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題名 整合性策略成本管理之設計及執行─以國內某醫院為例
The Design and Execution of Integrated Strategic Cost Management—A Case Study in Healthcare Industry
作者 林言修
Lin, Yen Hsiu
貢獻者 吳安妮
Wu, Anne
林言修
Lin, Yen Hsiu
關鍵詞 整合
策略
成本管理
Integrated
Strategy
Cost Management
日期 2010
上傳時間 29-Sep-2011 16:38:58 (UTC+8)
摘要   策略之實施倘若無法得知執行成績,將使管理者無法判斷策略成果。過去財務會計系統之資訊,並無法產出攸關資訊協助決策。本研究以個案研究的方式,探討醫療組織於形成策略、執行策略與建置基礎資訊工程之內容,進一步探討三者整合時之設計方向與執行重點。
  研究分析的結果,使命、願景與價值觀的討論有益於策略之形成;平衡計分卡之策略地圖能將策略行動化,幫助成員瞭解與執行策略;作業基礎成本制之資訊,可提供經營者精確的資料評估資源、作業與策略的關係。三者之整合,使管理者可具體透過作業基礎成本制之資訊,評估成員在平衡計分卡下執行策略後的成果。
Without information of performance, strategy-execution would disconnect managers’ judgment from practices. According to financial accounting systems in the past, it’s hard to demonstrate relevant information to support decision-making. The study uses case-study method in a healthcare organization to analyze constructions on four topics: strategy- formulation system, strategy-execution system, fundamental information system and the keys to design and implement the integration connecting these systems.
Based on our conclusion, discussions on missions, visions and values are beneficial to formulate strategies. Besides, strategy maps let members realize strategies and carry them out. Furthermore, activity-based costing provides more accurate data to generate information assisting managers’ assessment among resources, activities and strategies. Finally, integration among these three systems helps managers use information from activity-based costing to evaluate strategy performances under balanced scorecard.
參考文獻 一、中文部分
行政院衛生署網站,http://www.doh.gov.tw/cht2006/index_populace.aspx。
吳安妮,2007,作業基礎成本制之發展與整合,會計研究月刊,第263期:60-74。
林妍如,2007,整合性照護與管理─簡康照護組織之價值創造,台北:五南圖書。
林世嘉、蔡篤堅,2006,健保十週年論文集,台北:財團法人臺灣醫界聯盟基金會、記憶工程股份有限公司。
陳進堂、高橋淑郎、陳秀珠,2010,健康產業平衡計分卡國際研討會,台灣健康產業平衡計分卡管理協會。
財團法人醫院評鑑暨醫療品質策進會網站,http://attend.tjcha.org.tw/index.php。
張文成,2002,建立手術室之多層級作業基礎成本與管理制度,國立台灣大學醫療機構管理研究所碩士論文。
潘憶文、林雅雯、梁亞文、許惠媚、魏慶國、洪麗真、鄭金寶、徐均宏、黃嫩婷、鄭女滿、楊慧琪、周玲玲、劉碩琦,2006,醫院組織功能與管理,台北:偉華書局。
魏慶國、王舜陸,2006,醫療機構績效管理,台北:華杏。
蘇淑惠、謝正雄、楊惠伶,2006,醫院會計:管理與實務,台北:華立文化。

二、英文部分
Atkinson, H. 2006. Strategy Implementation: A Role for the Balanced Scorecard? Management Decision 44 (10): 1441-1460.
Ayvaz and Pehlivanli. 2011. The Use of Time Driven Activity Based Costing and Analytic Hierarchy Process Method in the Balanced Scorecard Implementation. International Journal of Business and Management 6(3):146.
Baker, J. 1998. Activity-Based Costing and Activity-Based Management for Healthcare. Aspen Publishers, Inc.
Chan, J, B. Parco and E. Sihombing. 2010. Improving Health Services to Displaced Persons in Aceh, Indonesia: a Balanced Scorecard. World Health Organization. Bulletin of the World Health Organization 88(9): 709.
Cokins. 1996. Activity-Based Management Making It Work: A Manager`s Guide to Implementing and Sustaining an Effective ABC System. McGraw-Hill.
Delgado, I, R. Langabeer and E. Sullivan. 2009. Strategic Performance Evaluation in Cancer Centers/PRACTITIONER. Journal of Healthcare Management 54(6): 36.
Feeley W, S. Fly, H. Albright, R. Walters and et al. 2010. A Method for Defining Value in Healthcare Using Cancer Care as a Model/PRACTITIONER APPLICATION. Journal of Healthcare Management 55(6): 399.
Kaplan, R, and D. Norton. 2001. The Strategy-Focused Organization: How Balanced Scorecard Companies Thrive in the New Business Environment. Harvard Business School Press.
Kaplan, R, and D. Norton. 2004. Strategy Maps: Converting Intangible Assets into Tangible Outcomes. Boston, MA: Harvard Business School Press.
Larson, D, and G.Keer. 2007. Integration of Process Management Tools to Support TQM Implementation: ISO 9000 and Activity-based Costing. University of Nevada, Reno, USA.
