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題名：我國公辦民營醫院控制機制與經營績效之研究--以契約生命週期觀點
書刊名：中山管理評論
作者：李雅櫻／彭朱如 引用關係
作者(外文)：Li, Ya-ying／Peng, Tzu-ju
出版日期：2004
卷期：12:3
頁次：頁465-506
主題關鍵詞：契約管理；公辦民營醫院；控制機制；契約生命週期；Management contract；Government-owned hospitals；Contract life cycle；Management mechanisms
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(7) 博士論文(1) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:163
  • 點閱點閱:43
由於公共建設及社會福利支出大幅增加，政府在面臨財政壓力下，計劃將目前九十八家公立醫院交由民間經營，其中「公辦民營」醫院將成為社會福利民營化的主要方式國內已經多位學者進行公辦民營機構的研究，但多著重在探討委託經營之課責議題，或研究影響政府與民間雙方的合作因素。本研究希望透過對現階段我國公辦民營醫院之個案分析，分別以接受政府委託之民營醫療構機特性及公辦民營醫院的契約生命週期階段，來探討其控制機制之運用，以及對經營績效的影響。本研究採質性研究法，透過個案深入訪談進行探索性研究。對象為目前我國六家公辦民營醫院，接受訪談的對象皆為醫院院長或核心高階主管，透過受訪者綜理院務的豐富經驗，從中瞭解該醫院的控制機制及其經營績效。本研究依據深度的個案分析共推導出九個命題，期能提供後續研究以及公辦民營醫院實務管理之參考。
Management contract has become an important alternative to solve the long-term problems of inefficiency and financial crisis of government-owned hospitals. The literature on management contracts has centered primarily on the issues of accountabilities. Relatively less attention has focused on contract life cycle and its management mechanisms. This research aimed at exploring the correlation between the management mechanisms. This research aimed at exploring the correlation between the management mechanisms and performance. Particularly emphasized the management mechanisms that adopted by different stages of contract life cycle practiced in government-owned hospitals. Qualitative research method was conducted to figure out the correlation between constructs which derived from literatures. This study focused on six government-owned hospitals which were operated through management contracts that offered by six trustee hospitals, including two medical centers and four regional hospitals. Primary data was collected by face-to-face interview. six interviewees including hospital executives and other department chiefs. Finally, this study concluded several major findings and proposed nine propositions for the reference of future research and managerial practice.
期刊論文
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14.Kenis, I.(1979)。Effects of Budgetary Goal Characteristics on Managerial Attitudes and Performance。The Accounting Review，54(4)，707-721。  new window
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16.Smith, K. G.、Mitchell, T. R.、Summer, C, E.(1985)。Top Level Management Priorities in Different Stages of the Organizational Life Cycle。Academy of Management Journal，28(4)，799-820。  new window
17.Churchill, G. A.、Ford, N. M.、Hartley, S. W.、Walker, O. C.(1985)。The determinants of salesperson performance: A meta-analysis。Journal of Marketing Research，22(2)，103-118。  new window
18.Ouchi, W. G.、Maguire, M. A.(1975)。Organizational Control: Two Functions。Administrative Science Quarterly，20(4)，559-569。  new window
19.Cameron, K. S.、Whetten, D. A.(1981)。Perceptions of Organizational Effectiveness over Organizational Life Cycles。Administrative Science Quarterly，26(4)，525-544。  new window
20.Birkinshaw, J. M.、Morrison, A. J.、Hulland, J.(1995)。Structural and competitive determinants of a global integration strategy。Strategic Management Journal，16(8)，637-655。  new window
21.Govindarajan, V.、Fisher, J.(1990)。Strategy, Control Systems, and Resource Sharing: Effects on Business-Unit Performance。Academy of Management Jourmal，33(2)，259-285。  new window
22.彭朱如、司徒達賢、于卓民(20000600)。醫療產業跨組織合作方案與管理機制之關係。管理學報，17(2)，221-268。new window  延伸查詢new window
23.Levine, C. H.(1978)。Organizational Decline and Cutback Management。Public Administration Review，38，316-324。  new window
24.Banker, R. D.、Conrad, R. F.、Strauss, R. P.(1986)。A comparative application of data envelopment analysis and translog methods: an illustrative study of hospital production。Management Science，32(1)，30-44。  new window
25.Gupta, Y. P.、Chin, D. C. W.(1993)。Strategy making and environment: An organizational life cycle perspective。Technovation，13(1)，27-44。  new window
26.曾紀幸、司徒達賢、于卓民(19980300)。多國籍企業網路組織類型與管理機制選擇之關係--在臺外商公司之產品交易實證研究。管理學報，15(1)，1-26。new window  延伸查詢new window
27.Lebas, M.、Weigenstein, Jane(1986)。Management Control: The Roles of Rules, Markets, and Culture。Journal of Management studies，23(3)，259-272。  new window
