台灣泌尿科醫師開業經營診所之效益評估

Abstract

近年來，隨著泌尿科醫療技術進步與微創治療趨勢的發展，愈來愈多泌尿科手術可於門診進行，不再依賴大型醫院的設備，使得泌尿科醫師開業經營診所成為一項可行且具吸引力的選項。加上醫院內升遷機會有限與醫師工作負擔沉重，愈來愈多年輕主治醫師選擇離開醫院，在基層開設診所，追求更高的自主性與潛在經濟報酬。 本研究以台灣泌尿科診所經營現況為主題，結合衛生福利部公開資料與訪談法，分析全台100家泌尿科診所之分布情形、經營模式、營收結構及發展策略。研究顯示，多數診所為單一醫師經營，以健保門診與自費治療並行，自費項目如包皮手術、性功能障礙治療、再生醫療等為主要獲利來源。診所營收與地點、醫師知名度、自費項目推廣能力密切相關，而行銷策略、病患來源穩定性亦影響診所永續經營。 研究發現，診所平均於開業半年至兩年內達成損益兩平，尤其中南部地區成長潛力高。此外，醫師選擇開業的時間點、個人專長發展、自費醫療市場接受度皆為成功關鍵因素。雖然開業可提高收入與自主性，仍需面對高額初期投入、經營管理經驗不足與市場競爭等挑戰。 本論文不僅提供現職醫院醫師開業參考依據，亦反映出台灣醫療環境變遷對醫療體系之潛在衝擊，建議政府應從制度面改革健保點值與獎勵制度，以避免基層過度擴張、大型醫院人力流失之現象。

In recent years, advances in urological medical technology and the rise of minimally invasive procedures have enabled many treatments to be performed in outpatient clinics, reducing reliance on large hospital infrastructure. As a result, more urologists in Taiwan are opting to establish private clinics to gain professional autonomy and improved income potential, especially amid limited career advancement and increasing administrative burdens within hospitals. This study evaluates the benefits and risks associated with running private urology clinics in Taiwan. Using open data from the Ministry of Health and Welfare and in-depth interviews with clinic founders, it analyzes the distribution, business models, revenue composition, and strategic development of 100 urology clinics across the country. Most clinics are solo practices offering both National Health Insurance (NHI) and self-pay services. Common revenue-generating services include circumcision, erectile dysfunction therapy, and regenerative medicine. Findings reveal that clinics generally reach break-even within 6 months to 2 years, with southern and central Taiwan showing strong growth potential. Key success factors include timing of departure from hospital practice, specialization, and marketing ability. Despite the potential for higher income and flexibility, challenges such as startup costs, lack of management training, and intense competition remain significant. This research serves as a reference for hospital-based urologists considering entrepreneurship and highlights the broader implications of this trend on Taiwan's healthcare system. Policymakers are advised to consider reforms in NHI reimbursement and workforce incentives to ensure balanced development across all levels of care.