:::

詳目顯示

回上一頁
題名:全民健康保險對醫院內部互動類型及其控制機制選擇之影響
作者:郭信智
作者(外文):Kuo, Hsin-Chih
校院名稱:國立政治大學
系所名稱:企業管理學系
指導教授:司徒達賢
于卓民
學位類別:博士
出版日期:1998
主題關鍵詞:全民健康保險互動類型控制機制醫療體系行政體系National Health Insuranceinteraction typescontrol mechanismsmedical professional systemadministrative system
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:37
醫院屬於非營利性機構,不以追求最大利潤為其績效標準,故醫院管理與一般企業管理在本質上便有所不同。在長期觀察醫院的經營情況中,醫院內部長久以來存在於醫療體系與行政體系之間的衝突,成為當今醫院內部重要的管理問題。因此,本研究擬根據醫療體系與行政體系之間的互動情形,歸納出醫院類型的區分構面,希望對於醫院的經營與管理能提供正面而積極的建議。此外,全民健康保險已於民國84年3月1日起正式實施,此一政策對於醫療院所的影響極為深遠,造成台灣醫療生態環境以及醫院管理方式大幅度的改變,並使得業者殷切期盼新的醫院管理之道。
本研究以醫院評鑑等級在地區教學醫院(含)以上的醫院為研究對象。首先透過個案研究,尋找醫院內部互動類型的適當分類構面以及控制機制的選用情形,並提出研究假設。接著再以實證方式,驗證研究假設。經篩選醫院名單後,合格樣本數為112家,回收有效問卷為47份,而檢定結果支持大部分的假設。本研究的具體發現分述如下:
1.醫院可以根據「專業取向」與「行政取向」兩個分類構面,將醫院區分成專業取向較高的「專業取向型」、行政取向較高的「行政取向型」、以及兩者皆高的「互動協調型」三類。
2.互動關係偏向專業取向的「專業取向型」,在全民健康保險實施前,其選用的控制機制,由最高至最低依次為官僚控制機制、文化控制機制、市場控制機制。然而專業取向型醫院在三種控制機制選用之間並無顯著差異,但與其他類型醫院比較,其選用控制機制的絕對值均小於互動協調型。在全民健康保險實施後,其選用的控制機制,由最高至最低依次為官僚控制機制、市場控制機制、文化控制機制。然而專業取向型醫院在三種控制機制選用之間並無顯著差異,但與其他類型醫院比較,其選用控制機制的絕對值亦均小於互動協調型。

3.互動關係最複雜的「互動協調型」,在全民健康保險實施前,其選用的控制機制,由最高至最低依次為官僚控制機制、文化控制機制、市場控制機制,且三種控制機制之間有顯著差異。在全民健康保險實施後,其選用的控制機制,由最高至最低依次為官僚控制機制、市場控制機制、文化控制機制,且三種控制機制之間亦有顯著差異。
4.互動關係偏向行政取向的「行政取向型」,在全民健康保險實施前,其選用的控制機制,以市場控制機制與官僚控制機制同高,其次為文化控制機制,且三種控制機制之間有顯著差異。在全民健康保險實施後,其選用的控制機制,由最高至最低依次為市場控制機制、官僚控制機制、文化控制機制,且三種控制機制之間亦有顯著差異。
由上述研究結果可知,醫院混合採用不同的控制機制。當醫院內部互動關係偏向專業取向時,醫院使用的三種控制機制雖有差異,然其三種控制機制之間的差異並未達顯著水準。當醫院內部互動類型偏向互動協調型時,醫院相對地高度使用標準化的規定與程序,所以互動協調型醫院在官僚控制機制的選用程度上最高。當醫院內部互動類型偏向行政取向時,醫院相對地高度使用可明確衡量的產出,所以行政取向型醫院在市場控制機制的選用程度上最高。
Applying control theory, this paper examines the relationship between types of interaction and adoption of control mechanism. After investigating 47 hospitals in Taiwan, we found that there exists strong relationship as described by four hypotheses. Based on “professional orientation” and “administrative orientation”, the hospitals can be classified into three types of interaction, namely, “professional orientation”, “interaction harmony”, and “administrative orientation”. The literature review suggests three types of mechanisms. These mechanisms are market, bureaucratic, and culture control.
After empirical survey, this research has three major findings. First, for interaction harmony hospitals, they prefer to adopt bureaucratic control mechanisms, while administrative orientation hospitals prefer to adopt market control mechanisms. As to professional orientation hospitals, there is no significant difference on adoption of three control mechanisms. Second, to compare the intensities of various control mechanisms adopted by different types of hospitals, this study finds that administrative orientation hospital has the highest intensities both on market control and bureaucratic control. As to the adoption of cultural control, there is no significant difference among three kinds of hospitals. Finally, the research finds that the implementation of National Health Insurance has significant impact on the intention of adopting various control mechanisms.
一、中文部份