28.Govindarajan, V.(1984)。Appropriateness of accounting data in performance evaluations: An empirical examination of environmental uncertainty as an intervening variable。Accounting, Organizations and Society，9(2)，125-135。  new window
29.Merchant, K. A.(1981)。The Design of the Corporate Budgeting System: Influences on Managerial Behavior and Performance。The Accounting Review，56(4)，813-829。  new window
30.Brownell, P.、Dunk, A. S.(1991)。Task Uncertainty and Its Interaction with Budgetary Participation and Budget Emphasis: Some Methodological Issues and Empirical Investigation。Accounting, Organizations and Society，16(8)，693-703。  new window
31.Galbraith, J.(1982)。The stages of growth。Journal of Business Strategy，3(1)，70-79。  new window
32.Donabedian, Avedis(1988)。The quality of care: How can it be assessed?。Journal of the American Medical Association，260(12)，1743-1748。  new window
33.Pettigrew, Andrew M.(1979)。On studying organizational cultures。Administrative Science Quarterly，24(4)，570-581。  new window
34.Quinn, Robert E.、Cameron, Kim S.(1983)。Organizational Life Cycles and Shifting Criteria of Effectiveness: Some Preliminary Evidence。Management Science，29(1)，33-51。  new window
35.Egelhoff, William G.(1988)。Strategy and structure in multinational corporations: a revision of the Stopford and Wells model。Strategic Management Journal，9(1)，1-14。  new window
36.Snell, S. A.(1992)。Control theory in strategic human resource management: The mediating effect of administrative information。Academy of Management Journal，35(2)，292-327。  new window
37.Lawrence, Paul R.、Lorsch, Jay W.(1967)。Differentiation and Integration in Complex Organizations。Administrative Science Quarterly，12(1)，1-47。  new window
38.Hill, Charles W. L.、Hoskisson, Robert E.(1987)。Strategy and Structure in the Multiproduct Firm。Academy of Management Review，12(2)，331-341。  new window
39.張錫惠、蕭家旗(19951000)。我國醫療基金營運效率之評估。會計評論，29，41-78。new window  延伸查詢new window
40.Child, John(1973)。Predicting and Understanding Organization Structure。Administrative Science Quarterly，18(2)，168-185。  new window
41.Doz, Yves L.、Prahalad, C. K.(1984)。Patterns of strategic control within multinational corporations。Journal of International Business Studies，15(2)，55-72。  new window
42.Roth, Kendall、Schweiger, David M.、Morrison, Allen J.(1991)。Global strategy implementation at the business unit level: Operational capabilities and administrative mechanisms。Journal of International Business Studies，22(3)，369-402。  new window
43.Taggart, James H.(1998)。Strategy shifts in MNC subsidiaries。Strategic Management Journal，19(7)，663-681。  new window
44.Youssef, Samir M.(1975)。Contextual Factors Influencing Control Strategy of Multinational Corporations。Academy of Management Journal，18(1)，136-145。  new window
45.Ouchi, William G.(1979)。A Conceptual Framework for the Design of Organizational Control Mechanisms。Management Science，25(9)，833-848。  new window
46.陳琇玲(1994)。醫院績效評估方法與工具。醫院：中華民國醫院協會雜誌，27(4)，60-68。  延伸查詢new window
47.Cameron, K. S.、Whetten, D. A.、Kim, M. U.(1987)。Organizational Dysfunctions of Decline。The Academy of Management Journal，30(1)，126-138。  new window
48.Abernethy, M. A.、Stoelwinder, J. U.(1990)。Physicians and resource management in hospitals: An empirical investigation。Financial Accountability and Management，6(1)，17-31。  new window
49.Cyert, R. M.(1978)。The management of universities of constant or decreasing size。Public Administration Review，38(4)，344-349。  new window
50.D'Aunno, T. A.、Zuckerman, H. S.(1987)。A life-cycle model of organizational federations: The case of hospitals。The Academy of Management Review，12(3)，534-545。  new window
51.Goold, M.、Campbell, A.(1987)。Managing diversity: Strategy and control in diversified British companies。Long Range Planning，20(5)，42-52。  new window
52.Gruca, T. S.、Nath, D.(1994)。The impact of marketing on hospital performance。Journal of Hospital Marketing，8(2)，87-112。  new window
53.Hall, R. I.(1976)。A System Pathology of an Organization: The Rise and Fall of the Old Saturday Evening Post。Administrative Science Quarterly，21(2)，185-221。  new window
