淺談一例一休對醫院管理之影響

A Study on the Effects of the “One Fixed Day Off and One Flexible Rest Day” (Yili Yixiu) Policy on Hospital Management

105年12月6日三讀通過勞動基準法部分修正修文，並同年12月21日經由總統府公告實施，實施日期別分於同年12月23日及106年1月1日及待由行政院起定之。部份修正條文例如一例一休、特別休假增加、休息日加班等等影響層面廣泛。尤其對高人力密度的醫院影響甚鉅。醫院為因應此修法紛紛祭出縮診、調漲掛號費及關床等措施，但以直接或間接影響至全民醫療權益。本文探討此次修法後對醫院影響程度及因應措施，試圖再給予修法方向，以創造永續經營、勞資雙方雙嬴及確保全民醫療權益。

On December 6, 2016, the third reading of the “one fixed day off and one flexible rest day” (yili yixiu) policy was passed to amend partial articles in the Labor Standards Act. It was promulgated for enforcement by the Office of the President on December 21st of the same year, with the starting date on December 23, 2016 and January 1st, following the ratification process by the Executive Yuan. Certain articles concerning yili yixiu, the increase of special leaves, overtime policies on rest days, etc. have an extensive influence on the working population of Taiwan. This is especially the case with hospitals due to the intensive human resource. In coping with the new policy, many hospitals in Taiwan have taken various measures, including reduced clinic appointment sessions, raised patient registration fees, and decreased number of hospital beds. This, however, has directly or indirectly affected the rights of the people regarding access to medical services. This study aims to examine the effects of the amendments on hospitals and the measures adopted; in addition, suggestions will be proposed as a reference for future amendments, if any, in order to create a sustainable, win-win situation for both sides of labor and employers, while protecting the medical rights of the public.