請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/73240完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陸洛 | |
| dc.contributor.author | Tzu-Chieh Wei | en |
| dc.contributor.author | 魏子傑 | zh_TW |
| dc.date.accessioned | 2021-06-17T07:24:08Z | - |
| dc.date.available | 2020-07-23 | |
| dc.date.copyright | 2019-07-23 | |
| dc.date.issued | 2019 | |
| dc.date.submitted | 2019-07-01 | |
| dc.identifier.citation | 中文部分
余明助. (2006). 組織變革不確定感與員工工作態度關係之研究－以組織溝通和員工信任為中介變數. 人力資源管理學報, 6(2), 89-110. 林璟淑, & 李亭亭. (2005). 由 Lewin 的改變理論談護理資訊系統之推展. 護理雜誌, 52(1), 50-54. 林贊正. (2006). 台灣金控公司之組織變革, 組織公平, 員工工作壓力與組織承諾關聯之研究. 私立南華大學, 管理科學研究所碩士論文. 游鳳珠. (2006). 探討組織變革認知, 組織氣候, 工會角色認知對組織承諾, 角色壓力與工作滿足之關聯性研究─ 以中華電信中區分公司為例, 南華大學管理科學研究所碩士論文. In: 南華大學管理科學研究所碩士論文, 未出版, 嘉義. 謝安田. (1992). 企業管理, 台北: 五南圖書公司. 謝安田 (2006), 企業研究方法論(三版), 台北: 著者發行. 魏順炫 (2003), 由組織文化與領. 江旺財, 李衛華, & 廖芝倩. (2015). 台灣急診室壅塞的初探. 輔仁醫學期刊, 13(4), 223-231. 劉常勇. (2004). 創造獲利, 為新事業設計商業模式. 財金資訊, 37, 34-38. 黃琮柏. (民99). 國軍主計財務軍官對單位組織變革認知與組織承諾關聯性之研究.國立臺東大學資訊管理系環境經濟資訊管理碩士在職專班碩士論文.士論文,未出版, & 台南. 許士軍 (1993). 工作滿足, 格人特徵與組織氣候?-文獻探討與實證研究, 政治大學學報, 35, 13-56. 劉正中, & 謝雅惠. (2005). 國軍主財人員在組織變革下對終身學習集生涯規劃之研究. 許長田 (2002)。企業重整－經營新局活化策略。台北：書泉出版社。 孫進發. (2004). 員工對組織變革認知, 轉業訓練, 組織承諾與工作滿足關係之研究: 以台糖公司為例. 長榮大學/經營管理研究所碩士論文, 未出版, 台北. 陳義勝. (1996). 組織氣候, 工作特性及管理型態, 透過組織公民行為對政治行為,組織承諾及社會賦閒效果之相關研究, 行政院國家科學委員會專題研究計畫成果報告, 台北. 行政院國家科學委員會專題研究計劃, 台北市. 林金定, 嚴嘉楓, & 陳美花. (2005). 質性研究方法：訪談模式與實施步驟分析.身心障礙研究季刊, 3(2),122-136. 江淑美, 吳伊勻, 翁士勛, & 劉育雯. (民89). 個案研究. 教育研究法專題研究報告. 林佩璇（2000），個案研究及其在教育研究上的應用。 丁雪茵, 鄭伯壎 , &任金剛. (1996). 質性研究中研究者的角色與主觀性 蔡保田.(1987). 教育研究方法論。臺北市：師大書苑。 郭生玉（1991）。心理與教育研究法。台北：精華出版社。 簡茂發、黃光雄（1991）。教育研究法。台北：師大書苑。 朱育增、吳肖琪(2010)。回顧與探討次級資料適用之共病測量方法。台灣衛誌。 英文部分 Balasooriya, A., Alam, Q., & Coghill, K. (2006). The effectiveness of the telecommunication’s regulatory regime: The case of Sri Lanka Telecom. Public Administration and Development: The International Journal of Management Research and Practice, 26(5), 383-393. Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health, and cost. Health affairs, 27(3), 759-769. Chalfin, D. B., Trzeciak, S., Likourezos, A., Baumann, B. M., & Dellinger, R. P. (2007). Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Critical care medicine, 35(6), 1477-1483. Channick, R. N., Simonneau, G., Sitbon, O., Robbins, I. M., Frost, A., Tapson, V. F., ...& Rubin, L. J. (2001). Effects of the dual endothelin-receptor antagonist bosentan in patients with pulmonary hypertension: a randomized placebo-controlled study. The Lancet, 358(9288), 1119-1123. Edison, S., & Esmond, T. (1991). Information requirements for assessing quality of care. Topics in health care financing, 18(2), 75. Elenkov, D. S. (1997). Strategic uncertainty and environmental scanning: The case for institutional influences on scanning behavior. Strategic management journal, 18(4), 287-302. Ettlie, J. E., & Reza, E. M. (1992). Organizational integration and process innovation. Academy of management journal, 35(4), 795-827. Erickson, F. (1986). Qualitative methods in research on teaching. In M. C. Wittrock (Ed.), Handbook of research on teaching. (3rd ed.). New York: Macmillan. Fayol, H. (1984). General and Industrial Management revised by Irwin Gray. New York: The Institute of Electrical and Electronics Engineers. Fletcher, I. R., Wilde, S. A., Libby, W. G., & Rosman, K. J. R. (1983). Sm‐Nd model ages across the margins of the Archaean Yilgarn Block, Western Australia—II; southwest transect into the Proterozoic Albany‐Fraser Province. Journal of the Geological Society of Australia, 30(3-4), 333-340. Galbraith, J. (1973). Designing complex organizations. Hsieh, Y.-M., & Hsieh, A.