长庚模式及其制度探究.doc

长庚模式及其制度探究
摘要在1976年之前,台湾的医疗环境是极不乐观的,甚至可以用“恶劣”来形容:服务态度差、效率低下、价格昂贵、“红包文化”等等。这是由于当时以公立医院为主,加之经营理念落后、医师与管理人员享受公务员待遇、薪资多年固定不变等诸多原因造成的。长庚医院的出现使得医疗环境发生了翻天覆地的变化,台湾医疗事业翻开了崭新的篇章。今天看来,其功绩一方面在于彻底改变了台湾老百姓“看病难”和“看病贵”的问题,另一方面有力地推动了台湾医疗制度建设。本文主要以此为出发点,探究长庚模式背后的制度及其“登陆”历程和当前所面临的问题。
关键词:长庚医院管理制度登“陆”
Abstract:Before the 1976, Taiwan's health environment is extremely optimistic, even with "bad" to describe: poor service attitude, inefficient, expensive, "red envelope culture," and so on. This is because the result was mainly to public hospitals, in addition to the business philosophy behind physicians and management staff to enjoy the civil servants are treated, the salary fixed for many years and many other reasons. Chang Gung Memorial Hospital, the emergence of the medical environment has undergone enormous changes, opened a new chapter in Taiwan's medical career. It seems today that its merits on the one hand is pletely change the people of Taiwan "difficult" and "expensive", on the other hand a strong impetus to the construction of Taiwan's medical system. In this paper, as a starting point to explore the the Venus mode behind the system and its "landing" the history and current problems facing.
Key words: chang gung memorial hospital; management system; "landed",
一、问题的提出
上世纪70年代,台湾当时1400多万人口,只有台大医院、台北荣民总医院、三军总医院等第三级即最高等级的医院,平均每万人只有11位医师、,且病床总数的77%属公立医院,医院经营方式陈旧,医师工资比照公务员的固定水平。普通市民