在一個醫療機構中，設施管理部門的主要任務是維持建築設施的正常運作與環境品質，是相當重要的部門。然而，醫療機構普遍地未針對其設施管理部門進行考核、也缺乏客觀的考核機制與評估方法。設施管理部門的績效評估應該針對給予部門的「投入」、及部門的「產出」來進行評比。理論上，醫院「建築設施之性能」可被視為該部門之「產出」、並作為衡量「部門績效」之基準。然而，建築性能除了取決於設施管理部門之績效，亦可能隨著屋齡之增加而有損耗與性能衰減之現象。若要以不同屋齡之「建築性能」來客觀地反應與比較不同設施管理部門之績效，則必須考慮「屋齡」因素、並設法將建築性能之評估結果正常化。
有鑑於此，本研究之研究目的在於：(1)運用馬可夫鏈之理論，建構一個適用於醫療機構設施管理部門之績效評估模型Facility Management Performance Evaluation Model（FMPE） Model；(2)制定醫院建築之性能評估表、並求出典型的醫院建築之生命週期性能衰退曲線；(3)運用FMPE模型，進行實際醫院個案之績效評估模擬操作與示範。本研究所提出之FMPE模型包含兩個部份。首先，本研究運用馬可夫鏈之理論與方法，根據大量的、不同屋齡的醫院建築之性能評估結果，求得典型的醫院建築性能衰減之推移機率、及代表該類建築之生命周期性能衰退曲線；再者，對於某特定醫院設施管理部門之績效評估，則由該醫院之實際建築性能、及該屋齡下之典型醫院建築性能之比值來衡量與呈現。最後，本研究透過台北市之四個區域醫院案例與調查資料，來運用FMPE模型、進行其設施管理部門之績效評估模擬操作，示範單一醫院與多家醫院之設施管理部門績效評估與比較，並提出該績效評估方法之操作心得與優缺點。

In the hospital, the primary mission of Facility Management department is maintenance the normal operation and environment quality of architectural facility, However, in the hospital, general speaking, haven’t inspected its facility control department, neither lack for objective inspection mechanism nor the appraisal method. The Performance Evaluation of Facility Management department should focus on its "Input” and "Output” to the comparison and appraisal. Theoretically, we can put down "the performance of architectural facility" of hospital as the achievement also the standard to evaluate the department performance. "House age" is the considerable factor to compare and reflect the different performance of Facility management department, and device a way to normalize the appraisal result of Facility management. .
The paper proposes is as below: (1) Using of Markov Chain theory, establish the Facility Management Performance Evaluation（FMPE）model which is suitable for the medical center. (2) Formulating the performance evaluation table of the hospital, and extracts the typical Lifecycle performance decline curve of hospital. (3) Using FMPE model to appraisal the simulation operation and demonstration of the hospital case, FMPE modal contains two parts in this study. First, this case utilizes the theory and method of Markov Chain, according to the appraisal result of performance from massive hospitals with different room age, then obtains the typical transition probability of hospital performance decline also the lifecycle performance decline curve which can represent this type. Furthermore, performance evaluation for certain hospital facility control departments, which should be measured and presented by the ratio between actual performance of hospital and typical performance with house age. Finally, this research manipulates the FMPE model to appraisal the simulation operation and demonstration for the facility managed department through four different regions hospitals in Taipei. This case demonstrates and compares the evaluation the facility managed department with single and various hospitals then proposes reflections and advantages also defects for the performance evaluation method.

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