-T. (2001). Enhancement of service quality with job standardization. Service Industries Journal, 21(3), 147-166. Kotler, M., Rodríguez, C., Sáinz, R. M., Antolin, I., & Menéndez‐Peláez, A. (1998). Melatonin increases gene expression for antioxidant enzymes in rat brain cortex. Journal of pineal research, 24(2), 83-89. Kotter, J. P. (1997). Leading change: a conversation with John P. Kotter. Strategy & Leadership, 25(1), 18-23. Kwang, D., Weissberg, G. S., Lam, P. L., & Gale, V. (1993). U.S. Patent Application No. 07/460,711. Linn, L. S., DiMatteo, M. R., Chang, B. L., & Cope, D. W. (1984). Consumer values and subsequent satisfaction ratings of physician behavior. Medical care, 804-812. Maurya, A. (2012). Running lean: iterate from plan A to a plan that works. ' O'Reilly Media, Inc.'. McCann, J. E. (1991). Patterns of growth, competitive technology, and financial strategies in young ventures. Journal of Business Venturing, 6(3), 189-208. McKay, J. I. (1999). The emergency department of the future—The challenge is in changing how we operate! Journal of Emergency Nursing, 25(6), 480-488. Mintzberg, H. (1979). THE. STRUCTURING OF Organizations. Mintzberg, H. (1983). Structure in Fives: Designing Effective Organization. Englewood Cliffs, NJ: Prentice Hall. Mintzberg, H. (1993). Structure in fives: Designing effective organizations: Prentice-Hall, Inc. Morgan, S. R., Smith, M. A., Pitts, S. R., Shesser, R., Uscher-Pines, L., Ward, M. J., & Pines, J. M. (2012). Measuring value for low-acuity care across settings. The American journal of managed care, 18(9), e356-63. O'connor, S. J. (1988). Service quality, services marketing, and the health care consumer: a study assessing the dimensions of service quality and their influence on patient satisfaction and intentions to return (Doctoral dissertation, University of Alabama at Birmingham, School of Health-Related Professions.). Osterwalder, A., & Pigneur, Y. (2010). Business model innovation. As retrieved, 12. Paffenbarger Jr, R. S., Hyde, R., Wing, A. L., & Hsieh, C. C. (1986). Physical activity, all-cause mortality, and longevity of college alumni. New England journal of medicine, 314(10), 605-613. Peng, G. C. A., & Nunes, M. B. (2007). Using PEST analysis as a tool for refining and focusing contexts for information systems research. Paper presented at the 6th European conference on research methodology for business and management studies, Lisbon, Portugal. Pierce, J. L., & Gardner, D. G. (2001). Management organizational behavior: an integrated perspective: South-Western. Pugh, D. S., Hickson, D. J., Hinings, C. R., & Turner, C. (1968). Dimensions of organization structure. Administrative science quarterly, 65-105. Ranson, S., Hinings, B., & Greenwood, R. (1980). The structuring of organizational structures. Administrative science quarterly, 1-17. Redley, B., LeVasseur, S. A., Peters, G., & Bethune, E. (2003). Families’ needs in emergency departments: instrument development. Journal of advanced nursing, 43(6), 606-615. Richardson, D. B. (2006). Increase in patient mortality at 10 days associated with emergency department overcrowding. Medical journal of Australia, 184(5), 213-216. Rousseau, D. M. (1979). Assessment of technology in organizations: Closed versus open systems approach. Academy of Management Review, 4(4), 531-542. Steers, R. M. & Blacks, J. S. (1994). Organizational Behavior. New York: HarperCollins College Publishers. Trentham-Dietz, A., Newcomb, P. A., Storer, B. E., Longnecker, M. P., Baron, J., Greenberg, E. R., & Willett, W. C. (1997). Body size and risk of breast cancer. American journal of epidemiology, 145(11), 1011-1019. Yin, R. K. (1994). Case study research: Design and methods (2nd ed.). Thousand Oaks, CA: Sage. Zott, C., Amit, R., & Massa, L. (2011). The business model: recent developments and future research. Journal of management, 37(4), 1019-1042. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/73240 | - |