人民衛生出版社
1989 醫院管理學。郭子桓主編。北京市:人民衛生出版社。

中華民國醫院協會
1996 中華民國台灣地區八十五年度醫院年鑑。

王偉玲
1990 社會保險醫療給付之研究-兼論我國全民健康保險財務規劃之原則與策略。國立政治大學未出版碩士論文。

司徒達賢
1994 策略矩陣分析法基礎。管理評論,13(2):1-22。
1995 策略管理。台北:遠流出版社。

白佳昇、張錦文
1994 面對全民健保醫院經營管理之因應策略。醫院,27(2):25-31。

石曜堂
1978 醫療品質評估。醫院,11(2):106-9。

行政院衛生署
1989 醫療保健計劃-建立全國醫療網第二期計畫草案。台北:行政院衛生署。
1995 醫院評鑑及教學醫院評鑑標準。台北:行政院衛生署。
1998 醫院評鑑及教學醫院評鑑標準。台北:行政院衛生署。

全民健康保險研究計畫專案小組
1990 全民健康保險制度規劃技術報告。台北:行政院經濟建設委員會。

朱永華
1994 醫院服務知覺品質與病患滿意度之關係研究。國立成功大學企業管理研究所未出版碩士論文。

李承華
1994 全民健保與醫院管理。醫院,27(5):9-23。

李玉春
1993 健康保險支付制度。楊志良主編,健康保險,69-107。台北:巨流圖書公司。
1997 健康照護制度之國際比較。公共衛生學(上冊),160-203。陳拱北預防醫學基金會主編。台北:巨流圖書公司。

李妮真
1995 醫院因應全民健康保險之可能策略調查研究。國立台灣大學公共衛生研究所未出版碩士論文。

李妮真、楊銘欽
1995 醫院因應全民健康保險之可能策略調查。醫院,28(5):9-19。

宋鴻樟
1998 對健康保險多元化保險人體制的質疑。中華公共衛生雜誌,17(5):371-2。

吳信宏
1993 醫院昂貴設備之更新與投資決策研究──分析層級程序法之應用。大葉工學院事業經營研究所未出版碩士論文。

吳國士
1990 健康保險對民眾醫療消費行為影響之研究。中原大學未出版碩士論文。

林清山
1992 心理與教育統計學。台北:東華書局。

林彥克
1997 醫師對醫療品質的認知與態度之研究──以某醫學中心為例。國立台灣大學公共衛生研究所未出版碩士論文。

林國明
1997 國家與醫療專業權力:台灣醫療保險體系費用支付制度的社會學分析。台灣社會學研究,1:77-136。new window

洪清福
1995 全民健保實施後醫院之住院對策探討。醫院,28(6):53-6。

姜占魁
1990 組織行為與行政管理。

高麗萍
1993 財團法人醫院會計與稅務問題之研究。國立成功大學會計學研究所未出版碩士論文。

倪淑芬
1995 資本預算活動之探討──以醫院為例。國立中央大學企業管理研究所未出版碩士論文。

國立台灣大學醫學院附設醫院
1995 台大醫院白皮書。
1997 國立台灣大學醫學院附設醫院簡介。

許士軍
1990 管理學。台北:東華書局。

陳佩妮
1996 醫療品質與經營績效關係之研究──以台北醫療區域各級醫院為例。國立台灣大學公共衛生研究所未出版碩士論文。

陳佩妮、鄭守夏、鍾國彪、林王美園
1997 台灣地區醫療品質指標適用性之探討。中華公共衛生雜誌,16(2):133-42。

陳瑞龍
1988 訂定藥價基準可行性之研究。

陳瑞瑛
1995 全民健保實施後之住院對策探討。醫院,28(6):46-52。

郭泰裕
1995 醫學生選擇醫療科別相關因素分析。中國醫藥學院醫務管理研究所未出版碩士論文。

郭信智、楊志良
1994a 醫師目標收入理論之試證。中華公共衛生雜誌,13(2): 149-55。
1994b 勞保門診醫療費用支付制度對醫療供給者診療行為之影響。中華公共衛生雜誌,13(4):315-29。

