台灣地區各級醫院任用醫管人力之現況分析

The Employment Status of Hospital Management Professionals in Taiwan's Hospitals

10.6288/TJPH2002-21-02-05

曾淑芬(Su-Fen Tseng)；楊銘欽(Ming-Chin Yang)；陳瑊箖(Jin-Liang Chen)

醫務管理(醫管) ； 人力資源管理 ； 醫院任用 ； hospital management ； human resource management ； hospital employment

台灣公共衛生雜誌

21卷2期（2002 / 04 / 01）

123 - 132

繁體中文

目標：本研究之目的為調查醫管人力在各級醫院的實際任用及配置情況，並探討醫院對醫管人力用人的可能考量原因。方法：於88年1月至4月間，以郵寄問卷請衛生署84年至86年間評鑑合格的醫院之院長（計507家）填寫，共回收有效問卷143份（回收率28.6%）。結果：（1）醫院規模越大者，其實際任用之醫管人力數越多。（2）各醫院對醫管人力的學歷要求以選擇研究所者居多。（3）醫管人力在院內配置的單位以病歷室最多。（4）私立醫院及財團法人醫院，或院長年齡在41~50歲且其具研究所學歷者，其院內已任用醫管人力的勝算比較高。（5）醫院任用醫管人力的理由以「重視醫管專業與實務經驗」及「對醫院經營管理有實質幫助」為主，而無任用之醫院則以「國內醫管人才之實務訓練不夠」與「控制人事成本」等理由居多。結論：任用醫管專業人力的醫院數增加，對人力專業素質的要求亦隨之提出，未來應釐清醫管專業在醫療機構內的職責功能與角色定位，俾做為醫管人力培育制度改進的參考。（台灣衛誌 2002；21（2）：123-132）

Objectives: The purpose of this study were to investigate the tendency of hospitals to hirehospital management (HM) professionals, and to examine the employment status of these professionals in the hospital. Methods: Subjects were 507 hospitals accredited by the Department of Health in Taiwan. Questionnaires were distributed by mail, and 145 were returned, with a total response rate of 28.6%. Results: 1. The larger the hospitals, the more the HM professionals were hired. 2. Most hospitals (district hospitals excluded) required these HM employees to have graduate degrees. 3. Most of the HM employees were assigned to the Departments of Medical Records. 4. Private and non-profit proprietary hospitals or those with superintendents between 41-60 years old having graduate degrees were more likely to hire HM professionals. 5. The main reasons for hospitals to employ HM professionals were ”to emphasis on the professions and experiences of hospital manager” and ”they are helpful for practical management of a hospital”. On the other hand, the main reasons for hospitals not to employ HM professionals were ”the training of HM profession was insufficient” and ”to control the cost of personnel affairs”. Conclusions: This study showed that as more hospitals hire HM professionals, they require better qualifications. We suggest that it is important to define the roles and responsibilities of HM professionals. It would be helpful to modify the education program and improve the quality of hospital managementpersonnel.(Taiwan J Public Health. 2002;21(2):123-132)

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