根據健保局全民健康保險統計(2011)指出，由於近年來受到國內人口日趨老化、醫療新科技的引進和對重症病患加強照護等因素影響，健保醫療費用大幅成長，保費收入長期不足以支應醫療費用支出，健保財務已面臨嚴重的考驗。
研究以量性研究之觀點，以醫院資源、競爭優勢、外包管理三大構面來驗證不同的醫療機構外包後對醫院之績效。本研究採用問卷調查法，以台灣地區醫院教學評鑑制度列為地區醫院以上層級之醫院為研究對象，視其醫院實際狀況來做問卷的填答；問卷發放509份，回收問卷數219份，扣除填答不完全、無效作答以及非高階管理者所填答的問卷數量27份，共計有192份有效問卷數，有效回收率為37.7%。
本研究結果發現不同的醫療院所在不同的醫院資源和競爭優勢下，對外包管理呈現正向關係；在不同的外包管理監控下，對外包績效也有正向關係。

According to the National Health Insurance Bureau of National Health Insurance (NHI) statistics (2011) pointed out that in recent years by the domestic population is aging, the introduction of new medical technology was to enhance care of ill patients, health insurance costs grew rapidly, and long enough to cope premium income medical expenses, health insurance has been facing serious financial challenges.
This study used quantitative perspective, including hospital resources competitive advantage, outsourcing management, three dimensions of the different medical institutions to verify the hospital's performance after outsourcing. The study also used questionnaires to evaluate teaching hospital in Taiwan as a regional hospital for the study, depending on the actual situation of the hospital to do the questionnaire; 509 questionnaires were released, got the 219 questionnaires, 27 questionnaires invalid, got a total of 192 valid questionnaires, the effective rate was 37.7%.
The study found that different hospitals have different hospital resources and competitive advantage under outsourcing management have the positive relationship, outsourcing management control and monitor well , are positively related to outsourcing performance.

壹、中文部分
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貳、英文部分
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