張煥禎
1995 全民健保實施後醫院之門急診對策探討。醫院,28(6):40-5。

張笠雲
1986 組織社會學。台北:三民書局。

張笠雲、謝幸燕
1994 就醫流向的長期趨勢。中華民國公共衛生雜誌,13(1):54-76。new window

張笠雲、尹祚芊、李丁讚
1990 全民健康保險對醫療系統運作效率和績效的影響。台北:行政院經濟建設委員會委託計畫。

張鴻仁
1990 全民健康保險醫療費用支付制度之研究。行政院經濟建設委員會委託研究計劃。

張錦文
1994 台灣醫療制度對全民健保規劃的影響。醫院,27(5):4-8。

張瓊文
1995 民眾對全民健保特約醫療院所門診提供之醫療服務品質滿意度研究。高雄醫學院行為科學研究所未出版碩士論文。

張櫻淳
1995 醫院形象定位之研究──以台北市六家醫學中心的家醫科就診民眾為例。國立台灣大學公共衛生研究所未出版碩士論文。

黃文鴻
1990 全民健康保險藥品給付範圍及藥價基準之研究。台北:行政院經濟建設委員會委託研究計劃。

黃瑞美
1995 健保實施後醫院門急診對策探討。醫院,28(6):31-2。

黃光華
1997 全民健康保險各層級醫院醫療費用主要核減原因及因應之道。醫院,30(5):25-9。

黃賀、李耀洲
1997 企業化管理對醫療組織的影響──以時代醫院為例。台灣本土企業個案集,1-6。劉常勇、洪清德、俞慧芸主編。中華民國管科會高雄市分會主辦,第二屆台灣本土企業個案發表暨研討會。

黃俊英、林震岩
1994 SAS精析與實例。初版。台北:華泰書局。

黃俊英
1998 多變量分析。第六版。台北:中國經濟企業研究所。

彭昭英
1992 SAS與統計分析。台北:儒林圖書有限公司。

彭文賢
1982 行政權威的多元設計模式。公共政策學報,5號,54-70。
1996 組織結構。台北:三民書局。

楊志良
1990 對我國醫療體系之評估。台北:行政院經濟建設委員會。
1992 全民健康保險基本性質的探討。公共衛生,18(4):1-8。
1993 健康保險。台北:巨流圖書公司。
1995 公共衛生新論(增訂版)。台北:巨流圖書公司。

楊志良、羅紀瓊、李玉春
1997 健康保險。公共衛生學(上冊),135-59。陳拱北預防醫學基金會主編。台北:巨流圖書公司。

楊銘欽
1994 全民健康保險對醫院管理之影響。馬偕院訊,11月,1-7。

楊銘欽、江東亮、盧美玲
1995 全民健康保險實施初期台灣地區一般與加護病床供需之推計。醫院,28(5):1-7。

楊國樞、文崇一、吳聰賢、李亦園
1990 社會及行為科學研究法(上冊)。第三版,台北:東華書局。

詹火生
1990 全民健康保險與社會福利政策發展相關性研究。行政院經濟建設委員會。

葉金川
1993 我國健康照互體系。楊志良主編,健康保險,109-51。台北:巨流圖書公司。
1997 醫療體系。公共衛生學(上冊),205-51。陳拱北預防醫學基金會主編。台北:巨流圖書公司。

