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    題名: 以策略觀點探討高科技醫療器材商之競爭策略 - 以I公司為例
    The Competitive Strategy in High-technology Medical Device Industry: The Example of Minimal Invasive Surgical Company I
    作者: 梁容禎
    Liang, Jung-Chen
    貢獻者: 彭朱如
    Peng, Tzu-Ju
    梁容禎
    Liang, Jung-Chen
    關鍵詞: 醫療器材
    策略轉型
    微創手術設備
    Medical devices
    Strategic transformation
    Minimally invasive surgical device
    日期: 2025
    上傳時間: 2025-08-04 13:00:34 (UTC+8)
    摘要: 由於台灣健保制度採總額控管與正面表列,導致高價醫療器材普及受限,加上新興競爭者以模組化、彈性與價格優勢快速搶佔中型市場,對醫療器材公司造成重大挑戰。本研究聚焦於醫療器材商I公司於台灣高階微創手術市場中所面臨的策略困境,透過制度環境分析、競爭結構評估、與組織能力三層視角,探討其在制度環境受限、市場重構、與內部應變不足下的轉型策略。本研究採用「策略形態分析法」、「策略群組與多角化分析」與「動態能力」「資源基礎」等理論觀點,對I公司所面臨的問題進行分析。研究結果顯示,I公司需從價值重構、平台開放、與組織敏捷三方面進行策略轉型,方能突破制度與競爭限制,實現區域市場擴張與全球策略調整的雙軌目標。本研究結果對於高階醫療器材設備商提出具體可行之策略模組建議,期能為類似產業提供有價值的實務參考。
    In Taiwan, the National Health Insurance (NHI) system has limited the widespread adoption of high-priced medical devices due to the global budgeting and positive enlisting. Concurrently, emerging competitors have rapidly captured the mid-tier market by leveraging modularity, flexibility, and cost advantages, posing significant challenges to medical device companies. This study focuses on the strategic dilemmas faced by Company I in Taiwan's advanced minimally invasive surgery market. Through the analysis encompassing institutional environment, competitive structure, and organizational capabilities, this research examines the company's transformation strategies under constraints of institutional limitations, market restructuring, and insufficient internal responsiveness. Based on the theoretical perspectives of “strategic posture analysis”, “strategic group and diversification”, “dynamic capabilities”, and “resource-based view”, this study conducted by a case study approach. The findings indicate that Company I must undergo strategic transformation in three areas: value reconstruction, platform openness, and organizational agility, to overcome institutional and competitive constraints and achieve dual objectives of regional market expansion and global strategic adjustment. The results offer specific and feasible strategic module recommendations for high-end medical device manufacturers, aiming to provide valuable practical references for similar industries.
    參考文獻: 1. Awad, M.M., Raynor, M.C., Padmanabhan-Kabana, M., Schumacher, L.Y., and Blatnik, J.A. 2024. Evaluation of forces applied to tissues during robotic-assisted surgical tasks using a novel force feedback technology. Surg Endosc, 38: 6193–6202.
    2. Carbonara, U., Srinath, M., and Crocerossa, F. 2021. Robot-assisted radical prostatectomy versus standard laparoscopic radical prostatectomy: an evidence-based analysis of comparative outcomes. World J Urol, 39(10):3721-3732.
    3. Christensen, C. 2009. Innovation for Executives. International Journal of Innovation Science, 1(3): 149-150.
    4. Kaplan, R and Norton, D.P. 2004. Measuring the Strategic Readiness of Intangible Assets, USA: Harvard Business Review. Access date: May 20, 2025.
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    7. Porter, M. E. 1980. Competitive Strategy: Techniques for Analyzing Industries and Competitors. New York: Free Press.
    8. Porter, M. E. 1985. The Competitive Advantage: Creating and Sustaining Superior Performance. NY: Free Press. (Republished with a new introduction, 1998.)
    9. Ricciardi, R., Seshadri-Kreaden, U., and Yankovsky, A. 2025. The compare Study: Comparing perioperative outcomes of oncologic minimally invasive laparoscopic, da Vinci Robotic, and Open Procedures: A systematic review and meta-analysis of the evidence. Ann Surg, 281(5):748-763.
