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題名：總額預算、薪資公平與薪資滿足對醫師工作態度之相關性影響與探討
書刊名：人力資源管理學報
作者：洪麗雯
作者(外文)：Horng, Li-wen
出版日期：2005
卷期：5:1
頁次：頁135-161
主題關鍵詞：總額預算制；薪資公平；薪資滿足；工作態度；Global budget；Salary justice；Pay satisfaction；Work attitude
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(3) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:127
  • 點閱點閱:72
近年來，由於政府對醫療分配資源的改變，影響醫師薪資甚鉅，再加上醫療院所視醫師薪資保密的措施以及個人醫師費的實施，使得醫師常對其薪資來源感到不確定。因此，本研究的主要目的在於從薪資公平探討影響醫師對薪資滿意的相關因素；並藉由總額預算制的實施及薪資公平、薪資滿足構面，探討其對醫師工作態度的影響。主要透過問卷調查方式，針對中部八家醫院之主治醫師進行研究。總計發出319份問卷，回收108份問卷，回收率為33.9%。研究結果如下：1.性別、月薪及是否任主管職對醫師薪資滿足及工作態度均不會造成影響。2.年齡因素與薪資分配公平呈現負相關，故愈需醫院給予一定的薪資保障。3.薪資在制訂時愈公開、與員工能充份溝通，對薪資滿足有強化效果。4.薪資產生的來源愈符合醫師的認知，且總體分配公平，則醫師對於工作可產生良性互動關係。5.醫師愈清楚總額預算之點值分配辦法，則對工作態度愈產生負面影響。6.西醫總額實施尚短，故尚未影響醫師對薪資公平的認知及薪資滿足感。7.醫師對薪資愈感到滿足，則工作投入愈高，組織承諾度愈佳。
In recent years, the redistribution of medical resources directed by the government in general renders physicians uncertain and anxious about the stability and fairness of their income. The worries are further aggravated by policies such as "secret payment" or "personalized payment" that are currently conducting by the hospitals. Since issue like these may affect physicians’ attitudes toward their patients, factors affecting physician's satisfaction of their income based on the stand point of "salary justice" are thus important and are the focus of the present research. Meanwhile, the influences of "total budget system" on "salary justice" and "salary satisfaction" are also studied. In addition, the overall consequences of physicians work attitude are evaluated and analyzed in the present study. The research was conducted by distributing 319 questionnaires to the physicians of eight hospitals in central Taiwan. Among the distributed questionnaires, 108 of them were retrieved. The retrieval rate is thus 33.9%. The results are as follows: 1. Gender, salary and position have no influence on salary satisfaction and working attitude. 2. A negative correlation is observed between age and salary justice. This implies that the elders demand higher base salary. 3. The more open in salary information and communications, the better in salary satisfaction. 4. The structure of income should be consistent with one's recognition on the source of his or her salary. Together with a fair distribution in overall benefits would help in motivating positive work attitude. 5. More understanding in the method of benefit distribution as proposed in the total budget system could lead to more negative attitude at work. 6. The total budget system is still in the embryonic stage. No effects on salary justice and salary satisfaction have been observed yet. 7. A physician would have stronger commitment and team involvement on the job when he/she is satisfied with his/her income.
