管理的新契機：分享自治模式

The New Trend of Management: Shared Governance Model

現今醫院在面臨經濾、政治與內、外環境的因素影響下，選擇了組織再造的策略。然而，改變的本質是一個危險的過程。如何成功的組織再造是管理者最大的考驗。分享自治是最佳的組織再造模式。以單位為基礎的分享自治模式已在臺南一家社區醫院實施成功。本文中依序介紹：什麼是分享自治、實施的步驟過程、成功的策略、實證介紹、及結論。

The health care system has suffered from a variety of threats such as: politics, economics, and macro-environment. Restructuring is a good innovative strategy to managers; however, the nature of change is a risky process. How to make a successful restructuring is a big challenge to managers. Shared governance will be a decent model for restructuring. The unit-based approach clearly demonstrated successful outcomes on nurses' perception of implementing shared governance in a Tainan community hospital. The introduction, implementing processes and ky factors of implementation, a preliminary report, and conclusion relating to the shared governance were addressed in this paper.