| 摘要: | 回顧過去的文獻大多數學者探討西方領導行為、組織文化對組織成敗的影響效果。本研究對於醫院組織成員在這變革環境中，又能接受這高密集知識團隊學習；但是，鮮有學者對醫院整體性的有效探討醫院組織文化、中國式領導、學習型組織、知識管理機制與整合品質管理結構對其組織績效之各構面之間的影響之研究。雖然學者較少討論到上述六個構面的整體性，也忽略了可能是影響上述管理工具能否順利推行的關鍵性因素。 本研究在94年9月中旬，利用衛生署每年舉辦的全國醫院研討會之機會，除現場發放問卷填答，並委託有54家之與會人員攜問卷回醫院請託同事填答。10月中旬收回經為期一個月間，共計發放753份問卷，回收687份，回收率約為91.7％，剔除無效問卷58份，有效問卷共計629份，這有效回收率為84％。透過實證研究結果可以瞭解，這六個變數均有關聯性、影響性和效果。 醫院組織藉由中國式領導之作之親行為，在組織文化之人本精神文化與科學文化，薰陶醫院服務人員之人本與科學氣質，形成學習型組織的文化，並藉由知識管理機制，有助於整合品質管理結構之核心精神，其成立專案管理品質體系，有效整合國際品質系統以實施全面品質管理；醫院服務人員能藉由組織之品質提昇得到工作滿足，能夠願意付出、努力與價值，進而影響工作績效與品質績效，產生高品質、高效能之效益，期以提高顧客導向的服務意識與行為，使顧客滿意為最終目標，這有助益達到醫院之組織目標，會對組織績效產生正面影響效果。
Referring to the previous article, their major focus was discussing the western leadership behavior, organizational culture of influence on organization. Because of this motive, this research on hospital member accept high intensive knowledge group study in organizational change; Few scholar research on influence of Hospital organizational culture, Chinese leadership, Learning structure, Knowledge management mechanism and Quality management integrated mechanism on Organizational performance, and neglect them may influence the above-mentioned management tool could be pursued smoothly . The seminar of national hospital which National Health Administration holds in mid-September of 1994, have not been limited to the personnel who serve in hospital, except that fill out and answer questionnaire live, and entrust questionnaire to colleague of 54 hospitals. Regain it while costing one month in mid-October, grant 753 questionnaires altogether, retrieve 687 shares, the rate of recovery is about 91.7 %, reject 58 invalid questionnaires, effective questionnaire is 629, this effective rate of recovery is 84 %. After analyzing, these six parameters have relations, influences and results. Humanistic culture and Science culture in the hospital civilized member by cherishing and treating subordinate of Chinese leadership. Learning structure comes into being, using knowledge management mechanism and quality management integrated structure sets up project management quality system, integrates international quality system effectively and administer total quality management. Member can promote job satisfaction and work hardly, affects job performance and quality performance, account for high-quality and efficient performance, enhances customer-orientated sense of service and behavior, accomplish customer satisfaction, achieve organizational performance. |
