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1、JournalofHealthManagementVol.7,No.1,June2009pp.119-132健康管理學刊第七卷第一期民國九十八年六月119-132頁台灣醫師人力供需平衡策略之硏究周瑛琪1Ying-ChyiChou東海大學企業管理硏究所TheEquilibriumStrategyofPhysicianManpowerinTaiwan唐明I®2Ming-shuenTang東海大學工業工程經營資訊學系黃瑜琛3Yu-ChenHuang元培科技大學護理系張盈盈4Yin-yinChang元培科技大學企業管理系'instituteofBusinessAdministr
2、ation,TunghaiUniversity,2DepartmentofIndustrialEngineeringandEnterpriseInformation,TunghaiUniversity,3DepartmentofNursing,YuanpeiUniversityand4DepartmentofBusinessAdministration,YuanpeiUniversity（ReceivedOctober13,2008;RevisedJanuary21,2009;AcceptedFebruary26,2009）摘要：由於醫師數量直接影響醫療服務品質之優劣，又
3、在台灣人口數、高齡化、少子化、法令政策等因素下，台灣地區的醫師人力政策及醫師人力的供給計算基礎已不符合現況的需求，本交運用德爾菲法，探討台灣醫師人力可能達到平衡的途徑。本硏究結果爲，若醫師人力過剩，專家認爲可採取之策略包括：減少核發醫師執照率、發展創新服務增加需求、鼓勵醫師發展學術硏究、減少醫學院招生數量、管制非本國籍醫師（助理醫師制度）、衛生署大幅清查非法醫師、放寬醫師開業標準（鼓勵醫師設立基層診所）、降低民眾就醫費用，增加民眾就醫服務的需求量；若醫師人力短缺時可採取之策略包括：減少總量管制增加給付標準、鼓勵硏究發展的醫師往臨床發展、推動助理醫師制度引進外國醫師支援、延
4、後退休年齡、放寬核發醫師執照率、管制醫師開業標準（不鼓勵醫師設立基層診所）、發展新科技，減少使用人力。本文之硏究結果，可以提供政府相關單位擬定醫師人力供需平衡政策的重要參考。翕司：醫師人力、平衡策略、德爾菲法Abstract:DuetoTaiwan'spopulationhasbeengettingolderandlessforthepastfewyears,thepolicyaboutphysicianmanpowercannotmeettherealsituation.However,asthesupplyofphysicianmanpoweraffectsthequ
5、alityofmedicalservicedirectly,findingthewaytomaintaintheequilibriumforphysiciansupplyisimportant.Thisresearch,usingtheDelphiMethod,aimstoprovidestrategiesfortheTaiwanesegovernmenttocreateabetterphysicianmanpowerpolicy・Inthepaper,wesuggestthatifthesupplyforphysicianmanpowerexceedsthedemand
6、,thestrategiesshallbegivinglessphysicianlicenses,developinginnovativeservicestoincreasecustomerdemand,encouragingphysicianstodoresearchwork,recRiitinglessmedicalstudents,limitingthenumberofforeignphysicians,looseningrestrictionsforopeningclinicsandloweringthemedicalchargeinordertoincrease
7、thedemandformedicalservice.Onthecontrary,ifthephysicianmanpowerdemandexceedsthesupply,wesuggestshallbereleasingmorephysicianlicenses,raisingthemedicalchargepaidbythegovernment,encouragingresearchphysicianstogetinvolvedintheclinicalwork,allowingmoreforeignphysicians'
