| Summary: | 碩士 === 中原大學 === 資訊管理研究所 === 91 === Since we bring national health insurance into practice，health environment changes, technology apply widely, and hospitals compete more violently. Therefore, it make hospitals gradually notice the importance of applying technology to improve the competitiveness itself.
The advanced and adaptive health information system can reduce the health resource cost, improve the service efficiency、medical quality and enhance hospital management efficiency.
Cause the internet age coming, information explode rapidly, it totally subvert the operation style and characteristic of hospital and gradually change the old point-of-view that seller's market is indissoluble.
All the hospitals right now are customer service-oriented and more emphasize on customer satisfaction.
Therefore, besides to fulfill the customer's need on health service, CRM and hospital management will become the competitive advantage in the future's health market.
Generally, there are four ways to maintain the information system of district hospital. One is to develop and maintain by hospital itself. It need to hire two to five mis employee；Other is to buy the software developed by vendors and maintain by hospital or vendors；Other is "Selective Outsourcing", it delegate some part of information system or deploy stage to the professional vendor；Other is "Total Outsourcing", the percentage of IT Outsourcing is up to 80%[Lacity and Hirschheim(1995)].
Because district hospital consider labor cost and the limit resource of IS personnel, most of information system are delegated and maintained by vendors to reach the best service quality and hospital management effect.
These days, few hospital carry out the total outsourcing, therefore this study use case study and analyze district hospitals that have already bring total outsourcing into practice to collect the information. This Study found that:
(1)When the district hospital implement total outsourcing, it won't level down the information quality.
(2)It can cut the cost down.
(3)The hospital need not to worry about the risk that vendor will make.
(4)When it comes to cost, there are a big gap between the hospital and vendor.
(5)It is very difficult for the district hospital to implement total outsourcing.
(6)After total outsourcing, there are some difficulty to retain the original MIS employee.
In spite of that, When hospital make IT Outsourcing decision and cost is a important factor ,we hope our research result can be a good reference.
Key Word: District Hospital, Total Outsourcing, Case Study
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