https://scholars.lib.ntu.edu.tw/handle/123456789/109491
標題: | 知識管理在醫療照護機構應用之初探 | 作者: | 鍾國彪 | 關鍵字: | 知識管理;主管的認知與態度;醫院的推行現況;Knowledge Management;Recognition;Attitude and status quo of hospital implementation | 公開日期: | 31-七月-2002 | 出版社: | 臺北市:國立臺灣大學公共衛生學院醫療機構管理研究所 | 摘要: | 本研究主要目的,探討醫療機構的管 理者對於知識管理(KM)的認知與態度; 描述醫院推行現況及醫院過去活動與KM 結合的程度;探討醫院主管在知KM 的認 知、態度與推行現況及未來意願間的關 係。本研究針對區域級以上醫院共80 家為 研究母群,以郵寄問卷進行普查,共有49 份有效樣本,回收率為61.25.%。 超過八成以上的填答者為副院長以上 的職級,對KM平均認知分數為17.17 分(滿 分30 分),在推行態度方面以醫院應定期 吸收各種新知為最高。超過一半的樣本醫 院(55%)已經推行KM 的活動,其餘醫 院也有推行意願(42%)。已推行KM 活 動的醫院中,以「知識的整理」活動相對 推行為最高,而以「知識的分享」相對最 低。在醫院過去所推行活動與KM 結合程 度中,以臨床管理活動因子結合程度較 深。研究結果顯示,醫院主管所屬的醫院 權屬別會影響其對KM 的態度。最期望的 外界幫助為國內外醫療機構的相關推行經 驗與管理階層之教育訓練。而推行時最可 能遇到的障礙,最主要為對KM 認知不足 與成效不易評估。推行KM 活動願意投入 的經費30 萬元以內者最多,占45%,投入 經費會受評鑑等級所影響。此外,本研究 亦發現,認知高低、對醫院KM 作為的態 度及評鑑等級與部分KM 和過去活動結合 程度之間有顯著的關係。醫院主管的認 知、態度和KM 活動現況與未來投資意願 間則無顯著的關係。 綜合上述結論,建議醫院可先成立協 助教育、學習的單位,幫助醫院辦理相關 課程,以增進認知,進而影響其對知識管 理的態度及參與意願。未來研究者可在此 基礎上,輔以質性研究,以更廣泛收集整 理實務界、學術界、主管機關的相關意見, 以及推行知識管理活動的相關內容,另外 也可發展評量醫院知識管理活動績效的指 標。而主管機關要在國內醫院推行KM 活 動時,則應辦理高階主管之教育訓練,並 提供醫院推行KM 活動之標竿學習對象。 The purpose of this study is first, to understand hospital administrator’s knowledge and attitude about Knowledge Management (KM); second, to find out the status quo of KM implementation and the combination of previous activities with KM; third, to explore the relationship among hospital administrator’s knowledge, attitude and current KM implementation and future intention on money spending. Hospitals accredited above regional hospital were selected as research population. Eighty hospitals were included as a census by mailed questionnaire and forty-nine hospitals replied completely with a response rate of sixty-one percent. More than eighty-percent of the respondents had status equal or higher than deputy superintendent of sample hospitals. Average recognition score of KM was seventeen out of thirty. The highest attitude about KM was that hospitals should regularly collect all kinds of new knowledge. More than half of the hospitals implemented KM already and those who not yet implemented more than forty percent of them had plan in the future. In those KM implemented hospitals, the activity of “knowledge organizing” had relatively high score while “knowledge sharing” lowest. “Clinical 2 Management activities” had the highest level of combination of previous activities with KM. Ownership status of hospital administrators will significantly affect their attitude toward KM. Most hospitals expect to obtain help from other health care organization’s implementation experience and offer education and training courses for administrator level The most common obstacles include insufficient recognition of KM and difficult in effectiveness evaluation. Willingness to spend on KM activities had the highest proportion on “less than 300,000 NT dollars” group. Accreditation status impacted significantly on intention of money spending. Hospital administrator’s recognition score , their attitude toward hospital’s KM approach and hospital’s accreditation status had significant relation with part of previous activities combination with KM. There was no significant relationship between hospital administrator’s knowledge and attitude of KM with current status of KM implementation and future spending on KM. From all the findings above, this study recommended that hospitals should establish a special unit for KM training to improve recognition, attitude and induce the initiation of KM in hospital. Future research could supplement the existing findings by qualitative field observation on KM activities and develop specific KM performance indicators. Government official can promote KM by offering training course to hospitals’ administrator and providing successful benchmarking experience. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/5023 | 其他識別: | 902416H002041 | Rights: | 國立臺灣大學公共衛生學院醫療機構管理研究所 |
顯示於: | 健康政策與管理研究所 |
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902416H002041.pdf | 180.57 kB | Adobe PDF | 檢視/開啟 |
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