第六章 結論(與建議)
第三節 研究限制
一、醫院自主管理制度，因每年政策制度內容不同而有所改變，因 此會影響醫院採用策略的意向。
二、填答者選擇方面，雖已請其知悉醫院經營管理策略者回答，但 填答者是否具實反映醫院的真正因應管理策略，則無從得知。
三、九十四年之自主管理制度是否實施，於三月中旬制度才明確，
而且健保局各六區制度上略有差異，在政策未明及不同情況 下，醫院可能應對方法不確定，會影響回答的明確性。
表 4-1 樣本醫院基本特性之描述性分析
表 4-2 各項策略同意程度分數之描述性分析
表 4-3 參與自主管理情形與樣本醫院基本特性卡方分析
表4-4 各項策略同意程度分數比較—依是否加入自主管理區分
表 4-5 各項策略同意程度分數比較—依醫院層級區分
表 4-6 各項策略同意程度分數比較—依醫院屬性區分
表 4-7 各項策略同意程度分數比較—依是否有分院區分
表 4-8 各項策略同意程度分數比較—依是否有聯盟醫院區分
表 4-9 皮爾森相關分析
運用改變服務量之策略 加強財務、成本管理 增加收入策略 醫師薪資績效制度 合作性策略 顧客導向
運用改變服務量之策略 1 0.38 ** -0.01 0.10 0.13 -0.14 加強財務、成本管理 1 0.08 0.22 0.12 0.06
增加收入策略 1 0.26 * 0.10 0.27 *
醫師薪資績效制度 1 0.30 * -0.12
合作性策略 1 -0.05
顧客導向 1
註：*: p<0.05；**p<0.01。
表 4-10 五項管理策略之複迴歸分析
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附錄一
2.加強財務、成本管理
附錄二
本研究之問卷承蒙下列三位專家指正
中國醫藥大學醫務管理研究所 蔡文正 副教授 台灣區域醫療院所協會 嚴玉華 副秘書長 秀傳醫療體系營運中心 徐弘正 副營運長 台灣區域醫院協會理事