醫院治理機制與效能之研究

Hospital Governance Mechanisms and Hospital Governance Effectiveness

10.6226/NTURM2013.SEP.OG018

嚴玉華(Yu-Hua Yan)；楊鎮維(Chen-Wei Yang)

醫院治理 ； 治理機制 ； 治理效能 ； hospital governance ； governance mechanism ； management effectiveness

臺大管理論叢

23卷S1期（2013 / 04 / 01）

57 - 82

繁體中文;英文

本研究旨在發展並實證醫院治理理論模型，為此，本研究整合組織治理與代理理論文獻並檢驗醫院治理機制（董事會結構、資訊揭露透明及決策機制）與醫院治理效能（財務、顧客、內部流程、學習與成長及社會責任效能）的關係。本研究以次級資料分析102家醫療法人醫院之醫院治理相關指標，實證結果發現：（1）董事會決策機制及醫院資訊揭露愈透明，對於醫院治理效能具有正向影響；（2）董事會治理結構、董事會規模、家族實務意涵並建議未來研究方向。

The main purpose of this study is to develop and examine the theoretical model of hospital governance. For this purpose, this study integrates the literature of organizational governance and agency theory to empirically test the relationship between hospital governance mechanisms (structure of board of directors, information disclosure, and decision making) and hospital governance effectiveness (financial, customer, internal process, learning and growth, and social responsibility). This study empirically tested hospital governance related indices from 102 hospitals by using secondary data. The results find that (1) information disclosure and decision making of hospital governance mechanisms are positively related to its governance effectiveness, and (2) the relationship between the structures of board of directors and its governance effectiveness is non-significant. The theoretical and managerial implications and suggestions of future study are provided at the end of this study.

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