蔡宏昭
1989 醫療福利政策。台北:桂冠圖書公司。

鄭守夏
1998 健康經濟學。公共衛生學(下冊),1241-70。陳拱北預防醫學基金會主編。台北:巨流圖書公司。

錢才瑋
1995 全民健保下之門急診業務之因應策略。醫院,28(6):33-9。

謝高橋
1990 全民健康保險的社會效果。台北:行政院經濟建設委員會委託研究計劃。

韓揆
1990a 全民健康保險對醫院經營管理之影響評估。台北:行政院經濟建設委員會委託研究報告。
1990b 醫院管理的範圍及本質。台灣醫學會雜誌,2(4):410-17。
1994 醫療品質管理及門診服務品質定性指標。中華公共衛生雜誌,13(1):35-53。new window
1997 醫院之功能、組織與管理。公共衛生學(上冊),253-318。陳拱北預防醫學基金會主編。台北:巨流圖書公司。

藍忠孚
1984 中華民國醫院系統現況與發展之規劃研究。行政院科技顧問組。

藍忠孚、吳凱勳
1984 勞工保險就診制度及醫療費用合理化之研究。台閩地區勞工保險局。

藍美玲
1996 全民健保實施初期與前一年同期特約醫院醫療服務量變化情形之初探。國立台灣大學公共衛生研究所未出版碩士論文。

藍采風、廖榮利
1990 醫療社會學。台北:三民書局。
二、英文部份

Aldag RJ, Stearns TM
1991 Management. Cincinnati, Ohio: South-Western Publishing Co.
Alford RR
1975 Health Care Politics: Ideological and Interest Group Barriers to Reform. Chicago: University of Chicago Press.

Anthony RN
1988 The Management Conrtol Function. Boston, MA: Harvard Business School Press.

Argyle M
1969 Social Interaction. Methuen.

Ashmos DP, Duchon D, Hauge FE, McDaniel RR
1996 Internal complexity and environmental sensitivity in hospitals. Hospital & Health Services Administration, 41 (4): 535-55.

Austin C, Trimm JM, Sobczak PM
1995 Information systems and strategic management. Health Care Manage-ment Review, 20 (3): 26-33.

Autrey P, Thomas D
1986 Competitive strategy in the hospital industry. Health Care Management Review, 11 (1): 7-14.new window

Baumol WJ
1988 Containing medical costs: Why price controls won’t work. The Public Interest, 37-53.

Bigelow B, Mahon J
1989 Strategic behavior of hospitals: A framework for analysis. Medical Care Review, 46 (3): 295-311.

Blau PM
1955 The Dunamics of Bureaucracy. University of Chicago Press.

Blau PM, Scott WR
1963 Formal Organizations. London: Routledge and Kegan Paul.

Bradach JL, Eccles RG
1989 Price, authority, and trust: From ideal types to plural forms. Annual Reviews of Sociology, 15: 97-118.

Burns LR, Thorpe DP
1993 Trends and models in physician-hospital organization. Health Care Management Review, 18 (4): 7-20.

Burns LR, Wholey DR
1993 Factors affecting physician loyalty and exit: A longitudinal analysis of physician-hospital relations. Health Care Management Review, 18 (4): 7-20.

Churchill GA
1979 A paradigm for developing better measures of marketing constructs. Journal of Marketing Research. 64-73.

Coase RH
1937 The Nature of the Firm. Economica, new series, 4: 386-405.

Coile RC
1993 The new American hospital: Creating an internal reform strategy. Hospital Strategy Report, 5 (11): 1-6,8.

Cross DA
1992 Solving physician-hospital administration conflicts: A physician strategy for the ‘90s. Physician Executive, 18 (6): 39-42.

Das TK
1989 Organizational control: An evolutionary perspective. Journal of Management Studies, 26 (5): 459-75.

Davis MM
1929 Hospital Administration: A Career. Rockefeller Foundation.

Donabedian A
1980 Explorations in Quality Assessment and Monitoring, Vol. I: The Definition of Quality and Approaches to its Assessment. Ann Arbor, MI: Health Administration Press.
1982 Explorations in Quality Assessment and Monitoring, Vol. II: The Criteria and Standards of Quality. Ann Arbor, MI: Health Administration Press.
1985 Explorations in Quality Assessment and Monitoring, Vol. III: The Methods and Finding of Quality Assessment and Monitoring: An Illustrated Analysis. Ann Arbor, MI: Health Administration Press.
1995 The Quality of care: How can it be assessed? In Graham NO eds. Quality in Health Care, Theory, Application, and Evolution, 32-46. Maryland: Aspen Publisher.

Drucker PF
1990 Managing the Non-Profit Organizations: Principles and Practices.
1995 Managing in a Time of Great Change. The Penguin Group.

