The Evaluation of Commission Management in Public Hospitals
Date Issued
2007
Date
2007
Author(s)
Tseng, Shu-Fen
DOI
zh-TW
Abstract
This study focused on the aspects of policies, legal, execution, and finance in the 13 public hospitals that are under commission management or BOT. The research method adopted was case study, literature discussions and in-depth interviews with representatives from the authorities were also, conducted in hopes of providing suggestions and reflections.
The main findings are as follows:
A.Policy Aspect
1.The fact that human resources cost was reduced and feedback fund was increased indicates that commission management of public hospitals has indeed reached its goals.
2.Among the 12 public hospitals under commission (or leased) management, 91.7% of them (11 hospitals) will continue to be managed under the same method.
B.Legal Aspect: As of the end of May 2007, only one out of the 13 public hospitals that are under commission management or BOT has followed the “Act for Promotion of Private Participation in Infrastructure Projects.”
C.Execution Aspect
1.Problems with the Execution Aspect
(1)There were no specific regulations regarding the transfer process between the old and new commissioned manager.
(2)A part of the contract management did not meet its expected goals.
(3)Among the 12 hospitals under commissioned management, 9 of them used public bidding. However, 8 of them had to go through several times of bidding or only one company participated in the bidding.
(4)The interviews suggest that only two companies amended the contract as the original content was too difficult or too outdated to be carried out.
2.Factors behind successful commission management include: (1) commission authority: support from the authorities, low interference for the commissioned manager, leaders’ interpersonal relationships, timely support for commissioned managers who face difficulties, and rewards; (2) commissioned organizations: excellent management teams of the commissioned party, support from the board of directors, and good teamwork; (3) communication: clear communication channels and good interactions; (4) contract and regulations: good plans, solid contracts, reasonable contract duration, and reasonable feedback amount; (5) hospital features: locations, local population size, and demographics structure around the hospital.
D.Financial Aspect: Feedback funds were acquired through different methods and there was no a unified standard.
Subjects
委託方式經營
BOT
組織變革
促進民間參與公共建設法
Public Hospital
Commission Management
Build- Operate -Transfer
Organizational Change
Act for Promotion of Private Participation in Infrastructure Projects
Type
thesis
File(s)![Thumbnail Image]()
Loading...
Name
ntu-96-R93843022-1.pdf
Size
23.31 KB
Format
Adobe PDF
Checksum
(MD5):ad7cc89ca4725f776c21641e0e14d172