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博碩士論文 etd-0901108-225808 詳細資訊
Title page for etd-0901108-225808
論文名稱
Title
人力資本、知識分享意願、採購能力與採購績效關係之研究:以醫院採購人員為例
The relationship of human capital, knowledge sharing will, purchasing ability and purchasing performance : purchasing clerk in the hospital as an example
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
139
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2008-06-20
繳交日期
Date of Submission
2008-09-01
關鍵字
Keywords
採購績效、採購能力、知識分享意願、人力資本、採購人員
purchasing performance, purchasing ability, knowledge sharing will, human capital, purchasing clerk
統計
Statistics
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中文摘要
台灣醫療產業目前所面臨的環境是前所未有的嚴峻。除了醫療費用给付的財務壓力與醫療服務品質的要求日漸提升外,近年來又因政府健保政策不斷變革,各醫療機構為了爭取稀少的資源及有限的顧客,不僅開始改變了醫療服務型態,更是著重於醫院管理的功能提昇及經營成本的掌控。以往的採購,是指單純以購買的方式操作,而現今醫療環境經營險峻及追求創新,採購人員為能配合營運策略,除了以購買的方式取得物品之外,還可以運用如租賃、借貸、BOT、外包等各種途徑取得物品的使用權來達到滿足需求的目的,甚至於經營權、所有權的取得也有異於以往。如此的轉換,更顯其在於企業經營上的重要性。故本研究欲探究醫院採購人員的人力資本、知識分享意願、採購能力與採購績效之關連性。

本研究以探索性及驗證性分析探討人力資本、知識分享意願、採購能力與採購績效之關係,研究對象為醫院的採購人員,以醫院層級區分為醫學中心、區域醫院及地區醫院的採購人員為主要樣本來源,共發出400份問卷,有效樣本114份,問卷資料經因素分析、變異數分析、迴歸等分析、路徑分析等方法進行,研究結果發現採購人員的人力資本對採購能力及採購績效有正向影響。其次,知識分享意願對採購能力及採購績效有正向影響。以及,採購能力對採購績效有正向影響。最後,人力資本及知識分享意願會透過採購能力的中介作用影響採購績效。
Abstract
The environment of medical industry in Taiwan is unprecedented rigorous. Except the finance pressure of medical expense billing and the increasing demand of the quality of medical service, recently due to the change of government health insurance policy, each medical organization strives for the rare resource and limited customer, not only start changing the type of the medical service, but also emphasis on improving the function of hospital management and controlling the cost. Formerly, purchasing simply means buying goods; but now, for the rigorous medical management environment and the rapid pace of innovation, purchasing clerk is required constant skill upgrading, such as leasing, loaning, BOT and outsourcing by contract, to obtain the use of goods and to satisfy the aim of demand. Additionally, the way to obtain the operation or ownership of goods is different from the former way. Contributed to the change, it presents its importance in business management. So, this research wants to investigate the relationship of human capital, knowledge sharing will, purchasing ability and purchasing performance.

We applied exploratory and confirmatory analysis to investigate the relationship involved. The samples were purchasing clerks of hospital, including medical centers, regional hospitals and area hospitals. Out of 400 questionnaires were sent, the valid questionnaires returned were 114. Factor analysis , variable analysis, regression analysis were used to process the data acquired. The major findings of the research are summarized as follows: (1) the human capital of purchasing clerk is positive effect to purchasing ability and purchasing performance. (2) knowledge sharing will is positive effect to purchasing ability and purchasing performance (3)purchasing ability is positive effect to purchasing performance (4) purchasing ability has the mediate effect among human capital and knowledge sharing will with purchasing performance.