Duff RS, Hollingshead AB
1968 Sickness and Society. New York: Harper & Row.
Duncan WJ, Ginter PM, Swayne LE
1992 Strategic Management of Health Care Organizations. Boston, Mass: PWS-Kent Publishing Co.

Eastaugh SR
1992 Hospital strategy and financial performance. Health Care Management Review, 17 (3): 19-31.

Eisenhardt KM
1985 Control: Organizational and economic approaches. Management Science, 31 (2): 134-49.

Etzioni A
1961 A Comparative Analysis of Complex Organizations, Glencoe, Ill.: Free Press.

Feldstein PJ
1993 Health Care Economics. 4th ed. New York: Delmar Publishers Inc.

Flood AB, Shortell SM, Scott WR
1994 Organizational innovation and change. In Shortell SM, Kaluzny AD edit, Health Care Management. 3rd ed. New York: Delmar Publishers Inc.

Fottler MD, Hernandez SR, Joiner CL
1994 Strategic Management of Human Resources. New York: Delmar Publishers Inc.

Fottler MD, Phillips RL, Blair JD, Duran CA
1990 Achieving competitive advantage through strategic human resource management. Hospital & Health Services Administration, 35 (3): 341-63.

Friedman B, Shortell SM
1988 The financial performance of selected investor-owned and not-for-profit system hospitals before and after Medicare prospective payment. Health Services Research, 23 (2): 456-76.

Friedman K, Elerding W
1988 Developing a survival strategy for rural hospitals. Health Care Strategic Management, 6 (1): 4-9.new window

Friedson E
1984 The changing nature of professional control. Annual review of Sociology. 10: 1-20.

Galbraith J
1973 Designing Complex Organizations. Reading, MA: Addison-Wesley.

Giardina CR, Fottler MD, Shewchuck R
1989 The applicability of Porter’s generic strategies to the hospital industry. Working paper. Department of Health Services Administration, University of Alabama at Birmingham. Birmingham, AL.

Ginn GO
1990 Strategic change in the hospital industry: An examination of the response of the acute care hospital to the turbulent environment of the 1980s. Health Services Research, 25 (4): 565-91.

Ginn GO, Young GJ
1992 Organizational and environmental determinants of hospital strategy. Hospital and Health Services Administration, 37 (3): 291-302.

Ginn GO, Young GJ, Beekun RI
1995 Business strategy and financial structure: An empirical analysis of acute care hospitals. Hospital and Health Services Administration, 40 (2): 191-209.

Ginsberg A
1988 Measuring and modeling changes in strategy: Theoretical foundations and empirical directions. Strategic management Journal, 9 (6): 559-75.

Goldner FH, Ritti RR
1970 Professionalization as career immobility. In Grusky O & Miller GA (eds.), The Sociology of Organizations, 463-74. New York: Free Press.

Gorey TM
1993 Physician organizations and physician-hospital organizations: Models for managing change. Michigan Medicine, 92 (9): 34-8.

Gouldner AW
1970 Cosmopolitans and locals: Toward and analysis of latent social roles. in Grusky O & Miller GA (eds.), The Sociology of Organizations, 477-82.

Hafferty FW, Light DW
1995 Professional dynamics and the changing nature of medical work. Journal of Health and Social Behavior (Extra Issue), 132-53.

Hall RH
1968 Professionalization and bureaucratization. American Sociological Review, 33: 92-104.

Hambrick DC
1983 Some tests of the effectiveness and functional attributes of Miles and Snow’s strategic types. Academy of Management Journal, 26 (1): 5-26.new window

Harvey J, Duguay CR
1988 Operations management approach to hospitals. Health Care Strategic Management, 6 (6): 4-7.

Hickie JB
1994 Success of a new health administration strategy. The patient-focused institute with a tripartite management. Medical Journal of Australia, 161 (5): 324-7.

Higgins CVV
1989 Competitive reform and nonprice competition: Implication for the hospital industry. Health Care Management Review, 14 (4): 57-66.

Hill CWL
1988 Differentiation versus low cost or differentiation and low cost: A contingency framework. Academy of Management Review, 13 (3): 401-12.

Hill CWL, Jones GR
1995 Strategic Management Theory, 3rd edition.

