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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳鴻基(Houn-Gee Chen) | |
dc.contributor.author | Debora Maria Otero Sanchez | en |
dc.contributor.author | 歐黛珊 | zh_TW |
dc.date.accessioned | 2021-06-08T04:27:35Z | - |
dc.date.copyright | 2010-03-11 | |
dc.date.issued | 2010 | |
dc.date.submitted | 2010-02-08 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/22771 | - |
dc.description.abstract | The rising costs in medical expenditure require medical divisions to be managed more effectively. Taiwanese medical system provides universal coverage and can be related to European systems. Moreover US medical system is being reformed to cover more population and the reform walks towards a Taiwanese system. National health systems have to remain profitable in an industry where the costs have a continuous growth pattern that may exceed the profitability. To have a successful medical system it is necessary to manage each department so it is profitable and successful.
This study aims to study a successful medical division: Plastic and Reconstructive Surgery Department at Chang Gung Memorial Hospital. The main purpose of this study is to answer the following questions: • What are the drivers of success for a medical department? • What are the capabilities of a successful medical department? • What is the role or external factors in determining the extent of success? • What is the role of internal factors in determining the extent of success? This thesis attempts to answer those questions by identifying the Critical Success Factors or elements that must be given special and continual attention to bring about high performance and to guarantee the success of competition. The final goal of this thesis is to expand on the understanding of effective management of a medical division. Chapter 1 provides the motivational background for this thesis. It discusses the national health systems and the need of studying a successful division as a contribution factor for sustainable national health system. Chapter 2 starts from defining critical success factors and continues defining general frameworks that apply to strategic management to analyze the health care organizational context focusing on a specific set of strategic management dimensions: environmental and competitive analysis, organizational development analysis and organizational analysis. Chapter 3 presents the research methodology, a brief introduction to the organization analyzed, the focus of this study, the method of data collection and the main results. Chapter 4 analyzes the results and identifies essential critical success factors through the bibliographical and on-field research classified into the three different dimensions analyzed. The thesis concludes with a discussion of the findings and providing closing remarks about the critical success factors that can be adopted by health care organizations. | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T04:27:35Z (GMT). No. of bitstreams: 1 ntu-99-R97749045-1.pdf: 1223577 bytes, checksum: e5082bac590f7940d8c55af7c35376c6 (MD5) Previous issue date: 2010 | en |
dc.description.tableofcontents | I INTRODUCTION 1
1.1 NHI 2 II LITERATURE REVIEW 12 2.1 CRITICAL SUCCESS FACTOR (CSF) 15 2.2 ENVIRONMENTAL AND COMPETITIVE ANALYSIS 16 2.2.1 Macroenvironment 17 2.2.2 Competitive Environment 21 2.3 ORGANIZATIONAL ANALYSIS 24 2.3.1 Organizational Structure: Clinical Governance 27 2.3.1.1 Clinical Governance 27 2.3.1.2 Organizational Framework for Clinical Governance 29 - Partnership and involvement in clinical governance 31 - Job design and multidisciplinary teamwork in clinical governance 32 - Knowledge as a resource for improvement and innovation in clinical governance 32 - Patient Experience in effective organizational framework 33 - Quality in effective organizational framework 34 - Performance Indicators in effective organizational framework 34 2.3.2 Organizational development and transformation 35 2.4 SUMMARY 36 III RESEARCH METHODOLOGY 38 3.1 THE ORGANIZATION 38 3.2 FOCUS 40 3.3 METHOD OF DATA COLLECTION 42 3.4 RESULTS 47 3.4.1 Capabilities 47 3.4.2 Critical Success Factors 48 3.4.2.1 Critical Success Factors of Environmental and Competitive Analysis 53 3.4.2.2 Critical Success Factors of Organizational Development and Transformation 56 3.4.2.3 Critical Success Factors of Organizational Structure Analysis 58 IV ANALYSIS OF THE RESULTS 60 4.1 EXTERNAL DIMENSION 1: ENVIRONMENTAL AND COMPETITIVE ANALYSIS 62 4.1.1 Effective Reward System 63 4.1.2 Superspecialization 64 4.2 INTERNAL DIMENSION 2: ORGANIZATIONAL DEVELOPMENT ANALYSIS 65 4.2.1 Research 67 4.2.2 Active Participation in International Meetings and Forums 67 4.2.3 Publications 68 4.3 INTERNAL DIMENSION 3: ORGANIZATIONAL ANALYSIS 68 4.3.1 Clinical governance 69 4.3.1.1 Knowledge as a resource for improvement and innovation 70 4.3.1.2 Job design and multidisciplinary team work 71 4.3.1.3 Partnership and involvement 72 4.3.2 Strategic alliances 73 4.3.3 Education 74 4.4 INTEGRATIVE FRAMEWORK OF CSFs AND CAPABILITIES 75 V CONCLUSION AND SUGGESTIONS 78 REFERENCES 83 APPENDIX 1: Interview guide for Critical Success Factor of a medical department 89 APPENDIX 2: PRSD’s Capabilities 92 APPENDIX 3: Creation and Evolution of PRSD 94 APPENDIX 4: “Culture & Leadership: Dr. Noordhoff” 97 | |
dc.language.iso | en | |
dc.title | 醫療單位關鍵成功因素 : 以長庚醫院整型外科為例 | zh_TW |
dc.title | Critical Success Factors of a Medical Division:
A case study of Plastic and Reconstructive Surgery Department at Chang Gung Memorial Hospital | en |
dc.type | Thesis | |
dc.date.schoolyear | 98-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 余峻瑜(Jung-Yu Yu),陳俊忠(Chun-Chung Chen) | |
dc.subject.keyword | 關鍵成功因素,醫療門診,整型外手術, | zh_TW |
dc.subject.keyword | Critical Success Factors,Hospital management,Plastic and Reconstructive surgery, | en |
dc.relation.page | 98 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2010-02-08 | |
dc.contributor.author-college | 管理學院 | zh_TW |
dc.contributor.author-dept | 企業管理碩士專班 | zh_TW |
顯示於系所單位: | 管理學院企業管理專班(Global MBA) |
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