醫院貴重醫療儀器之管理及採購決策

魏毓芬

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医院贵重医疗仪器之管理及采购决策

Purchase Decision Making and Management of Precious Medical Equipments

魏毓芬 , 硕士　　导师：简祯富　　

繁体中文

全面资源管理； PDCA循环；紫式决策分析架构；简易多属性评等技术； Total Resource Management ； PCDA cycle ； UNISON Decision Analysis Framework ； Simple Multi-Attribute Ranking Technique

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摘要 │ 参考文献 (28) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

With the raising awareness of disease prevention and healthcare as well as the popularization of social security, people in Taiwan tend to seek for higher quality of medication.  For these reasons, more selections of medical treatments appeared to fulfill the mass.  Due to the competitive pressure, hospitals have not only improved their service and medical technology, but also many new and valuable equipment were invested and introduced to medical treatments.  According to the statistics of National Health Insurance Administration (NHI) for high capital expenditure equipments including CT (Computerized Tomography) and MRI (Magnetic Resonance Imaging) stands for the largest proportion of our health insurance expense and is increasing annually.  Despite that NHI has establish the policy of global budget system to raise the payment condition, hospitals still regularly eliminate and purchase valuable equipment at no cost in order to meet the needs of medical treatment and to improve the accuracy of medical detective rate.  For this way, hospitals can not only gain the trust of people but also mainly to increase their revenue in a more rapid way and balance between expenditure.   
There are great varieties of medical equipment in a hospital and many of them are valuable equipment.  Every year, great amount of budget will be spent on the purchase of new equipment and signing maintenance contracts.  Up to now, few thesis focus on the management or the decision making of purchasing medical equipment.  
This study aims to apply the concept of Total Resource Management (TRM) to build up the structure of resource managing and the decision making of investing medical equipment in hospitals.  By PCDA cycle, we can continuously control the efficiency of valuable equipment upon its clinical usage.  Medical departments can promptly adjust their strategies of resource using and improve their services and furthermore, to evaluate the right timing for purchasing valuable equipment.  Then, we will focus on the overall benefit evaluation for MRI machines in a specific regional hospital.  By applying Simple Multi-Attribute Ranking Technique (SMART) in UNISON Decision Analysis Framework, we are able to analyze the purchase of new machines in a more systematic way.  Form this study, we will find out positive effects for valuable equipment management as well as improving the quality of medical treatments in the hospitals to increase competitiveness.

参考文献 ( 28 ) 〈TOP〉

王乃弘（1999），民众就医选择之研究－分析层级程序法之应用，中华公共卫生杂志，Vol.18,No.2，页138-151。
连结：
申斯静（2005），以病人安全为中心之医疗设备管理，慈济医学杂志， 17卷4_S期，页35 – 39。
连结：
林继勇、简祯富、胡志翰，「紫式决策分析以建构液晶原料厂制程确效评估模式」，品质学报，第十五卷第五期，民国97年，385-398页。
连结：
李隆生（1999），影响医院购置昂贵医疗仪器决策之因素－以台南高雄两地医院为例，中华公共卫生杂志，Vol.18,No.5，页327-33。
连结：
胡志翰（2010），晶圆厂全面资源管理架构及绩效指标，国立清华大学工业工程与工程管理学系博士论文。
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。