臺灣地區以上醫院資材主管物流的態度與意願及醫 院實施現況之探討

臺灣地區以上醫院資材主管物流的態度與意願及醫 院實施現況之探討

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以台灣地區以上醫院為研究對象，進行 508 家醫院問卷調查，回收 147 份有效問卷，回 收率 28.94﹪ 。問卷專家效度 CVI 值 0.84 以上， Cronbach α ＝ 0.89 。

資料分析方法包括敘述性統計、交叉、相關、迴歸分析，卡方、無母數檢定，資料分析 工具使用 SPSS10.0 for window 等套裝軟體。

外在環境因素中產業環境因素與醫院採用物流實施配送現況有顯著差異 (p ＜ .05) ，而 產業環境因素與同業競爭壓力與採用意願成正相關（ r ＝ 0.393 、 0.270 ， p ＜ .01 ），

內在環境因素中之物流配送利益與醫院採用物流實施現況有顯著差異 (p ＜ .05) ，而支 持程度、醫院內部能力、物流配送利益與採用意願成正相關（ r ＝ 0.254 、 0.294 ， 0.3 38 ， p ＜ .01 ），醫院物流的態度與醫院採用物流實施配送現況無顯著差異，而提高工 作效率、提升醫院形象與採用意願成正相關（ r ＝ 0.399 、 0.329 ， p ＜ .001 ），過去 使用經驗滿意度愈高醫院採用意願愈高（ X2 ＝ 13.482 ， p ＜ .01 ），醫院特性中屬性

、層級、教學醫院與醫院採用物流實施配送現況有顯著差異 (p ＜ .05) ，醫學中心之採 用意願最高。

本研究提出善用物流可提高顧客服務水準，降低醫院經營成本，因此期望透過物流機制 進行醫院流程再造，將醫院重心放醫療上，在專業分工的醫療領域裡，，利用先進物流 倉儲管理降低成本，提昇空間使用效率成為醫院管理者最佳利器，本研究結果可作為各 醫院實施物流之參考。

關鍵字：物流、供應鏈管理、醫療資材

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The major purpose of this research is to find out the attitude, and adaption willingness of material manager s and implementation status of logistics system in difference levels of hospitals in Taiwan.

Research Methods and Materials;

The research population were 508 hospitals in Taiwan .A questionnaire was sent to each hospital 147 effect ive questionnaire were received, which was 28.94 of the research population. ﹪

Results of Research ： Results of this study are ：（ 1 ） external environment factors have partial correla tion with current situation of implementing hospital logistics, and is related to the willingness to adopt.

（ 2 ） internal environment factors have partial correlation with current situation of implementing hospita l logistics, and is related to the willingness to adopt. （ 3 ） attitude of hospital logistics managers have pa rtial correlation with current situation of implementing hospital logistics, and is related with their willingne ss to adopt. （ 4 ） the past experience of hospital logistics managers have correlation with their willingne ss of adopting hospital logistic. （ 5 ） hospital characteristics have correlation with the current implement ation of hospital logistics, and is partial related with their willingness to adopt.

Discussion and suggestion:

The National Health Insurance had implemented many policies to limit the rising medical expenses. All of these have reduced the revenue of hospitals institutes. In this research, hospital material managers agreed w ill reduced storage space and costs of storage. Additionally, hospital logistics will be able to upgrade the se rvice standards and satisfied customer‘s needs.

Therefore, through the adopting of logistics mechanism, hospitals will reorganized

their supply system and allow them to emphasize on medical services. Hospital logistics will enable the ho spital to receive low cost medical supplies, and the logistic / warehouse administration techniques will redu ce the management cost, and increase the efficiency in space utilization.

Key word: Logistics, Supply chain management, Hospital materials

A Study of the Implementation Status of Hospital Logistics and the Attitude and

Adoption Willingness of Material Managers