醫療產業導入知識管理的績效評估－－以個案區域教學醫院為例

Performance Evaluation of Knowledge Management Implementation in Health Industry - A Case Study of a Community Teaching Hospital

本研究針對醫療產業在執行知識管理導入過程中所遇問題及考量狀況，從知識取得創造、知識流通擴散、知識蓄積精煉與知識分享應用四個層面，採實際參與主導方式進行績效評估研究，並對知識價值之認知與技術資源能力之支持程度加以探討，建構知識管理策略作為提昇醫療產業的競爭優勢。本研究探討某一區域教學醫院導入知識管理之實務運作為案例，分別針對財務、顧客、內部流程以及學習成長等四個構面提出之目標，進行知識管理導入的績效評估，並採用立意取樣法進行問卷調查。經由回收問卷之彙整，以統計分析方法運用套裝軟體SPSS進行信度與效度分析、次數分配表、T檢定、ANOVA變異數分析、Pearson相關係數檢定等，探索知識管理導入特性及某區域醫院經營績效間之關聯，目的在了解採行知識管理後，對醫療產業績效之影響，並應用平衡計分卡（Balanced Score Card）兼具策略與績效評估的功能，進行結構性分析作成結論。

This article analyzes the implementation of knowledge management towards the study of health industry comprising activities on process and their interdependencies, according to four perspectives of know ledge creation, diffusion, repository, and sharing. This study discusses the cognition of know ledge value and the support of technological capability, and constructs a strategy of know ledge management to promote the competition advantages in health industry. This study adopts technology Balanced Score Card (BSC) uses the in-patient department of a community teaching hospital in e-land City, a highly know ledge intensive and technology intensive, as a case to find out the influencing factors of performance evaluation. in hospital take the sample of the case's knowledge implementation and use financial construction of BSC combine with the other three financial constructions be the standard target of achievement in future because of their well creativity, highly add prices and concentrated knowledge. Total 216 copies of questionnaire had posted and 173 valid copies questionnaire had analyzed. The findings of the study are listed below. It is may be helpful for subsequent study and practical uses in knowledge transfer and hospital operation performance.