管理之應用於醫院及其他醫療機構已成一種世界趨勢，台灣也不例外。本研究試圖探索1702名醫師對此一趨勢的態度及批判。研究資料來自於一項對全省執業西醫師的郵寄問卷調查。以質性方法對其中之698名醫師的書面意見分析後發現：(1) 經濟誘因，如效率、成本效益、善用資源及提昇服務品質等，是對企業化經營管理予以正面評價之醫師最關注之處，(2) 商業化、缺乏人性及情感、專業自主權的喪失、以及醫病關係之惡化乃持負面價值之醫師最詬病之處，(3) 不過，另有一些持肯定看法的醫師提出兩類論點，一為譴責大型企業與政府；另一類則恰好相反，對此趨勢抱著 悲觀的、宿命的看法，認為此趨勢只不過反映了大環境的變遷罷了，是「無法避免」的。本研究結果顯示，在企業化經營管理之策略下，醫師之調適不佳。進一步探索衛生專業人員對管理的反應，將有助於在目前的健康照護環境中造就正向的文化與互動關係。

　　　　　The application of management interventions in hospitals and other health care settings is a worldwide phenomenon, and Taiwan is no exception. This study explored 1702 physicians' perceptions of and criticism towards current managerial strategies in hospitals in Taiwan. Data for the analysis came from a nation-wide mail survey of active physicians. Qualitative analysis of the comments from 698 out of 1702 physicians revealed that: (1) economic appeal -- efficiency and cost-benefit in the use of resource s and therefore improving quality of care -- is the highest concern among physicians who held a positive stance towards managerial intervention, (2) commercialization, lack of humanitarianism and compassion, erosion of professional autonomy, and deterioration of the physician-patient relationship were adverse effects which were of great concern to physicians who held a negative stance toward managerial intervention, (3) among a sub-group that professed pro-management attitudes, two types of comments were d isclosed: one radically condemned the large corporations and the government, and the other , somewhat fatalistic and pessimistic in tone, considered that managerial intervention in health care reflects a global trend of social change and is thus