54.Kimberly, J. R.、Zajac, E. J.(1985)。Strategic adaptation in health care organizations: Implications for theory and research。Medical Care Review，42(2)，267-302。  new window
55.Mitchell, Shannon M.、Shortell, Stephen M.(2000)。The governance and management of effective community health partnerships: A typology for research, policy, and practice。The Milbank Quarterly，78(2)，241-289。  new window
56.Murnighan, J. Keith(1978)。Models of coalition behavior: Game theoretic, social psychological, and political perspectives。Psychological Bulletin，85(5)，1130-1153。  new window
57.Provan, K. G.(1983)。The federation as an interorganizational linkage network。The Academy of Management Review，8(1)，79-89。  new window
58.Scanlan, B. K.(1980)。Maintaining organizational effectiveness a prescription for good health。Personnel Journal，59，381-386。  new window
59.Smith, E. C.(1982)。Strategic planning and human resources。Personnel Journal，Aug，606-610。  new window
60.Thomas, H.、Venkatraman, N.(1998)。Research on strategic groups: Progress and Prognosis。Journal of Management Studies，25(6)，537-555。  new window
研究報告
1.林子儀、蔡茂寅(1997)。行政檢查業務委託民間辦理法制之研究。  延伸查詢new window
2.藍忠孚、錢慶文、陳淑芬、呂思慧(1991)。省市立醫院生產力之研究－以DEA方法研究醫院生產力之運用。沒有紀錄。  延伸查詢new window
3.邱亨嘉(1991)。以資料包絡法（DATA ENVELOPMENT ANALYSIS）評估群體醫療執業中心之管理績效。沒有紀錄。  延伸查詢new window
4.莊雙喜、蔡明田、康信鴻(1996)。高雄市小港醫院民營化可行性研究。沒有紀錄。  延伸查詢new window
5.張錦文、莊逸洲、黃茂榮(1993)。公立醫療機構委託民間經營。沒有紀錄。  延伸查詢new window
6.張玉山(1999)。臺灣省立醫院改制成立公設財團法人或其他經營形式之探討（期中報告）。沒有紀錄。  延伸查詢new window
7.Pettigrew, A.(1977)。The creation of organizational cultures。沒有紀錄。  new window
學位論文
1.邱惠雀(1995)。地區醫院人力資源配置與營運績效之相關研究(碩士論文)。國立陽明大學。  延伸查詢new window
2.陳俊穎(1996)。環境，組織生命週期與企業策略之關聯性研究--以台灣地區製造業為例(碩士論文)。國立交通大學。  延伸查詢new window
3.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(碩士論文)。國立臺灣大學。  延伸查詢new window
4.張國雄(1996)。國際合資人力資源管理控制之影響因素與效果(博士論文)。國立臺灣大學。new window  延伸查詢new window
5.魏慶國(1992)。省市立醫院與教會醫院生產力及其影響因素之研究(碩士論文)。國立臺灣大學。  延伸查詢new window
6.祝道松(1997)。管理控制系統對醫院部門效能影響之探討－以臺灣地區區域級以上財團法人醫院為例，0。new window  延伸查詢new window
7.李孟勤(1999)。全民健康保險制度下醫療品質與醫療機構績效關係之研究－以臺北醫療區域各級醫院為例，沒有紀錄。  延伸查詢new window
8.孫啟能(1997)。我國多國籍企業內部網路連結型態與控制機制之研究，沒有紀錄。  延伸查詢new window
9.陳岱樺(1998)。赴大陸投資臺商之控制型態研究－人力資源管理之控制觀點，沒有紀錄。  延伸查詢new window
圖書
1.Anthony, R. N.(1988)。The Management Control Function。Boston, MA：Harvard Business School Press。  new window
2.Vancil, R. F.(1979)。Decentralization: Managerial Ambiguity by Design。Homewood, IL：Dow Jones-Irwin。  new window
3.Fayol, H.、Storrs, Constance(1949)。General and industrial management。London：Pitman。  new window
4.Robbins, S. P.(1994)。Management。Prentice-Hall。  new window
5.詹中原(1994)。民營化政策：公共行政理論與實務之分析。臺北：五南。new window  延伸查詢new window
6.Thompson, James D.(1967)。Organizations in Action: Social Science Bases of Administrative Theory。New York：McGraw-Hill。  new window
7.Robbins, S. P.(1998)。Organizational behavior: Concepts, controversies, applications。NJ：Prentice Hall。  new window
8.Chandler, Alfred D. Jr.(1962)。Strategy and Structure: Chapters in the History of the American Industrial Enterprise。MIT Press。  new window
9.楊志良(1995)。公共衛生新論。公共衛生新論。臺北。  延伸查詢new window
10.Donabedian, A.(1980)。The definition of quality and approachs to its assessment。The definition of quality and approachs to its assessment。Michigan。  new window
11.Flood, A. B.、Shortell, S. M.、Scott, W. R.(1994)。Organizational performance: Managing for efficiency and effectiveness。Health care management: Organization design and behavior。New York, NY。  new window
12.Griffith, J. R.(1978)。Measuring hospital performance。Measuring hospital performance。Chicago, IL。  new window
13.Haire, M.(1959)。Biological models and empirical history of the growth of organizations。Modern organizational theory。New York, NY。  new window
14.Scott, B. R.(1971)。Stages of corporate development - Part1.case。Stages of corporate development - Part1.case。Boston, MA。  new window
圖書論文
1.楊銘欽(2001)。台灣地區醫療網現況與未來展望。守護民眾健康--醫療保健政策白皮書。台北：厚生基金會。  延伸查詢new window
2.Reeves, T. K.、Woodward, J.(1970)。The Study of Managerial Control。Industrial Organization: Behavior and Control。London：Oxford University Press。  new window
 
 
 
 
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