Other
1.Sheldon, M. E.(1971)。Investments and involvements as mechanisms producing commitment to the organizational。  new window
期刊論文
1.李天賞、杜金璋(19911200)。組織承諾的概念與測量。交大管理學報，11(1)，51-74。new window  延伸查詢new window
2.Goulet, Laurel R.、Frank, Margaret L.(2002)。Organizational commitment across three sectors: public, non-profit, and for profit。Public Personnel Management，31(2)，201-210。  new window
3.羅萱、楊志良(19980400)。某醫學中心專任主治醫師薪資滿足感、離職傾向與影響因素關係之研究一線性結構模式分析之應用。中華公共衛生雜誌，17(2)，125-138。new window  延伸查詢new window
4.余坤東(19940600)。認知型態、薪資公平對工作滿足之影響研究。中國工商學報，16，173-186。  延伸查詢new window
5.曹國雄(20001200)。變動式薪資對薪資滿足的影響。中原學報，28(4)，1-11。  延伸查詢new window
6.Hurley, J.、Card, R.(1996)。Global Physician Budgets as Common Property Resources: Some Implications for Physicians and Medical Associations。Canadian Medical Association Journal，154(8)，1161-1168。  new window
7.Lomas, Jonathan、Goldsmith, Laurie J.、Hurley, Jeremiah(1997)。Physician Responses to Global Physician Expenditure Budgets in Canada: A Common Property Perspective。The Milbank Quarterly，75(3)，343-364。  new window
8.Morrow, Paula C.(1983)。Concept Redundancy in Organizational Research: The Case of Work Commitment。Academy of Management Review，8(3)，486-500。  new window
9.林淑姬、樊景立、吳靜吉、司徒達賢(1994)。薪酬公平、程序公正與組織承諾、組織公民行為關係之研究。管理評論，13(2)，87-108。new window  延伸查詢new window
10.Riketta, M.(2002)。Attitudinal organizational commitment and job performance: A meta-analysis。Journal of Organizational Behaivor，23(3)，257-266。  new window
11.Lawler, Edward E. III、Hall, Douglas Tim(1970)。Relationship of job characteristics to job involvement, satisfaction, and intrinsic motivation。Journal of Applied Psychology，54(4)，305-312。  new window
12.Lodahl, Thomas M.、Kejnar, Mathilde(1965)。The definition and measurement of job involvement。Journal of Applied Psychology，49(1)，24-33。  new window
13.Greenberg, Jerald(1987)。A taxonomy of organizational justice theories。Academy of Management Review，12(1)，9-22。  new window
14.Allport, Gordon W.(1947)。The psychology of participation。Psychological Review，52(3)，117-132。  new window
15.Mathieu, J. E.、Zajac, D. M.(1990)。A review and meta-analysis of the antecedents, correlates, and consequence of organizational commitment。Psychological Bulletin，108(2)，171-194。  new window
16.Porter, Lyman W.、Mowday, Richard T.、Steers, Richard M.(1979)。The measurement of organizational commitment。Journal of Vocational Behavior，14(2)，224-247。  new window
17.Porter, Lyman W.、Steers, Richard M.、Mowday, Richard T.、Boulian, Paul V.(1974)。Organizational commitment, job satisfaction, and turnover among psychiatric technicians。Journal of Applied Psychology，59(5)，603-609。  new window
18.Steers, Richard M.(1977)。Antecedents and Outcomes of Organizational Commitment。Administrative Science Quarterly，22(1)，46-56。  new window
19.Wiener, Yoash(1982)。Commitment in Organization: A Normative View。Academy of Management Review，7(3)，418-428。  new window
20.Hrebiniak, Lawrence G.、Alluto, Joseph A.(1972)。Personal and Role-Related Factors in the Development of Organizational Commitment。Administrative Science Quarterly，17(4)，555-573。  new window
學位論文
1.李淑雅(2001)。醫師工作滿意度與對應因素重要性程度之相關性研究--以台北市立區域級綜合醫院為例(碩士論文)。國立台北護理學院。  延伸查詢new window
2.黃仲毅(2001)。薪酬公平的認知與醫院員工工作態度關係之探討(碩士論文)。台北醫學院。  延伸查詢new window
3.李培銘(2001)。薪資組合與工作投入關係之研究(碩士論文)。中國文化大學。  延伸查詢new window
