CAJ | 학술논문

在新公共管理思想的影响之下，将市场绩效纳入公部门管理的方式已成为改革潮流。台湾公立医院的改革工作，也是围绕这个核心思想来进行的。台北市立联合医院的成立，是将台北市的十家公立医院进行合并，成为一家台湾规模最大的公立医院，旨在通过层级的治理模式，强调公部门监管的角色，利用资源整合互补，达到降低成本、提高绩效的目标，发挥规模经济的优势，同时加强公立医院的品质和竞争力。从台北市立联合医院的改革经验来看，改革成效的关键在于行政效能是否得以很好的发挥以及行政权力的使用。因此，公部门应体认本身角色的转变并且因应不同的需求，采取不同的治理模式，思考如何从制度和管理层面富有弹性地去因应，为公立医院的治理寻求一个更富有弹性和可行性的改革模式，发挥公部门善治的效能。
재신공공관리사상적영향지하，장시장적효납입공부문관리적방식이성위개혁조류。태만공립의원적개혁공작，야시위요저개핵심사상래진행적。태북시립연합의원적성립，시장태북시적십가공립의원진행합병，성위일가태만규모최대적공립의원，지재통과층급적치리모식，강조공부문감관적각색，이용자원정합호보，체도강저성본、제고적효적목표，발휘규모경제적우세，동시가강공립의원적품질화경쟁력。종태북시립연합의원적개혁경험래간，개혁성효적관건재우행정효능시부득이흔호적발휘이급행정권력적사용。인차，공부문응체인본신각색적전변병차인응불동적수구，채취불동적치리모식，사고여하종제도화관리층면부유탄성지거인응，위공립의원적치리심구일개경부유탄성화가행성적개혁모식，발휘공부문선치적효능。
Under the influence of new public management, there is a reform tend that brings the market performance into the pub-lic sector management. The public hospital reform work in Taiwan also focus on this core idea. The establishment of Taipei City Hospital, is to merge ten public hospitals in Taipei City, which becomes the largest public hospital in Taiwan. The purpose of the reform is empha-sizing the public sector regulatory role through the hierarchy model of governance, using the integration of resources complementary to reduce the cost and improving the performance to bring the advantage of scale economy, and strengthen public medical quality and com-petitiveness in the mean while. From the reform experience of Taipei City Hospital, the key lies in whether the reform of administrative efficiency to play well and the use of administrative power. Therefore, the public sector should recognize their role and adopt different modes of governance according to the different needs, and think flexibly from the system and the management level, so that the public sector can help public hospital to find a elastic and feasible way of the reform mode, and develop the efficacy of good governance.