Love, D, L. Revere, K. Black. 2008. A Current Look at the Key Performance Measures Considered Critical by Health Care Leaders. Journal of Health Care Finance 34(3): 19-33.
Porter, E. 2009. A Strategy for Health Care Reform - Toward a Value-Based System. The New England Journal of Medicine 361(2): 109.
Porter, E. 2010. What Is Value in Health Care? The New England Journal of Medicine 363(26): 2477.
Santerre E. and P.Neun. 2008. Health Economics. Cengage Learning.
Schuhmann, M. 2008. Hospital Financial Performance: Trends to Watch. Healthcare Financial Management. Westchester 62(7): 59.
Yin, R. 2003. Case Study Research: Design and Methods. Sage Publications.
描述 碩士
國立政治大學
會計研究所
98353018
99
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0098353018
資料類型 thesis
dc.contributor.advisor 吳安妮zh_TW
dc.contributor.advisor Wu, Anneen_US
dc.contributor.author (Authors) 林言修zh_TW
dc.contributor.author (Authors) Lin, Yen Hsiuen_US
dc.creator (作者) 林言修zh_TW
dc.creator (作者) Lin, Yen Hsiuen_US
dc.date (日期) 2010en_US
dc.date.accessioned 29-Sep-2011 16:38:58 (UTC+8)-
dc.date.available 29-Sep-2011 16:38:58 (UTC+8)-
dc.date.issued (上傳時間) 29-Sep-2011 16:38:58 (UTC+8)-
dc.identifier (Other Identifiers) G0098353018en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/50776-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 會計研究所zh_TW
dc.description (描述) 98353018zh_TW
dc.description (描述) 99zh_TW
dc.description.abstract (摘要)   策略之實施倘若無法得知執行成績,將使管理者無法判斷策略成果。過去財務會計系統之資訊,並無法產出攸關資訊協助決策。本研究以個案研究的方式,探討醫療組織於形成策略、執行策略與建置基礎資訊工程之內容,進一步探討三者整合時之設計方向與執行重點。
  研究分析的結果,使命、願景與價值觀的討論有益於策略之形成;平衡計分卡之策略地圖能將策略行動化,幫助成員瞭解與執行策略;作業基礎成本制之資訊,可提供經營者精確的資料評估資源、作業與策略的關係。三者之整合,使管理者可具體透過作業基礎成本制之資訊,評估成員在平衡計分卡下執行策略後的成果。
zh_TW
dc.description.abstract (摘要) Without information of performance, strategy-execution would disconnect managers’ judgment from practices. According to financial accounting systems in the past, it’s hard to demonstrate relevant information to support decision-making. The study uses case-study method in a healthcare organization to analyze constructions on four topics: strategy- formulation system, strategy-execution system, fundamental information system and the keys to design and implement the integration connecting these systems.
Based on our conclusion, discussions on missions, visions and values are beneficial to formulate strategies. Besides, strategy maps let members realize strategies and carry them out. Furthermore, activity-based costing provides more accurate data to generate information assisting managers’ assessment among resources, activities and strategies. Finally, integration among these three systems helps managers use information from activity-based costing to evaluate strategy performances under balanced scorecard.
en_US
dc.description.tableofcontents 第壹章 緒論 1
第一節 研究動機與目的 1
第二節 研究問題 4
第三節 研究貢獻 8
第四節 研究架構 11
第貳章 文獻探討 13
第一節 策略形成之探討─以顧客價值為主軸 13
第二節 策略行動化之探討─以平衡計分卡為主軸 20
第三節 基礎工程之探討─以作業基礎成本制為主軸 25
第四節 策略於基礎工程之整合─以作業基礎管理為主軸 38
第五節 研究延伸 43
第參章 研究設計 46
第一節 觀念性架構 46
第二節 個案研究法 47
第三節 研究流程 49
第肆章 個案醫院介紹 52
第一節 醫療產業近況 52
第二節 個案醫院簡介 55
第伍章 個案醫院之整合─設計及執行 58
第一節 個案醫院策略形成系統之設計及執行 58
第二節 個案醫院策略行動化系統之設計及執行 62
第三節 個案醫院基礎工程系統之設計及執行 68
第四節 個案醫院整合三大系統之設計及執行 83
第陸章 結論與建議 92
第一節 研究結論 92
第二節 研究限制 101
第三節 研究建議 102
參考文獻 106
zh_TW
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0098353018en_US
dc.subject (關鍵詞) 整合zh_TW
dc.subject (關鍵詞) 策略zh_TW
dc.subject (關鍵詞) 成本管理zh_TW
dc.subject (關鍵詞) Integrateden_US
dc.subject (關鍵詞) Strategyen_US
dc.subject (關鍵詞) Cost Managementen_US
dc.title (題名) 整合性策略成本管理之設計及執行─以國內某醫院為例zh_TW
dc.title (題名) The Design and Execution of Integrated Strategic Cost Management—A Case Study in Healthcare Industryen_US
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) 一、中文部分zh_TW