4.余慶華(2001)。消費金融從業人員之工作投入、工作滿足、薪酬福利與工作績效之相關研究--以高雄地區銀行為例(碩士論文)。國立中山大學。  延伸查詢new window
5.楊力彥(2001)。團隊績效獎勵制度知覺對於員工薪資滿意度與工作態度之影響(碩士論文)。國立中央大學。  延伸查詢new window
6.諸承明(1995)。薪資設計要素與組織效能關係之研究：以組織特性與任務特性為情境變項(博士論文)。國立臺灣大學。new window  延伸查詢new window
圖書
1.Hughes, E. C.(1958)。Men and Their Work。Glencoe, IL：Free Press。  new window
2.Mowday, R. T.、Porter, L.M.、Steers, R.M.(1982)。Employee organizational link ages : The psychology of commitment absenteeism, and turnover。New York：Academic Press。  new window
3.Blau, P. M.(1964)。Exchange and Power in Social Life。New York：John Wiley and Sons。  new window
4.Homans, G. C.(1961)。Social behavior: Its elementary froms。New York：Harcourt Brace and World。  new window
5.莊逸洲、黃崇哲(2000)。醫療機構人力資源管理。台北：華杏。  延伸查詢new window
6.Lawler, E. E. III(1981)。Pay and Organizational Development。Reading, Mass.：Addison-Wesley。  new window
7.張火燦(1996)。策略性人力資源管理。揚智文化事業股份有限公司。  延伸查詢new window
其他
1.何明怡(2002)。從認知評價理論探討醫師薪資制度與內在動機之關係。  延伸查詢new window
2.何明勳(2000)。人力資源管理滿意度、員工工作滿足與顧客滿意度之探討--以台中區域級以上之醫院為例。  延伸查詢new window
3.周世傑、林偉仁、戴基峰。資訊服務業技術人員薪資滿足之研究。  延伸查詢new window
4.林長毅(2000)。印刷業員工對薪酬制度滿意度及工作投貨之研究。  延伸查詢new window
5.邱永仁(2004)。施行醫院總額制度需兼顧病患權益。  延伸查詢new window
6.張沅嬪(2001)。醫院實施總額支付制之探討。  延伸查詢new window
7.張睿詒、陳隆鴻、侯穎蕙(2002)。醫師團隊相對效率評估與效率提昇典範分析。  延伸查詢new window
8.張銘聰(2001)。大高雄地區醫學中心醫師工作滿意度之研究。  延伸查詢new window
9.莊逸洲(1992)。美國RB-RVS(醫療資源基準相對價值表)在長庚醫院之應用。  延伸查詢new window
10.連子慧(1995)。醫院醫師薪資制度等因素對疾病處置之影響--以勞保六種疾病住院病人為例。  延伸查詢new window
11.湯大緯(2002)。授權賦能認知與工作態度對管理效能之影響--以銀行業主管為例。  延伸查詢new window
12.趙秀雄(1996)。不同工不同酬與醫師獎勵制度之運用--公立醫院實施醫師費面臨之問題。  延伸查詢new window
13.賴美淑(1999)。全民健保現行制度之評估及興革規劃。  延伸查詢new window
14.顏裕庭(2002)。台灣醫界。  延伸查詢new window
15.Angle, H. L., & Perry J. L.(1981)。An emoirical assessment of organizational commitment and organizational effectiveness。  new window
16.Dubin, R.(1958)。The World of Work。  new window
17.Dubin, R.(1961)。Human Relations in Aadministration。  new window
18.Farrell, D., & Rusbult C. E.(1981)。Exchange variable as predictors of job satisfaction, job commitment and turnover: The impact of reward, costs, alternatives and investment。  new window
19.Heneman, H. G. Ⅲ, & Schwab, D. P.(1985)。Pay satisfactions: Its multidimensional nature and measurement。  new window
20.Koehler, W. F., Fottler M. D., & Swan J. E.(1992)。Physician-patient satisfaciton: Equity in the health services encounter。  new window
21.Lewis, H. G.., & Franklin. J.(1944)。The significance of task-orientation in work。  new window
22.Mcgregor, D. M.(1944)。Conditions of effective industrial leadership。  new window
23.Miceli, M. P., Jung, I., Near, J. P., & Greenberger, D. B.(1991)。Predictors and outcomes of reactions to pay-for-performance plans。  new window
24.Rublee, D. A., & Moser, J. W.(1991)。Recent trends in expenditures on physicians' services in Canada。  new window
25.Wickert, F. R.(1951)。Turnover, and employees’ feelings of ego-involvement in the day-to-day operations of a company。  new window
圖書論文
1.Edward, E. Laler III(1971)。Pay and Organizational Effectiveness。Psychological View。New York：Mcgiaw-Hill, Inc。  new window
2.Leventhal, Gerald S.(1980)。What Should Be Done with Equity Theory? New Approaches to the Study of Fairness in Social Relationships。Social Exchange: Advances in Theory and Research。Plenum Press。  new window
 
 
 
 
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