首頁 / 雜誌 / 產業與管理論壇 / 201703 (19:1期) / 公立醫院浴火重生:嘉義醫院的變革策略
中文篇名

公立醫院浴火重生:嘉義醫院的變革策略 免費試閱

英文篇名

“Rising from the Ashes” of a Public Hospital: Strategies for Organizational Change of Chia-Yi Hospital

作者

白錫彥陳啟仁鍾任琴

中文摘要

衛生福利部嘉義醫院是南台灣一家已有120年歷史的醫院,但近年因外在健保制度改變、公務預算減少、臨近醫院競爭惡化,內部歷經遷建工程延宕、醫護人員不足、核心醫療不當外包、醫療設備採購弊案等挑戰,逐漸陷入營運困境。2010年黃院長的採購弊案後,許院長於2011年受派接任,全院主管共訂醫院的願景與目標,推動設備與人力資源變革,以及與醫學中心級醫院的策略聯盟,擘畫醫院升格願景。2012年7月白副院長到任,2014年8月接任代理院長,賡續推動策略聯盟,提升品質與績效。在全院努力及聯盟挹注下,浴火重生的嘉義醫院漸入佳境。後續陳院長於2015年3月上任,更重視管控各項成本與提升醫療績效。但醫院繼續成長及評鑑升格後更會與聯盟醫院產生競爭,而有夥伴卻是對手的疑慮。若導致策略聯盟生變,嘉義醫院能否再持續成長?醫院升格的同時,醫療投資與營運成本大幅增加,但政府預算緊縮,嘉義醫院是否需要聯盟醫院的長期支援而無法自立?如此與競爭者合作,是否如一般所指引發「與狼共舞」的風險?未來病人若逐漸流向聯盟醫院,是否形成新的競爭?後續合作方向與方法又將如何?本個案討論企業管理領域的組織變革與競合策略的確是醫院發展策略在內外環境中需要思考的難題。

英文摘要

Chia-Yi hospital is ever a 120 years long-standing public hospital in southern Taiwan. But in recent decade there were evolution of healthcare insurance, marked reduction of public budgets and competition from surrounding hospitals in outside environment. Lots of inside problems challenged the hospital including delay of reconstruction, insufficient healthcare staffs, outsourcing of core medical services and scandals about investment affairs for medical equipments. The hospital was in crisis due to decreasing profits. Following superintendent Huang’s scandal superintendent Hsu, who was assigned in 2011, renewed the vision and goals of the hospital with all staffs, enforced equipments and human resources, and planned alliance with medical center to improve and upgrade the hospital. Vice-superintendent Pai took the position in July 2012, became temporary superintendent in August 2014 and intended to assure the quality and performance improvements. The hospital really had risen from the ashes by efforts of all staffs and collaboration through hospital alliances as compared to previous condition. Thereafter superintendent Chen took over in March 2015, and focused more on cost-saving and profit promotion in hospital management. While upgrading as regional hospital, Chia-Yi hospital would compete with allied hospitals but could it be possible to progress further without hospital alliance? In the mean time, would the hospital take higher risk to survive by itself when facing higher healthcare costs but lower budget supports? It is like ‘Dances with Wolves’, as most hospital staffs said, when we cooperate with the competitor. Competition will be a new problem when patients shift to alliance hospital gradually in the future. What will be the direction and right way to further cooperation by alliance? This article discusses so ambiguous solution in hospital management as to make the decision on not only reengineering of the hospital internally but also defining the strategy of co-opetition externally now.

關鍵詞

組織變革策略聯盟醫院管理競合理論organizational reengineeringstrategic allianceshospital managementcoopetition

刊名

產業與管理論壇

期數

201703 (19:1期)

起訖頁

074-090

出版單位

工業技術研究院產業科技國際策略發展所

DOI

10.3966/199582342017031901004  複製DOI   DOI查詢

QRCode

上一篇

中小企業的創業思維及成長策略:以台灣機械業為例