Hofstede G
1980 Culture’s Consequences: International Differences in Worked Related Values. Beverly Hill: Sage Publishing.

Jarillo JC
1988 On strategic networks. Strategic Management Journal, 9: 31-41.

Jaworski BJ
1988 Toward a theory of marketing control: Environment context, control types, and consequences. Journal of Marketing, 52: 23-39.

Jaworski BJ, Stathakopoulos V, Krishnan HS
1993 Control combinations in marketing: conceptual framework and empirical evidence. Journal of Marketing, 57: 57-69.

Jenkins GH
1970 Professionals in organizations. In Jackson JA (eds.) Professions and Professionalization, Cambridge: University Press.

Johanson J, Mattsson LG
1987 Interorganizational relations in industrial systems: A network approach compared with the transaction-cost approach. International Studies of management and organization, 17 (1): 34-48.new window

Johnson JA, Omachonu VK
1995 Total quality management as a health care corporate strategy. International Journal of Health Care Quality Assurance, 8 (6): 23-8.

Johnston R, Lawrence PR
1988 Beyond vertical integration: The rise of the value-adding partnership. Harvard business Review, 88: 94-101.

Kay J
1993 The structure of strategy. Business Strategy Review, 4 (2): 17-37.

Keele RL, Buckner K, Bushnell S
1987 Identifying health care stakeholders: A key to strategic implementation. Health Care Strategic Management, 5 (September): 4-10.

Kimberly JR, Zajac EJ
1985 Strategic adaptation in health care organizations: Implications for theory and research. Medical Care Review, 42 (2): 267-302.

Kornhauser W
1962 Scientists in Industry: Conflict and Accommodation. Berkeley: University of California Press.

Kotler P, Clarke RN
1987 Marketing for Health Care Organizations. New Jersey: Prentice-Hall, Inc.

Kumar K, Subramanian R, Yauger C
1997 Pure versus hybrid: Performance implications of Porter’s generic stategies. Health Care Management Review, 22 (4): 47-60.

Lamont BT, Marlin D, Hoffman JJ
1993 Porter’s generic strategies, discontinuous environments, strategies in the hospital industry. Health Services Research, 28 (5): 623-40.

Lebas M, Weigenstein J
1986 Management control: The roles of rules, markets and culture. Journal of Management Studies, 23: 259-72.

Liedtka JM
1992 Formulating hospital strategy: Moving beyond a market mentality. Health Care Management Review, 17 (1): 21-6.new window

Longest BB
1981 An external dependence perspective of organizational strategy and structure: The community hospital case. Hospital and Health Services Administration, 50-69.

Louden TL
1982 Molding the organization to fit the strategy: Different strategies require different organizational designs. Hospital Management Quarterly, 16-7.

Luke RD, Begun JW
1987 Industry distinctiveness: Implications for strategic management in health care organizations. Journal of Health Administration Education, 5 (3): 387-405.
1994 Strategy making in health care organizations. In Health Care management: Organization Design and Behavior, 3rd ed., edited by Shortell SM, Kaluzny AD and associates, 355-91. New York: Delmar Publishiers Inc.

Magnussen J
1996 Efficiency measurement and the operationalization of hospital production. Health Services Research, 31 (1): 21-37.new window

McDaniel RR JR, Ashmos DP
1996 Internal stakeholder group participation in hospital strategic decision-making: Making structure fit the moment. Journal of Health & Human Services Administration, 18 (3): 304-27.

Mechanic D
1976 The Growth of Bureaucratic Medicine. New York: John Wiley.

Meslin EM, lemieux-Charles L, Wortley JT
1997 An ethics framework for assisting clinician-managers in resource allocation decision making. Hospital & Health Services Administration, 42 (1): 33-48.new window

Meyer AD
1981 Reacting to surprises: Hospital strategy, structure and ideology. Health Care Management Review, 6 (4): 25-32.

Miles RE, Snow CC
1978 Organizational Strategy, Structure, and Process. New York, NY: McGrqw-Hill.

Mintzberg H
1979 The Structuring of Organizations. N.J.: Prentice-Hall.

Nguyen NX
1996 Physician volume response to price controls. Health Policy, 35: 189-204.

