English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  Items with full text/Total items : 113822/144841 (79%)
Visitors : 51814170      Online Users : 292
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    政大機構典藏 > 商學院 > 會計學系 > 學位論文 >  Item 140.119/152490
    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/152490


    Title: 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
    Authors: 魏靖芳
    Wei, Ching-Fang
    Contributors: 李佳玲
    Lee, Chia-Ling
    魏靖芳
    Wei, Ching-Fang
    Keywords: 排檢系統
    營運效率
    醫療資源
    Scheduling system
    Operation efficiency
    Medical resource
    Date: 2024
    Issue Date: 2024-08-05 12:22:13 (UTC+8)
    Abstract: 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.
    Reference: 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.
    Description: 碩士
    國立政治大學
    會計學系
    111353038
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0111353038
    Data Type: thesis
    Appears in Collections:[會計學系] 學位論文

    Files in This Item:

    File Description SizeFormat
    303801.pdf1184KbAdobe PDF0View/Open


    All items in 政大典藏 are protected by copyright, with all rights reserved.


    社群 sharing

    著作權政策宣告 Copyright Announcement
    1.本網站之數位內容為國立政治大學所收錄之機構典藏,無償提供學術研究與公眾教育等公益性使用,惟仍請適度,合理使用本網站之內容,以尊重著作權人之權益。商業上之利用,則請先取得著作權人之授權。
    The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

    2.本網站之製作,已盡力防止侵害著作權人之權益,如仍發現本網站之數位內容有侵害著作權人權益情事者,請權利人通知本網站維護人員(nccur@nccu.edu.tw),維護人員將立即採取移除該數位著作等補救措施。
    NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback