Sun Yat-Sen Management Review

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Title
探討任務屬性、績效量度配適性對醫師工作績效之影響
The Effect of Task Attributes, Fitness of Performance Measures on Physicians’ Job Performance
(143_M5d09d9390be10_Full.pdf 1,130KB)

Author
盧正宗/國立臺中科技大學會計資訊系
Cheng-Tsung Lu/

Department of Accounting Information, National Taichung University of Science and Technology


Abstract(Chinese)

本文聚焦於探討「衛生福利部所屬醫療機構績效評核原則」之設計內涵,並以部立醫院醫師為分析標的,進一步應用必要任務屬性理論來檢視醫師之任務屬性 (例行性、非例行性)、績效量度設計之配適程度 (激勵性、不適切性) 對工作績效之影響。透過問卷調查方式取得218份研究樣本,實證結果發現:(1) 醫師認知績效量度在設計面之配適性會影響其工作績效。然而現行臨床工作績效量度並無法對醫師形成激勵效果;(2) 當醫師從事「非例行性」程度越高的臨床服務工作時,會因認知現行績效量度不具適切性,進而間接對其臨床服務績效產生負向影響。(3) 當醫師從事「例行性」程度越高的公共服務工作時,會認知現行績效量度具激勵性,進而間接對其公共服務績效產生正向影響。

(143_M5d09d9390be10_Abs.pdf(File does not exist))

KeyWord(Chinese)

任務屬性、績效量度配適性、績效量度之不適切性、必要任務屬性理論


Abstract(English)

This paper introduces “theory of requisite task attributes” and examines the effect of physicians’ task attributes (routine and non-routine) and fitness of performance measures (degree of motivation and noise) on with the doctors from the hospitals under Taiwan’s Ministry of Health and Welfare. There are 218 research samplescollected through a questionnaire survey. Empirical results show that: (1) Physicians’ cognition of fitness of performance measures has a positive effect on job performance. The noise of performance measures has significant negative effect on job performance, and the motivation of performance measures has significant positive effect on job performance. (2) The relationship between non-routine task attributes and clinical job performance can be fully mediated by the noise of clinical job performance measures where non-routine task attributes decrease the noise of performance measure, and the noise of performance measure is negatively associated with clinical job performance. (3) However, the relationship between routine task attributes and public service job performance can be accounted for by a partial mediation where routine task attributes increase the motivation of public service performance measures, and the motivation of performance measures is positively associated with public service job performance.

(143_M5d09d9390be10_Abs.pdf(File does not exist))

KeyWord(English)

Task Attributes, Fitness of Performance Measures, Performance Measure Noise, Theory of Requisite Task Attributes


Domain
General management

Policy and management implications
(Available only in Chinese)

本研究聚焦於探討「衛生福利部所屬醫療機構績效評核原則」之設計內涵,並以部立醫院醫師為分析標的,進一步應用必要任務屬性理論來探討醫師的任務屬性 (例行性、非例行性)、績效量度配適性 (激勵性、不適切性) 對工作績效 (臨床服務與公共服務績效) 之影響。本研究依據實證發現對衛生福利部提出相關實務管理意涵:(1)績效評估系統之設計應與部立醫院的成立宗旨或經營策略整合,目的在轉化醫院無形的策略為具體行動方案。由於現行「績效評核原則」是以「工作類別」為前提來設計績效量度,讓所屬的從業醫師無法澄清與了解醫院策略與個人工作內涵之關聯性,此為績效評估系統在規劃面首要改善的工作。(2)建議績效評估系統應針對不同科別來規劃其客製化或專屬的績效構面及其對應之績效量度。主要目的在於打破現行不分科而採行「臨床服務」與「公共服務」績效量度二分法之設計。(3)績效構面或績效量度間應具備某種程度之因果關聯性。此策略地圖之觀點在於引導從業人員達成組織目標,同時強化個人目標與組織目標之一致性。(4)建議績效量度之項目宜適當,避免過多的績效量度反而失去激勵從業人員之效。依據Kaplan amd Norton (1996) 之主張,績效量度盡量不要超出16項,俾降低過多的績效量度反而妨礙正常工作之執行。(5)建議加入績效權重的設計觀點,主要目的在於避免從業人員陷入追求易達成的績效量度。畢竟不同績效構面或績效量度之達成確實有其難易程度,若缺乏權重設計考量下的績效評估系統,將導致從業人員致力於較易達成的績效量度,放棄追求其他重要但卻是較難達成的績效要求;此外,權重設計之觀點更賦予較難達成的工作任務有較重的加權佔比,畢竟風險高且變化程度高的臨床工作有較重的績效權重,不僅代表醫師達成時有較高的評估基準,同時亦凸顯出醫師臨床工作之重要性,俾產生最終激勵之效。


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