Nguyen NX, Derrick FW
1994 Hospital markets and competition: Implications for antitrust policy. Health Care Management Review, 19 (1): 34-43.new window
1997 Physician behavioral response to a Medicare price reduction. Health Services Research, 32 (3): 283-98.

Office of Technology Assessment (Congress of the United States)
1988 The Quality of Medical Care: Information for Consumers. Washington, DC: U.S. Government Printing Office.

Oliver C
1990 Determinants of interorganizational relationships: Integration and future directions. Academy of Management Review, 15 (2): 241-65.

Ouchi WG
1977 The relationship between organizational structure and organizational control. Administrative Science Quarterly, 22: 95-113.
1979 A conceptual framework for the design of organizational control mechanisms. Management Science, 25 (9): 833-48.
1980 Markets, bureaucracies, and clans. Administrative Science Quarterly, 25 (1): 129-41.new window
1981 Theory Z: How American Business Can Meet the Japanese Challenge. Reading, MA: Addison-Wesley publishing Co.
1984 The M-form Society. Reading, MA: Addison-Wesley publishing Co.

Ouchi WG, Jaeger AM
1977 Type Z organizational structure: Stability in the midst of mobility. Academy of Management Review, 3: 308.

Ouchi WG, Johnson JB
1978 Types of organizational control and their relationship to emotional well being. Administrative Science Quarterly, 23: 293-369.

Ouchi WG, Maguire MA
1975 Organizational control: Two functions. Administrative Science Quarterly, 20: 559-69.
Ouchi WG, Wilkins AL
1980 Organizational cultures. Administrative Science Quarterly, 28: 570-81.

Palmer RH, Reilly MC
1979 Individual and institutional variables which may serve as indicators of quality of medical care. Medical Care, 17: 693.

Pennings JM, Woiceshyn J
1987 A typology of organizational control and its metaphors. Research in the Sociology of Organizations, 5: 73-104.

Peoples LT, Sanders NF
1994 Health care system redesign: A strategic management framework. Hospital Material Management Quarterly, 16 (2): 1-13.

Pettigrew AM
1979 On studying organizational cultures. Administrative Science Quarterly, 24 (4): 570-81.

Pointer DD
1990 Offering-level strategy formulation in heath service organizations. Health Care Management Review, 15 (3): 15-23.

Porter ME
1980 Competitive Strategy: Techniques for Analyzing Industries and Competitors. New York, NY: Free Press.

Powell WW
1987 Hybrid organizational arrangements: New form or transitional development? California Management Review, 30: 67-87.
1990 Neither market nor hierarchy: Network forms of organization. In Straw BM, Cummings LL, ed. Research in Organizational Behavior, XII. Greenwich, Conn: JAI Press, Inc. 295-336.

Punj G, Stewart DW
1983 Cluster analysis in marketing research: Review and suggestions for application. Journal of Marketing Research, May: 134-48.

Ring PS, Van De Ven AH
1992 Structuring cooperative relationships between organizations. Strategic Management Journal, 13: 483-98.

Robbins SP
1983 Organization Theory: The Structure and Design of Organiza-tions. New Jersey: Prentice-Hall, Inc.
1992 Essentials of Organizational Behavior. New Jersey: Prentice-Hall, Inc.
1994 Management. 4th ed. Prentice-Hall, Inc.
1996 Management. 5th ed. Prentice-Hall, Inc.
1998 Organizational Behavior. 8th ed. Prentice-Hall, Inc.

Ross A, Fenster LF
1995 The dilemma of managing value. Frontiers of Health Services Management, 12 (2): 3-32.

Roth K, Morrison AJ
1990 An empirical analysis of the integration-responsiveness framework in global industry. Journal of International Business Studies, 21 (4): 541-64.

Rugman AM, D’Cruz JR
1995 The five partners business network model. Sixth International Conference on Multinational Enterprise─Multinational Enterprise in the Global Economy, Chinese Culture University: 145-92.

Rundall TG
1994 The integration of public health and medicine. Frontiers of Health Services Management, 10 (4): 3-24.

Scott WR
1981 Developments in organization theory, 1960-1980. American Behavioral Scientist, 24 (3): 407-22.
1982 Managing professional work: Three models of control for health organizations. Health Services Research, 17 (3): 213-40.
1987 Organizations: Rational, Natural, and Open Systems. 2nd ed. Prentice-Hall.

