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    政大機構典藏 > 商學院 > 會計學系 > 學位論文 >  Item 140.119/152490


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    题名: 排檢系統的導入對醫療營運效率的影響： 以某區域醫院核子醫學科為例
    The Impact of Introducing Scheduling System on Operation Efficiency : A Case of A Department of Nuclear Medicine in A Regional Hospital
    作者: 魏靖芳
    Wei, Ching-Fang
    贡献者: 李佳玲
    Lee, Chia-Ling
    魏靖芳
    Wei, Ching-Fang
    关键词: 排檢系統
    營運效率
    醫療資源
    Scheduling system
    Operation efficiency
    Medical resource
    日期: 2024
    上传时间: 2024-08-05 12:22:13 (UTC+8)
    摘要: 本論文以一區域醫院核子醫學科為研究對象，探討一新排檢系統的導入，對於其營運效率、資源及成本之影響，抑或是改善。本論文以2022年新排檢系統導入前和2023年新排檢系統開始使用之期間，進行與營運效率攸關之變數的敘述性統計、進一步分析；另外，本論文也透過與相關核子醫學科人員進行實地訪談，分析新導入之排檢系統，對於核子醫學科醫療資源使用、營運成本支出之改善，以及帶給核子醫學科人員與病患之效益。本論文研究結果顯示新導入之排檢系統，對於住院患者之等待排檢時間較有改善；核子醫學科資源於新排檢系統導入後，較不易發生閒置、等待或浪費，甚至更能將醫療職能充分發揮、將病患之價值極大化；於營運成本支出方面，核子醫學科之藥物丟棄成本、紙張耗用成本，於新系統使用下，也開始逐漸下降、減少，進而使工作空間得獲得釋放與改善。
    This study focuses on a regional hospital's nuclear medicine department, exploring the impact of introducing a new scheduling system on its operation efficiency, resources, and costs, as well as potential improvements. The study compares descriptive statistics and further analysis of variables related to operation efficiency before the new scheduling system was introduced in 2022 and during its use in 2023. Additionally, through on-site interviews with relevant nuclear medicine personnel, the study analyzes the impact of the new scheduling system on medical resource utilization, operating costs, and the benefits to both employees and patients. The results indicate that the new scheduling system reduces the waiting time for inpatient inspections. After the implementation of the new scheduling system, the nuclear medicine department's resources are less likely to be idle, waiting, or wasted. Moreover, the medical functions are better utilized, maximizing patient value. In terms of operational cost expenditures, the costs associated with medicine disposal and paper consumption in the nuclear medicine department have begun to decrease with the new system, thereby freeing up and improving the workspace.
    參考文獻: 曾世賢、康煌易、呂怡珍（2021）應用精實六標準差改善醫院檢查流程之研究：以T醫院為例。品質學報，28卷4期，頁217-230。
    Banker,R. D., Bardhan,I. R., Hsihui Chang, and Shu Lin (2006).Plant information systems,manufacturing capabilities, and plant performance. MIS Quarterly, Vol. 30, No. 2, 315-337.
    Buer,S., Semini, M., Strandhagen, J. O., and Sgarbossa, F. (2021). The complementary effect of lean manufacturing and digitalisation on operational performance. International Journal of Production Research, Vol. 59, No. 7, 1976-1992.
    D’Andreamatteo,A., Ianni,L., Lega,F., and Sargiacomo,M. (2015). Lean in healthcare: A comprehensive review. Health Policy, Vol. 119, No. 9, 1197-1209.
    Filho, M. G., Ganga, G. M. D., and Gunasekaran, A. (2016). Lean manufacturing in Brazilian small and medium enterprises: implementation and effect on performance. International Journal of Production Research, Vol. 54, No. 24, 7523-7545.
    Hines, P., Holweg, M., and Rich, N. (2004). Learning to evolve: A review of. contemporary lean thinking. International Journal of Operations & Production Management, Vol. 24, No. 10, 994-1011.
    Lacerda,A.P., Xambre,A.R., and Alvelos,H.M. (2016). Applying Value Stream Mapping to eliminate waste: a case study of an original equipment manufacturer for the automotive industry. performance. International Journal of Production Research, Vol. 54, No. 6, 1708-1720.
    Lodge,A.,and Bamford,D. (2010). New Development: Using Lean Techniques to
    Reduce Radiology Waiting Times. Public Money and Management, Vol. 28, No.1, 49-52.
    Lummus,R.R., Vokurka,R.J., and Rodeghiero,B. (2006). Improving Quality through. Value Stream Mapping: A Case Study of a Physician’s Clinic. Total Quality Management, Vol. 17, No. 8, 1063-1075.
    Macher, J. T., and Mowery, D. C. (2003). "Managing" Learning by Doing:An Empirical Study in Semiconductor Manufacturing.The Journal of Product Innovation Management, 20, 391-410.
    Marin-Garciaa, J. A., and Bonavia,T. (2015). Relationship between employee involvement and lean manufacturing and its effect on performance in a rigid continuous process industry. International Journal of Production Research, Vol. 53, No. 11, 3260-3275.
    Meng, X. (2019). Lean management in the context of construction supply chains. International Journal of Production Research, Vol. 57, No. 11, 3284-3798.
    Ward, P., and Zhou, H. (2006). Impact of Information Technology Integration and Lean/Just-In-Time Practices on Lead-Time Performance. Decision Sciences ,Vol. 37 Issue 2, 177-203.
    Shiau,Y. R., and Chang, H. M. (2020). Implementation of Lean Manufacturing. In Production Processes. Journal of Quality, Vol. 27, No.5, 331-346.
    Silvester,K., Lendon,R., Bevan,H., Steyn,R., and Walley,P. (2004). Reducing waiting times in the NHS: is lack of capacity the problem? Clinician in Management, Vol. 12, Issue 3, 105-109.
    Skeldon,S.C., Simmons,A., Hersey, K., Finelli,A,. Jewett, M. A., Zlotta, A. R., and Fleshner, N. E. (2014). Lean Methodology Improves Efficiency in Outpatient Academic Uro-oncology Clinics. Urology, Volume 83, Issue 5, 992-998.
    Sugimori,Y., Kusunoki,K., Cho,F., and Uchikawa,S. (1977).Toyota production system and Kanban system Materialization of just-in-time and respect-for-human system. International Journal of Production Research, Vol. 15, No. 6, 553-564.
    Yu,T., Demirli,K., and Bhuiyan,N. (2022). Lean transformation framework for treatment-oriented outpatient departments. International Journal of Production Research, Vol. 60, No. 6, 1761-1781.
    描述: 碩士
    國立政治大學
    會計學系
    111353038
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0111353038
    数据类型: thesis
    显示于类别:[會計學系] 學位論文

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