目次 Table of Contents
中文摘要 ………………………………………………………………Ⅰ
英文摘要 ………………………………………………………………Ⅱ
目錄 ………………………………………………………………Ⅲ
表目錄 ………………………………………………………………Ⅳ
圖目錄 ………………………………………………………………VI
第一章 緒論…………………………………………………………01
第一節 研究背景與動機…………………………………01
第二節 研究目的…………………………………………06
第三節 研究流程…………………………………………07
第二章 文獻探討……………………………………………………08
第一節 人力資本…………………………………………08
第二節 知識分享意願……………………………………16
第三節 採購能力…………………………………………26
第四節 採購績效…………………………………………38
第五節 各變項間相關研究………………………………47
第三章 研究方法……………………………………………………53
第一節 研究架構…………………………………………53
第二節 研究假設…………………………………………55
第三節 研究變項之操作性定義與衡量…………………57
第四節 研究對象與樣本分析……………………………64
第五節 資料分析方法……………………………………67
第六節 驗證性因素分析及信度分析……………………70
第四章 實證結果與討論……………………………………………80
第一節 各研究變項之描述性統計………………………80
第二節 各變項構面之迴歸分析…………………………85
第三節 路徑分析…………………………………………93
第四節 人口統計變項在各研究變項上之差異分析……98
第五節 研究假設檢定結果 ……………………………108
第五章 結論與建議 ………………………………………………111
第一節 結論 ……………………………………………111
第二節 建議 ……………………………………………114
第六章 參考文獻 …………………………………………………120
附錄 研究問卷 …………………………………………………127
表目錄
表2-1-1 人力資本之定義與內涵…………………………………….09
表2-1-2 人力資本衡量指標之彙整…………………………………13
表2-2-1 知識分享的定義與觀點……………………………………16
表2-2-2 知識分享影響因素評估要素彙整表………………………19
表2-2-3 知識分享意願之衡量………………………………………22
表2-2-4 知識分享行為的分類………………………………………24
表2-3-1 策略性資源之內涵…………………………………………35
表2-4-1 採購績效衡量指標…………………………………………45
表3-3-1 人力資本衡量題項…………………………………………60
表3-3-2 知識分享意願衡量題項……………………………………61
表3-3-3 採購能力衡量題項…………………………………………62
表3-3-4 採購績效衡量題項…………………………………………63
表3-4-1 回收樣本明細表……………………………………………64
表3-4-2 回收樣本資料………………………………………………65
表3-6-1 人力資本之驗證性因素分析結果表………………………71
表3-6-2 知識分享意願之驗證性因素分析結果表…………………72
表3-6-3 採購能力之驗證性因素分析結果表………………………73
表3-6-4 採購績效之驗證性因素分析結果表………………………74
表3-6-5 人力資本量表之信度分析彙整表…………………………76
表3-6-6 知識分享意願量表之信度分析彙整表……………………77
表3-6-7 採購能力量表之信度分析彙整表…………………………78
表3-6-8 採購績效量表之信度分析彙整表…………………………79
表4-4-1 人力資本之描述性統計……………………………………80
表4-4-2 知識分享意願之描述性統計………………………………82
表4-4-3 採購能力之描述性統計……………………………………83
表4-4-4 採購績效之描述性統計……………………………………84
表4-2-1 人力資本對採購能力之複迴歸分析………………………85
表4-2-2 人力資本對採購績效之複迴歸分析………………………87
表4-2-3 知識分享意願對採購能力之複迴歸分析…………………88
表4-2-4 知識分享意願對採購績效之複迴歸分析…………………90
表4-2-5 採購能力對採購績效之複迴歸分析………………………91
表4-3-1 採購績效與各構面之複迴歸摘要表………………………95
表4-3-2 採購能力與各構面之複迴歸摘要表………………………95
表4-3-3 影響採購能力之因素………………………………………96
表4-3-4 影響採購績效之因素………………………………………97
表4-4-1 不同醫院層級在各構面之變異數分析……………………99
表4-4-2 不同醫院權屬在各構面之變異數分析 …………………100
表4-4-3 不同醫院規模床數在各構面之變異數分析 ……………102
表4-4-4 不同醫院員工人數在各構面之變異數分析 ……………104
表4-4-5 不同醫院採購部門員工人數在各構面之變異數分析 …105
表4-4-6 不同醫院歷史在各構面之變異數分析 …………………107
表4-5-1 研究假設驗證結果彙整表 ………………………………108
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