Interpersonal & Communication, Personal traits, Planning & Guidance, Teamwork, and Technical skll. The “Human skill” was considered as the most important competence. 2. Competency models are important in building an effective human- resource system for the hospital industry. They can also help in designing university curricula to meet the hospital industry’s requirements.