醫療體系知識管理策略與績效互動之探討

A Study of Interaction between Policy and Performance in Healthcare Knowledge Management

目的：知識管理是增進組織核心競爭能力的方法。醫院是一高度知識密集的場所，因此其整個體系的知識管理策略對於醫療品質與醫院績效更顯重要。本研究的目的在於探討醫院知識管理策略對於組織個人知識、組織整體知識，組織人力、組織工作效能，以及組織最終財務績效的影響。材料與方法：本研究將以知識管理相關文獻為基礎，針對醫院醫師與知識管理人員進行訪談，了解醫院知識管理策略對於組織的影響。結果：結果發現知識管理策略對於組織而言是動態的影響過程，而非只在於最終財務績效的影響，醫師個人知識、醫院組織知識、醫院人力資源、醫師醫療表現、醫院財務收益此五大部分息息相關，互有所影響。

Purpose: Through effective knowledge management (KM), an organization is able to reach better competitive advantage. Due to the intense dependency of knowledge, the system of KM in healthcare organizations is crucial to its medical quality and performance. The purpose of this study is to explore how the policy of KM affects the operation of healthcare organization in individual knowledge, organizational knowledge, product efficacy, and financial benefit. Method: After solid literature review, we develop our interview guidance and then interview physicians and KM managers in hospitals. We discuss their viewpoints toward KM policy and the relationship between KM and performance in the healthcare organization. Result: The result shows that the policy of KM, as a dynamic factor, affects not only the financial performance but also organization knowledge, human resource, and physicians’ personal knowledge and performance of medical practices in healthcare organization.