研究生: |
顧毓琦 YU-CHI KU |
---|---|
論文名稱: |
區域教學醫院精神醫療垂直整合之個案研究 The vertical integration investigation for the mental medication of the regional teaching hospital |
指導教授: |
劉代洋
Day-Yang Liu |
口試委員: |
黃彥聖
NONE 張琬喻 NONE |
學位類別: |
碩士 Master |
系所名稱: |
管理學院 - 管理研究所 Graduate Institute of Management |
論文出版年: | 2008 |
畢業學年度: | 96 |
語文別: | 中文 |
論文頁數: | 91 |
中文關鍵詞: | 垂直整合 、精神分裂病 、生活品質 |
外文關鍵詞: | vertical integration, schizophrenia, quality of life |
相關次數: | 點閱:189 下載:5 |
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垂直整合策略是企業機構為求生存及發展最常用的經營策略,目前許多醫院引入此種管理策略,透過垂直整合以取得確定的供給或需求,來降低不確定性所造成的決策錯誤或成本耗費。本研究探討醫院經營策略引入垂直整合之方式於醫院組織架構,此作法對外能掌握病人的動向,深耕社區,對內可以整合醫療資源,提升醫療品質。本研究以南部某區域教學醫院精神科嚴重病人之醫療服務為研究對象,使用世界衛生組織生活品質問卷、精神病患生活品質量表、中國人健康問卷、艾氏人格量表、雙親教養態度量表、多倫多述情量表進行研究資料收集,結果顯示垂直整合的經營策略在向上游整合,可以確保有充足病人來源,包括開源及管理病人的部分;向下游整合,則是讓精神病人能回歸社區,並可依病人的特性,給予持續且完整性的服務,提供更佳的醫療品質之照護。在考量病人自主性與生活滿意度的前提下,居家治療與社家康治療模式均有其優異之處,並需依病人需求進行調整。此外,考量醫療成本下,本研究發現居家治療的方式安置會有較佳的經濟效益,可作為往後臨床照護選擇的依據。
Vertical integrated strategy has been used commonly for surviving and developing among the business organizations. Currently, there are numerous hospitals adopted it as management strategy, that would obtain ascertainable supplies or needs, and would reduce the mistaken strategies or cost expenditures through the vertical integrated strategy. This study investigated the method of vertical integration to be part of the hospital management strategy in the structure of hospital organization. That kind of mode could get to know the patients well and go deep into community externally; moreover, it could integrate medical resources and improve the medical qualities internally. The subjects of this investigation were the medical service of the severe psychological patients in a teaching hospital of southern Taiwan. The study employed World Health Organization Quality of Life Questionnaire(WHOQOL)、Schizophrenia Health Questionnaire(SHQ) 、Chinese Health Questionnaire(CHQ)、Eysenck Personality Inventory(EPI)、Parental Bounding Instrument(PBI)and Toronto Alexithymia Scale(TAS). The results showed that the management strategy of the vertical integration could ensure the sources of adequate patients, developing and managing the patients within the upper reaches. The integration of the lower reaches was let the psychological patients return to the community and offer sustained service according to the traits of patients in order to provide a better quality of medication and cares. The models of home care and community-rehabilitation and half way house treatments could be adjusted for the patients’ needs on the premises of patients’autonomy and life satisfaction. Furthermore, if the medical cost was considered, the intervention of home care treatment would have a better economy benefit that could also be the further references for clinical cares.
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