醫院社會責任：醫護之外的員工觀點__臺灣人文及社會科學引文索引資料庫

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題名：	醫院社會責任：醫護之外的員工觀點
書刊名：	靜宜人文社會學報
作者：	張偉洲／謝雅惠／雷蕾／謝聖哲
作者(外文)：	Chang, Wei-chou／Hsieh, Ya-hui／Lei, Lei／Hsieh, Sheng-che
出版日期：	2014
卷期：	8:1
頁次：	頁457-494
主題關鍵詞：	企業社會責任；醫院；員工；Corporate social responsibility；Hospital；Employees
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:0 共同引用:502 點閱:38

醫院績效絕不能僅由單面向的醫療服務品質良窳來決定，除了不得以犧牲醫療人力來成就大眾健康之外，更不能逕將「救人」的人群服務特殊性等同於「濟世」的社會責任，應該建立全面的整體評估指標，醫院社會責任實踐當可作為其一。本研究發現，員工感受到醫院以壓低薪資及要求工作績效作為降低營運成本的手段，故以不期待醫院穩定獲利回應之。非醫護員工在多數責任面向實踐的感受與期待之間達到顯著落差，感受的排序符合Carroll(1991）的金字塔論述，即必須在優先達成底層（經濟與法律）責任的前提下方能實踐上層（道德、慈善）責任。然而，員工最不認同卻非最期待員工責任實踐的結果顯示，員工並非全然自利優先，而是認為醫院有更為重要的社會責任需要優先實踐。由多元階層迴歸分析發現，年資愈高者，對醫院的社會責任實踐之感受愈強，與期待之間的落差愈小。區域醫院層級員工對經濟責任實踐的感受明顯較醫學中心者佳，但在整體責任實踐的感受與期待間落差則是相反。行政人員明顯較期待醫院在經濟與整體責任的實踐，且與感受間落差也較大。員工在工作之外的個人慈善行為，並未影響對於醫院社會責任實踐的期待。另外，員工若有較強的醫院社會責任重要性的信念，將使其更敏銳看待各面向責任的實踐。

以文找文

Hospital performance cannot be determined based on the single dimension of medical service quality; instead, it must be evaluated according to the hospitals’ social responsibility (HSR) practices. We found that employees except physicians and nurses perceived lowering operating costs by depressing their salary and requesting efficiency and would not expected the hospital made profits steadily. Secondly, there were significant differences between perceptions and expectations in the most dimensions of HSR practices. However, contrasting results were obtained when ranking employee HSR practice expectations. Employees did not recognize internal responsibility practices and did not expect hospitals to engage in this practice, they did not prioritize their own interests. In contrast to their interests and welfare, they believed that hospitals should prioritize social responsibilities in legal and ethical responsibilities. The hierarchical multi-regression analysis results showed that, the more the years of employee were, the better their perceptions and the less the gaps between the perceptions and expectations of the overall HSR practices would be. Employees of regional hospital were better perceptions of economic responsibility practices than ones of medical center, but the contrary in the perceptions and expectations of the overall HSR practices. Administrative staff was more expected the hospital’s economic and overall HSR practices and differentiate between perceptions and expectations obviously than medical personnel. Employees’ personal altruism actions would not influence the expectations of HSR practices. Moreover, the stronger employees’ beliefs of the HSR importance were, the more sensitive they evaluated each dimensions of HSR practices significantly.

以文找文

期刊論文
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會議論文
1.	Ellis, A. D.(2009)。The Impact of Corporate Social Responsibility on Employee Attitudes and Behaviors.。annual meeting of the Academy of Management。Chicago。
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1.	Elkington, J.(1997)。Cannibals With Forks: The Triple Bottom Line of 21st Century Business。New Society Publishers。
2.	Sims, R. R.(2003)。Ethics and Corporate Social Responsibility: Why Giants Fall。Praeger Publisher。
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4.	Freeman, Robert Edward(1984)。Strategic Management: A Stakeholder Approach。Pitman。

其他
1.	Zinkin, J.(20071020)。Corporate Social Responsibility in Private Hospitals，http://www.asianhhm.com/healthcare_management/corporate_privatehospitals.htm。

圖書論文
1.	Visser, Wayne(2006)。Revisiting Carroll’s CSR Pyramid。Corporate Citizenship in Africa: Lessons from the Past; Paths to the Future。Greenleaf Publishing。

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