    10. Rumelt, R. P. 1982. Diversification strategy and profitability. Strategic management journal, 3(4): 359-369.
    11. Servais, E.L., Rashidi, L., Porwal, P., Garibaldi, M., and Hung, A.J. 2025. Novel force feedback technology improves suturing in robotic-assisted surgery: A pre-clinical study. Surg Endosc, 39(2):1217-1226.
    12. Teece, D. J. 2007. Explicating dynamic capabilities: The nature and microfoundations of (sustainable) enterprise performance. Strategic Management Journal, 28(13), 1319–1350.
    13. Teece, D. J., Pisano, G., and Shuen, A. 1997. Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 77–116.
    14. Whooley, S. 2025. Intuitive da Vinci Procedures increased by 17% in 2024. The Robot Report. https://www.therobotreport.com/intuitive-da-vinci-procedures-increased-17-in-2024/. Assess date: May 17, 2025.
    15. Intuitive Surgical Official Site, 2025. U.S. FDA clears first stapler designed for single-port robotic surgery | Intuitive Surgical. https://isrg.intuitive.com/news-releases/news-release-details/us-fda-clears-first-stapler-designed-single-port-robotic-surgery. Access date: May 17, 2025.
    16. Intuitive Surgical Official Site, 2025. Da Vinci Xi System Brochure.
    https://www.intuitive.com/en-us/-/media/ISI/Intuitive/Pdf/da-vinci-xi-system-brochure.pdf. Access date: May 20, 2025
    17. 健保署,2023。健保協同商保—醫療保障更到位。https://www.nhi.gov.tw/ch/cp-1773-5c179-3120-1.html。搜尋日期:2025年5月20日。
    18. CMR Surgical Official Site, 2025. Versius Surgical Robot I CMR Surgical - CMR Surgical. https://cmrsurgical.com/versius. Access date: May 16, 2025.
    19. Johnson & Johnson MedTech Official Site, 2025. Surgical Robotics | J&J MedTech. https://thenext.jnjmedtech.com/surgical-robotics. Access date: May 16, 2025.
    20. Medtronic Official Site, 2025. Robotic-Assisted Surgery (RAS) | Medtronic. https://www.medtronic.com/en-us/healthcare-professionals/specialties/surgical-robotics/robotic-assisted-surgery.html. Access date: May 17, 2025.
    21. Intuitive Surgical Official Site, 2025. Da Vinci Robotic Surgical Systems | Intuitive.https://www.intuitive.com/en-us/products-and-services/da-vinci. Access date: May 17, 2025.
    22. Intuitive Surgical Official Site, 2025. Meet the da Vinci 5 robotic surgical system | Intuitive. https://www.intuitive.com/en-us/products-and-services/da-vinci/5. Access date: May 17, 2025.
    23. L.E.K. Consulting, 2023. The Robotic-Assisted Surgery Opportunity in Latam | L.E.K. Consulting. https://www.lek.com/insights/hea/lat/ar/robotic-assisted-surgery-opportunity-latam. Access date: June 28, 2025.
    24. 馬偕紀念醫院,2025。達文西機器手臂:馬偕醫院。https://www.mmh.org.tw/webpage.php?id=196. 搜尋日期:2025年5月17日。
    25. 長庚醫療財團法人長庚紀念醫院,2020。長庚醫院與直覺公司合作宣佈成立「達文西手術訓練中心」|長庚醫療財團法人全球資訊網。https://www.cgmh.org.tw/tw/News/PressNews/200612001。搜尋日期:2025年5月17日。
    26. 衛生福利部國際醫療管理工作小組,2025。達文西手術 - 臺灣國際醫療全球資訊網。https://www.medicaltravel.org.tw/Feature.aspx?a=229&l=1。搜尋日期:2025年5月17日。
    描述: 碩士
    國立政治大學
    經營管理碩士學程(EMBA)
    112932037
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0112932037
    資料類型: thesis
    顯示於類別:[經營管理碩士學程EMBA] 學位論文

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