台灣醫療技術世界聞名，全民健保體制幾乎涵蓋所有醫療項目，近乎全民皆有保障。醫療費用總額預算制度乃為宏觀的調控方式，必須透過其他微觀的支付基準，才能夠確實避免資源浪費與改變醫師診療行為，提升醫療品質。「中山醫療社團法人中山醫院」是一所開放性綜合性之地區醫院，在現今的醫療環境及政策下，是如何盡到社會責任與永續發展的任務。
本研究透過質性研究，主要分為兩大面向進行：(1)收集個案醫院相關文獻，瞭解如何盡到社會責任；(2)採個案研究，深度訪談個案醫院的高階主管，瞭解並分析醫院之經營現況。
個案已營運四十餘年，深耕社區服務，並結合社工服務以善用社會資源，且從未開除任何一位員工，對員工已善盡雇主照顧之責，並改造綠化環境打造低碳醫院，落實永續經營。建議：1.採取策略聯盟模式，讓醫院間之醫療人員相互支援與學術交流，訂定互利互惠契約及雙向轉診制度；2.有效控管全民健康保險支出預算總額。
Taiwan’s advanced medical technology is worldwide renown. The mechanism of national health insurance nearly covers all medical items that almost every person is assured. The global budget system of medical expenses is a macro-control strategy, and it is required that other micro principles of equality be applied to really avoid the waste of resources and change physician diagnostic and treatment behavior for improving healthcare quality. Being a general and open district hospital, how “Chung Shan Hospital” fulfill the task of social responsibility and sustainable development under today's environment and policies.
Through qualitative research, this study is conducted based on two major facets: 1. Understanding of the how of implementing social responsibility through the collection of the relevant literatures of the case hospital; 2. Understanding and analysis of the current state of operation of the hospital through case study and in-depth interviews with the executive managers of the case hospital.
Having been opened for more than forty years, the case dedicates itself to community service while integrates social work service to ensure the cost-effective use of resources. No one has ever been fired as employer's liability is perfectly upheld by the hospital, and reconstruction of environmental afforestation has also been carried out to create a low-carbon hospital for implementing sustainable operation. It is suggested that 1. strategic alliances and models of collaboration be adopted to enable mutual support and academic exchanges among the medical staff of each hospital, together with the formulation of mutually beneficial agreements and dual referral system; 2. and the total budget expenditure of national health insurance be effectively controlled.
