本研究藉由文獻探討，瞭解醫院公辦民營以及醫療服務品質相關議題，並整合、蒐集醫院個案醫院（高雄縣岡山醫院，全國第一家縣立公辦民營醫院）資料，建構醫院服務品質之顧客滿意衡量模式，研究整體環境構面（結構評估面）與整體服務品質構面（過程評估面）對醫院服務品質之滿意度分析，以問卷調查方式探討病患衡量醫療服務品質的滿意程度，統計資料以敘述統計、單因子變異數分析與Z檢定，分析病患人口統計變項與整體環境構面、整體服務品質構面之差異，作為公辦民營醫院改善服務品質的參考。研究資料顯示公辦民營之醫院，公辦民營只是過程與手段，真正目的在於醫療服務品質之提昇，民眾就醫對於服務品質的提昇，主要觀點不在於整體環境構面因素改善，反而重視醫療服務過程中所提供的服務，如領藥時服務人員的態度與申訴管理如何處理之細節。

　　Management of Kaohsiung Hsien Gang Shan Hospital has been taken over by Show Chwan Hospital in ChangHwa since 2000. Kaohsiung Hsien Gang Shan Hospital becomes first hospital privatization of Hsien-operated in Taiwan. This paper explores related topic of hospital privatization as well as medical service quality via literatures review, then, integrating collection data and case study of hospital document. Research purposes are to construct the model of medical service quality for customer satisfaction. The dimensions of model include integrated physical environment and integrated service quality. Via questionnaire survey and statistical analysis, the paper wills discussion patient’s quality satisfaction of medical service quality. Statistical approaches use data base demonstration, one-way ANOVA and Z test to explore the differences between physical environment and service quality. Research conclusion can be a reference for improving service quality to the management of hospital privatization. Hospital privatization is just only the process and methodology. True purposes of hospital privatization are to upgrade medical service quality. Patient’s viewpoint regarding promotion service quality does not lie in improvement of physical hospital environment, but in concerning how hospitals provide the services of medical process. Medical process services include what personnel’s service attitude to get medicine and how hospitals manage complaints from patients.