| Summary: | 碩士 === 靜宜大學 === 管理碩士在職專班 === 94 === Case Study of Cooperative Medicine Area between Taichung Prison and China Medical University Hospital
ABSTRACT
The way of cooperation between institutes differs in various demands. The commonly seen approaches includes manpower support (more cases of doctors'' diagnoses), referral service (emergency, examination, surgeries and hospitalization), outsourcing (medicine), authorization by the government, regional alliance etc. The major purpose of these approaches is to get accommodated to environmental changes and keen competitions and to acquire sufficient resources in need.
To begin with, the research, through interviews with participants from two parties in this project, is to investigate the approach of cooperation and its performances between the Taichung Prison and the participant hospital. Then the study undertakes questionnaire surveys of convicts to understand the level of satisfaction from convicts in diagnosis, hospitalization and dialysis service after the medicine area is really put into practice, and explores correlations between characteristics of convicts and levels of satisfaction in three aspects.
The result notes that performances are acceptable with regard to cooperative agreements of parties, communication and negotiation, and implement of cooperation. But, the level of satisfaction of the Taichung Prison is evidently higher than that of the participant hospital. The main reason is that the prison medical care operations satisfied no one for a long period of time in deficient medicine resources (including equipment and manpower), low quality medicine, wasted resources, disputes of bailing out for medical treatment and safety issues. These aspects have been improved by a large amount since the medicine area was founded. On the contrary, the participant hospital is constrained to the prison surroundings, budgets, medicine evaluation procedure of convicts, and positive measures can''t be taken to make great progress in performances, only acceptable.
From another perspective, with respect to levels of satisfaction of convicts in diagnosis, hospitalization and dialysis service, hospitalization takes the highest, following diagnosis and dialysis service. The mean level of the entire group, however, is higher than 65%.
As for correlations between characteristics of convicts and diagnosis, hospitalization and dialysis service, it''s founded that the age, retention period and education level has no obvious influence on levels of satisfaction.
According to facts of evidence, the study has concluded suggestions as follows:
1. Taichung Prison:
(1) Adjustment of administration procedure and respect for medicine.
(2) A complete cooperation mode of prison medicine to solve the current problems
(3) To value medical resources
(4) To take payment standards into account from the hospital''s perspective to enhance cooperation
(5) Emphasis on cleanness of hospital beds (sheets of the bed and blanket)
(6) Effective utilization of medical resources in the health center
2. Participant Hospital:
(1) Strengthen communication and coordination to build agreements between both parties
(2) To establish a cooperation mode of prison medicine to promote quality of medicine
(3) To value cooperative opportunities to develop hospital management
(4) Education and Training on functions of Health Center
(5) Room for improvement of staff services.
Keywords: Taichung Prison, organization cooperation, performance,
level of satisfaction, medicine area
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