本文針對台灣地區57所醫療機構之首長接受醫務管理訓練的現況、訓練需求項目及訓練需求因素做一調查。其中有77.2%的首長為醫師，86%的首長沒有具備醫務管理學位。首長平約每年接受32次的在職訓練，而其中每年平均只有1.6次是屬於醫務管理課程。首長對於醫務管理訓練內容需求以「醫療品質」(96.1%)，「醫院資訊系統」(95.9%)，「策略規劃」(94.1%)，「資訊科技與醫療服務」(93.8%)與「醫院經營管理」(92.6%)為最高。在醫務管理訓練需求因素上以「全民健保」(70.2%)，「個人需要」(61.4%)，「醫院內部需求」(57.9%)，與「醫院問競爭」(54.4%)為最高。

This study reports the current status of and the demand for on-the-job training in hospital management. Data for the analysis came from 57 hospital chief executives in Taiwan area. Seventy-seven percent of hospital chief executives were physician, while 86% of them do not have a health administration degree. The hospital chief executives attended 32 on-the-job training courses, yet only 1.6 was relevant to hospital management. As far as the training needs, most hospital chief executives were concerned about healthcare quality management (96.1%), hospital information system (95.9%), strategic planning (94.1%), information technology and health care (93.8%), and hospital general management (92.6%). Taiwan's health insurance reform (70.2%), executives' personal needs (61.4%), hospital internal needs (57.9%), and competition among hospitals (54.4%) were the strongest motivation driving these hospital management training needs

醫院首長 ； 醫務管理訓練

 hospital chief executive , health-care management training