dc.relation.reference (參考文獻) 行政院衛生署網站,http://www.doh.gov.tw/cht2006/index_populace.aspx。zh_TW
dc.relation.reference (參考文獻) 吳安妮,2007,作業基礎成本制之發展與整合,會計研究月刊,第263期:60-74。zh_TW
dc.relation.reference (參考文獻) 林妍如,2007,整合性照護與管理─簡康照護組織之價值創造,台北:五南圖書。zh_TW
dc.relation.reference (參考文獻) 林世嘉、蔡篤堅,2006,健保十週年論文集,台北:財團法人臺灣醫界聯盟基金會、記憶工程股份有限公司。zh_TW
dc.relation.reference (參考文獻) 陳進堂、高橋淑郎、陳秀珠,2010,健康產業平衡計分卡國際研討會,台灣健康產業平衡計分卡管理協會。zh_TW
dc.relation.reference (參考文獻) 財團法人醫院評鑑暨醫療品質策進會網站,http://attend.tjcha.org.tw/index.php。zh_TW
dc.relation.reference (參考文獻) 張文成,2002,建立手術室之多層級作業基礎成本與管理制度,國立台灣大學醫療機構管理研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 潘憶文、林雅雯、梁亞文、許惠媚、魏慶國、洪麗真、鄭金寶、徐均宏、黃嫩婷、鄭女滿、楊慧琪、周玲玲、劉碩琦,2006,醫院組織功能與管理,台北:偉華書局。zh_TW
dc.relation.reference (參考文獻) 魏慶國、王舜陸,2006,醫療機構績效管理,台北:華杏。zh_TW
dc.relation.reference (參考文獻) 蘇淑惠、謝正雄、楊惠伶,2006,醫院會計:管理與實務,台北:華立文化。zh_TW
dc.relation.reference (參考文獻) zh_TW
dc.relation.reference (參考文獻) 二、英文部分zh_TW
dc.relation.reference (參考文獻) Atkinson, H. 2006. Strategy Implementation: A Role for the Balanced Scorecard? Management Decision 44 (10): 1441-1460.zh_TW
dc.relation.reference (參考文獻) Ayvaz and Pehlivanli. 2011. The Use of Time Driven Activity Based Costing and Analytic Hierarchy Process Method in the Balanced Scorecard Implementation. International Journal of Business and Management 6(3):146.zh_TW
dc.relation.reference (參考文獻) Baker, J. 1998. Activity-Based Costing and Activity-Based Management for Healthcare. Aspen Publishers, Inc.zh_TW
dc.relation.reference (參考文獻) Chan, J, B. Parco and E. Sihombing. 2010. Improving Health Services to Displaced Persons in Aceh, Indonesia: a Balanced Scorecard. World Health Organization. Bulletin of the World Health Organization 88(9): 709.zh_TW
dc.relation.reference (參考文獻) Cokins. 1996. Activity-Based Management Making It Work: A Manager`s Guide to Implementing and Sustaining an Effective ABC System. McGraw-Hill.zh_TW
dc.relation.reference (參考文獻) Delgado, I, R. Langabeer and E. Sullivan. 2009. Strategic Performance Evaluation in Cancer Centers/PRACTITIONER. Journal of Healthcare Management 54(6): 36.zh_TW
dc.relation.reference (參考文獻) Feeley W, S. Fly, H. Albright, R. Walters and et al. 2010. A Method for Defining Value in Healthcare Using Cancer Care as a Model/PRACTITIONER APPLICATION. Journal of Healthcare Management 55(6): 399.zh_TW
dc.relation.reference (參考文獻) Kaplan, R, and D. Norton. 2001. The Strategy-Focused Organization: How Balanced Scorecard Companies Thrive in the New Business Environment. Harvard Business School Press.zh_TW
dc.relation.reference (參考文獻) Kaplan, R, and D. Norton. 2004. Strategy Maps: Converting Intangible Assets into Tangible Outcomes. Boston, MA: Harvard Business School Press.zh_TW
dc.relation.reference (參考文獻) Larson, D, and G.Keer. 2007. Integration of Process Management Tools to Support TQM Implementation: ISO 9000 and Activity-based Costing. University of Nevada, Reno, USA.zh_TW
dc.relation.reference (參考文獻) Love, D, L. Revere, K. Black. 2008. A Current Look at the Key Performance Measures Considered Critical by Health Care Leaders. Journal of Health Care Finance 34(3): 19-33.zh_TW
dc.relation.reference (參考文獻) Porter, E. 2009. A Strategy for Health Care Reform - Toward a Value-Based System. The New England Journal of Medicine 361(2): 109.zh_TW
dc.relation.reference (參考文獻) Porter, E. 2010. What Is Value in Health Care? The New England Journal of Medicine 363(26): 2477.zh_TW
dc.relation.reference (參考文獻) Santerre E. and P.Neun. 2008. Health Economics. Cengage Learning.zh_TW
dc.relation.reference (參考文獻) Schuhmann, M. 2008. Hospital Financial Performance: Trends to Watch. Healthcare Financial Management. Westchester 62(7): 59.zh_TW
dc.relation.reference (參考文獻) Yin, R. 2003. Case Study Research: Design and Methods. Sage Publications.zh_TW