醫院特質、人力資本對醫院經營績效影響之研究

The Study on Hospital Characteristic, Human Capitals to the Influence of Hospital Performance

Drucker（1988）曾說醫院乃是一個大部分由專業人員組成的知識型組織，醫療產業不僅攸關人們健康福祉，更是知識密集產業；醫院競爭優勢來源不只靠著新穎設備，還包括人員的效能等無形資產；目前，國內探討醫療院所智慧資本、知識管理的文獻還不多，所以，本研究試圖從知識管理的觀點，探究醫院特質、人力資本與醫院經營績效的關係。本研究主要構念有三個，包括醫院特質、人力資本與醫院經營績效，根據文獻與訪談結果，並進行預試，以便發展適合本研究之測量工具，研究對象是區域醫院（並具教學醫院資格），母體共64家，有效回收問卷31份，回收率為48%（31/64），樣本分布情形經適合度檢測與母體相符，本研究完整模式的建立採用結構方程模式。研究發現人力資本對醫院經營績效有顯著影響；但是，醫院特質對人力資本的影響不顯著。

Drucker (1988) has once said that a hospital is a knowledgeable organization mostlyconsisting of professionals. Healthcare industry is not only close to people’s health welfare, butalso a knowledge intensiv e industry itself. Besides the novel facilities, the sources of a hospital’scompetitive advantages also include the staff effectiveness. So far, there are not many literaturesabout hospitals’ intellectual capitals and knowledge management in Taiwan. Therefore, thisresearch shall explore the hospital characteristic and the relationship between human capitalsand the performance of hospital management from the viewpoint of knowledge management.The research has three main constructs, hospital characteristic, human capitals, and performanceof hospital management. So, in the research which is based on the literatures and interviews, weproceed a pretest in order to develop a suitable measurable tool for this research. Thepopulations of study in the research are metropolitan hospitals with qualifications of teachinghospital. The population is total 64 hospitals, the retrieve rate is 48% (31/64), the sampledistribution through the test of goodness of fit is proved to be consistent with the population, theestablishment of full model of the research will adopt structural equation modeling. Theresearch results reveal that the higher the human capitals a hospital bears, the better performancethe hospital has. Another, hospital characteristic to the influence of human capitals isinsignificant.