Shiell A
1992 Paying for efficiency: What price the quality of hospital care? Australian Journal of Public Health, 16 (3): 294-301.

Shortell SM
1988 The evolution of hospital systems: Unfulfilled promises and self-fulfilling prophecies. Medical Care Review, 45 (fall): 177-214.
1989 New directions in hospital governance. Hospital & Health Services Administration, 34 (1): 7-23.new window
1990 Revisiting the garden: Medicine and management in the 1990s. Frontiers of Health Services Management, 7 (1): 3-32.new window

Shortell SM, Morrison EM, Friedman B
1990 Strategic choices for America’s hospitals: Managing change in turbulent times. San Francisco: Jossey-Bass.

Shortell SM, Morrison EM, Robbins S
1985 Strategy making in health care organizations: A framework and agenda for research. Medical Care Review, 42 (2): 219-66.

Shortell SM, Zajac EJ
1990 Perceptual and archival measures of Miles and Snow’s strategic types: A comprehensive assessment of reliability and validity. Academy of Management Journal, 33 (4): 817-32.

Shukla RK, Pestian J, Clement J
1997 A comparative analysis of revenue and cost-management strategies of not-for-profit and for-profit hospitals. Hospital & Health Services Administration, 42 (1): 117-34.new window

Smith HL, Piland NF, Funk MJ
1992 Strategic planning in rural health care organization. Health Care Management Review, 17 (3): 63-80.

Sperling KL
1995 Introduction developing a health care strategy: A results-based approach. Benefits Quarterly, second quarter: 6-8.

Starkweather DB, Carmann JM
1987 Horizontal and vertical concentrations in the evolution of hospital competition. In Advances in Health Economics and health Services Research, Edited by Scheffler RM and Rossiter LF. Greenwich, CT: JAI Press.

Stiles RA, Mick SS
1997 Components of the costs of controlling quality: A transaction cost economics approach. Hospital & Health Services Administration, 42 (2): 205-19.

Swinehart K, Zimmerer TW
1995 Adapting a strategic management model to hospital operating strategies. Journal of Management in Medicine, 9 (2): 34-47.

Tannenbaum AS
1968 Control in Organizations. New York: McGraw-Hill.
Thomas JW
1995 Payment system design and implementation & provider objectives under prospective payment. International Symposium on Health Care (1995. 8. 7).

Thompson JD
1967 Organizations in Action. New York: McGraw-Hill Book Company.

Thorelli HB
1986 Networks: Between markets and hierarchies. Strategic Management Journal, 7: 37-51.

Topping S, Hernandez SR
1991 Health care strategy research, 1985-1990: A critical review. Medical Care Review, 48 (1): 47-89.new window

Vollmer HM, Mills DL
1966 Professionalization. Englewood Cliffs: Prentice-Hall, Inc., 1-2.

Wedig G, Mitchell JB, Cromwell J
1989 Can price controls induce optimal physician behavior? Journal of Health Politics, Policy & Law, 14 (3): 601-25.

Weil TP, Jorgensen NE
1995 Why market-driven forces in our health industry might eventually stumble: What could happen then? Journal of Health Care Finance, 22 (2): 1-12.

Weiner B, Alexander J
1993 Corporate and philanthropic models of hospital governance: A taxonomic evaluation. Health Services Research, 28 (3): 325-56.

Williamson O
1975 Markets and Hierarchies: Analysis and Antitrust implications. New York: Free Press.
1979 Transaction cost economics: The governance of contractual relationships. Journal of Law and Economics, 22 (2): 233-62.
1981 The economics of organization: The transaction cost approach. American Journal of Sociology, 87 (3): 548-77.
1985 The Economics Institutions of Capitalism. New York: Free Press.
1991 Comparative economic organization: The analysis of discrete structural alternatives. Administrative Science Quarterly, 36 (2): 269-96.

Young G, Beekun RI, Ginn GO
1992 Governing board structure, business strategy, and performance of acute care hospitals: A contingency perspective. Health Services Research, 27 (4): 543-64.

Zelman WN, Parham DL
1990 Strategic, operational, and marketing concerns of product-line management in health care. Health Care Management Review, 15 (1): 29-35.new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE