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題名:運用系統動態學探討國軍心理諮商與醫療人力供需之研究
書刊名:危機管理學刊
作者:劉培林劉達生黃馨葳
作者(外文):Liu, P. L.Liu, T. S.Huang, S. W.
出版日期:2018
卷期:15:2
頁次:頁75-88
主題關鍵詞:系統動態學人力工時供需比輔導品質身心病患粗盛行率System dynamicsMan-hour supply/demand ratioQuality of counselingRough prevalence rate of patients with mental illness
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 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:2
  • 共同引用共同引用:53
  • 點閱點閱:9
因應社會的急速轉型,加上少子化趨勢,人力減少問題日益增加,軍隊是社會的縮小版,也受到相當的影響,再加上國軍組織逐年精簡,在人力供需失衡情形下,導致國軍人員一人分飾多角的局面。此時,心理狀態失衡與適應不良的情緒反應,常引發官兵心緒失常;此外,受到現今社會的影響,文明病更是與日俱增,因此單位的心輔人員就扮演了相當重要的潤滑劑角色。本研究以國軍為研究對象,運用系統動態學之方法論,建立國軍心理諮商與醫療人力供需之系統動態學模型。模型中針對高階心輔人員輔導時間之延長幅度與轉介諮商機構比率進行政策情境調整。結果顯示同時延長高階心輔人員輔導時間(至7小時)與轉介諮商機構比率(至30%),對輔導品質、初階心輔人員工時供需比、病患後送比率、身心病患人數及身心病患粗盛行率均有較佳改善結果。國軍各部隊近年來經歷了各階段精簡政策,而國軍心理諮商輔導人力仍需維持一定水平,專業輔導人員培訓不易,本研究提供不同情境分析讓決策者參考如何規劃培養及調整工作時數並與諮商機構配合,以維持供需平衡。
The rapid transformation of the society and low child birth rate has led to a decrease in working-age population. The military is a small version of the society and is considerably affected. This, along with downsizing of military organizations, has caused an imbalance in manpower supply and demand and military personnel thus had to play many roles at the same time. At a time like this, military officers and soldiers sometimes experience imbalance in personal mental state and maladaptation which often leads to mental disorder. In addition, there is an increase of the so-called "diseases of affluence" in today's society. Therefore, psychological counseling personnel in each unit play rather important roles as lubricant. Subjects of the research are military personnel. The research adopts a system dynamics approach to establish a model on the supply and demand of military counseling and medical personnel. The model looks at various extension of counseling period provided by senior counselors and counseling institution referral ratio and further carries out policy analysis. Research Result: Policies that both extend time of counseling (7 hours) and increase counseling institution referral ratio (30%) result in better improvement in quality of counseling, working-hour supply and demand ratio of primary counselors, patient evacuation ratio, number of patients with mental illness, and rough prevalence rate of patients with mental illness. Research Conclusion: Even though the military has gone through several phases of downsizing in recent years, the quality of psychological counseling shall still be maintained. It is not easy to train professional counseling personnel and that is why this research provides different scenario analysis as a reference for decision makers. The cultivation and training of professionals, working hour adjustment and cooperation with counseling institutions to maintain the supply-demand balance is truly a topic that requires careful consideration of policy makers.
期刊論文
1.馮正民、袁劍雲、林義誠(20070900)。協同運輸管理對供應鏈之影響。運輸計劃,36(3),333-369。new window  延伸查詢new window
2.蕭志同、熊自賢(20100200)。臺灣中等教育英語師資供需失衡分析與政策模擬。教育政策論壇,13(1),177-205。new window  延伸查詢new window
3.程淑華、溫惠雯(20101200)。國軍幹部身心適應模式探討。復興崗學報,100,225-251。new window  延伸查詢new window
4.蕭志同、劉仲戌、梁秀精、吳靜芳(20120600)。全民健康保險制度安全準備餘絀影響因素分析。臺灣企業績效學刊,5(2),241-255。new window  延伸查詢new window
5.顏志龍、邱發忠(20080300)。臺灣軍事心理學發展的回顧與展望:實徵分析研究。應用心理研究,37,67-93。new window  延伸查詢new window
6.Jan, T. S.、Jan, C. G.(2000)。Designing Simulation Software to Facilitate Learning of Quantities System Dynamics Skill: A Case Study in Taiwan。Journal of the Operational Research Society,51(4),1409-1419。  new window
7.楊健生(20070500)。「精實案」對國軍體育影響之探討。輔仁大學體育學刊,6,290-298。new window  延伸查詢new window
8.丁華、胡正申、林冠萍(20120700)。國軍志願役軍人輔導工作研究:困境與對策。國防雜誌,27(4),116-130。new window  延伸查詢new window
9.劉彥君、陳畹蘭(20140600)。運用模擬病人/個案於自殺衡鑑晤談之教學訓練。中華心理衛生學刊,27(2),283-313。new window  延伸查詢new window
10.莊淑婷、詹佳達(20150900)。揭露自殺裡的存在意義--意義中心團體心理治療前導研究。中華團體心理治療,21(3),31-45。new window  延伸查詢new window
11.李玉嬋、林聖恆、詹千嬌(20160700)。從精神醫療到社區精神復健談心理系學生專業服務與工作認同。諮商與輔導,367,51-58。  延伸查詢new window
12.陳秀蓉、鄭逸如、王長偉、呂碧鴻(20111200)。以焦點團體探討住院醫師執行生理心理社會醫學照顧模式的促進與阻礙因素。中華心理衛生學刊,24(4),611-635。new window  延伸查詢new window
13.Jan, T. S.、Hsiao, C. T.(2004)。A four-role model of the automotive industry development in developing countries: A case in Taiwan。Journal of Operational Research Society,55(11),1145-1155。  new window
會議論文
1.詹秋貴(2006)。系統動態學在政策實務的應用。工研院創新與科技管理研討會。  延伸查詢new window
學位論文
1.詹秋貴(2000)。我國主要武器系統發展的政策探討(博士論文)。國立交通大學。new window  延伸查詢new window
圖書
1.陶在樸(2003)。系統動態學。台北:五南圖書有限公司。  延伸查詢new window
2.Sterman, J. D.(2000)。Business Dynamics: Systems Thinking and Modeling for a Complex World。Irwin-McGraw Hill。  new window
3.Coyle, R. G.(1996)。System dynamics modeling: a practical approach。  new window
其他
1.立法院第9屆第1會期外交及國防委員會聯席會議資料,http://www.chinatimes.com/realtimenews/。  延伸查詢new window
2.國防部(2017)。國防部2017年人事次長室報告,台北市:國防部。  延伸查詢new window
3.邱發忠(2014)。國軍志願役軍、士官身心狀況評量表之研發。  延伸查詢new window
圖書論文
1.Forrester, Jay W.、Senge, Peter M.(1980)。Tests for building confidence in system dynamics models。System Dynamics。New York:North-Holland。  new window
 
 
 
 
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