| Summary: | 碩士 === 國立臺北大學 === 企業管理學系 === 91 === In recent years there is an increase in focus on the cost of health care in Taiwan. In order to provide economic incentives for hospitals to control rising health care expenditures, the government implemented hospital global budgeting policy on 1 July 2002. The hospital global budgeting policy represents a significant departure from previous approaches to hospital reimbursement. Promoting a health care policy that seeks to curb national expenditure, numerous hospitals have struggled to develop strategies on hospital management. An increasing unpredictability in the update factors of payment system leads to a higher risk of hospital operations.
The individual case analysis method is applied to this research and to analyze the impacts of global budgeting on the health organizations. The aims of the research are：
1. To explore the current policy of global budgeting and its trend of influence.
2. To analyze the issues and impacts when the hospital global budgeting is introduced as a policy to control the health care expenditures.
3. To identify strategic alternatives available to the individual hospital and to develop hospital management and its operating strategies, based on the principles of hospital global budgeting.
SWOT analysis will be used to identify the external opportunities and threats, as well as internal strengths and weaknesses for an individual hospital. Different hospital management strategies will be applied to adapt to the new reimbursement system. Strategic alternatives include the directional strategies, the adaptive strategies, the market entry strategies, the positioning strategies, and the operational strategies, which will contribute the success of the hospital operations under the National Health Insurance.
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