| dc.description.abstract | 當遭遇緊急病狀或危及生命的突發事件時，急診室是人們最直接聯想到的救援組織，其能夠提供立即性的緊急治療與適當的處置。但因為台灣的相關法規政策下，使民眾在就醫選擇時的門檻降低，進而導致出現急診室壅塞與醫療資源濫用的問題，使真正需要急診室資源的病患無法得到妥善的醫療照護。若持續這樣的惡性循環，將使得醫院的醫療資源無法做有效的運用，進而導致民眾對於醫院的品牌價值下降以及醫院的整體收入降低。此議題亦為台灣的醫療產業未來所需要深思和面對的問題。
本篇研究即是以醫療管理顧問的角度作為出發點，分析大環境的限制以及潛在市場，並透過深入訪談S醫生的方式得到瞭解目前急診醫療的狀況，結合分析結果與急診室實際狀況後，以個案研究法設計出一套新的商業模式以解決目前所面臨的社會問題。 整體而言，本篇研究藉由PEST分析和組織變革的方式在既有組織中建構出新的商業模式，並針對此商業模式透過精實畫布給予其明確的定位與方向。因為研究上的限制，僅針對M醫院的參考要素進行設計，但透過實際案例的呈現與分析，仍能從中整理出許多可供其他醫院創新借鏡之處，故以此案例作為研究的對象與主題。 | zh_TW |
| dc.description.abstract | When people face urgent or life-threatening events, emergency room is the portal for obtaining immediately and appropriate treatments. However, because of Taiwan's healthcare system and regulations, about, the cost for people getting emergency medical service is much lower than other developed countries, which leads to the problem of emergency room congestion and abuse of medical resources. It also deprives patients who are truly in need of emergency room’s resources and appropriate healthcare. If such a vicious circle continues, the medical resources of the hospital will not be effectively used, which will lead to a decline in the brand value of the hospital and a decrease in the overall income of the hospital. This issue is a problem that needs to be resolved for the sustainable development of Taiwan's healthcare industry.
This study takes the perspective of a medical management consultant, analyzing the constraints of the environment and finds the potential markets for an innovative emergency room management model. To understand the current state of affairs in the emergency room, in-depth interviews were conducted with the specialist, doctor S. Combining field observation with insights obtained through discourse analysis of the interview transcripts, a new business model was designed to offer a solution to the congestion and misuse problems currently facing the emergency rooms. To sum, this study builds a new business model within an existing organization through PEST analysis and organizational change planning, giving it a clear positioning and direction on the lean canvas. The present research situates within the constraints of M hospital. However, through the real-life case analysis, the present research can offer guidelines for other hospitals to improve the efficiency of their emergency rooms. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-17T07:24:08Z (GMT). No. of bitstreams: 1 ntu-108-R06741056-1.pdf: 2124485 bytes, checksum: 6eff48387e7a134482e09cd86085324f (MD5) Previous issue date: 2019 | en |
| dc.description.tableofcontents | 論文口試委員審定書 i
誌謝 ii 中文摘要 iii Abstract iv 第一章 緒論 1 第一節 研究動機與背景 1 第二節 研究目的 2 第三節 研究架構 2 第四節 研究流程 3 第二章 文獻探討 5 第一節 市場環境分析-PEST分析 6 第二節 組織設計 10 第三節 組織變革 15 第四節 醫療服務 20 第五節 商業模式分析 23 第三章 研究方法 29 第一節 研究方法 29 第二節 資料蒐集 29 第三節 訪談對象與研究工具 30 第四節 資料處理與分析 33 第四章 研究個案 34 第一節 急診室介紹 34 第二節 台灣急診室概況 37 第三節 急診室的商業模式 44 第四節 急診室的「新」商業模式 51 第五章 個案分析 57 第一節 個案概述 57 第二節 商業模式分析 58 第三節 從病患價值提升到對社會價值影響 63 第四節 比較分析 64 第五節 結論 69 第六章 結論與建議 70 第一節 研究結論 70 第二節 研究建議 71 第三節 研究限制與未來研究方向 72 參考文獻 74 | |
| dc.language.iso | zh-TW | |
| dc.title | 新急診室商業模式—以某醫學中心為例 | zh_TW |
| dc.title | A New Business Model in Emergency Room:A Case Study of a Medical Center | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 107-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 樊學良,高旭繁 | |
| dc.subject.keyword | 急診室,醫療產業,商業模式,組織變革,PEST,精實畫布, | zh_TW |
| dc.subject.keyword | Emergency Room,Healthcare,Business Model,Organizational Change,PEST,Lean Canvas, | en |
| dc.relation.page | 80 | |
| dc.identifier.doi | 10.6342/NTU201901121 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2019-07-01 | |
| dc.contributor.author-college | 管理學院 | zh_TW |
| dc.contributor.author-dept | 商學研究所 | zh_TW |
| 顯示於系所單位： | 商學研究所 | |
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