醫院組織特性與院長職能角色及醫院經營策略關係之研究

A Research On The Relationship Among Hospital’s Organization Character, Director’s Occupation Role And Hospital’s Operating Strategy

李研究選取醫學中心、區域醫院及地區醫院共計385家醫院的院長進行問卷調查，共計回收106份有效問卷（回收率27.5％）。目的在研究醫院院長由於個人條件的差異，或服務於不同組織特性的醫院，對於其所表現出來的職能角色及在其所選用的經營策略上是否會產生差異與其所可能造成的影響。作者參考相關文獻後，以自行設計並經評估的問卷，採郵寄方式，請樣本醫院的院長填答。本研究結果發現：(１)醫院院長個人條件之不同，與其所表現出來的職能角色間並無顯著的差異，但在經營策略的採行上卻有所不同。例如，在經營策略方面，年齡較輕的院長較偏好採用風險性策略。(２)醫院組織特性的差異，會影響其院長所表現的職能角色及其所採行的經營策略。例如，私立醫院的院長大多屬於利潤導向型的領導風格，故對策略採行的主動性程度高於公立醫院；而醫學中心的院長大多屬於風險偏好者，故較偏好採用具風險性策略。

This research select 385 directors of medical centers, regioaland district hospitals, and 106 effective samples are recovered（recovery rate 27.5％）.Presented occpation role and operating strategy are concemed with personal condition discrepancies in hospital’s directors and different organization character of hospitals. The purpose of this paper is to investigate the relationship among hospital's organization character, director's occupation role and hospital's operating strategy. This questionnaire is developed and evaluated by the author, and answered by directors of hospitals. The results are discovered: (1) It is likely that director's personal conditions are not related to their own occupation roles. Nevertheless, their managerial strategy is obviously not the same. For example, younger directors prefer to use higher risk managerial strategy. (2) The discrepancy of hospital's organization character is able to affect the representation of directors in occupation role and the determination in managerial strategy. For example, mostly directors in private hospitals are belong to the type of profit domination. Namely, they adopt more highly active strategy that is compared with the performance in public hospitals. Directors at medical centers have a preference for high risk managerial strategy also is considered.