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| Title: | 影響醫院儀器採購決策因素探討
A Study on the Factors of Procurement Decisions |
| Authors: | 簡嘉儀
Chien, Chia I |
| Contributors: | 邱奕嘉
Chiu, Yi Chia
簡嘉儀
Chien, Chia I |
| Keywords: | 醫療儀器
採購決策
醫學美容儀器
影像醫學儀器
medical instruments
procurement decision
aesthetic device
medical imaging device |
| Date: | 2013 |
| Issue Date: | 2014-04-01 11:15:22 (UTC+8) |
| Abstract: | 本研究選取國內七間不同層級的公私立醫院，藉由與院方相關決策人員的深度訪談，以個案研究方法，探討各級醫院對於美容雷射儀器與高階影像醫療儀器之採購決策行為，研究中設定「首次採購新型儀器」與「後續購買改良型儀器」的兩種決策情境，以採購意願、採用規格與採用速度等三大決策面向，分析歸納各級醫院對於高階決策的決策行為與考量因素之異同。
本研究結果發現，醫院權屬與層級及採購儀器本身屬性均會影響決策的採購意願、採用速度及採用規格。醫學中心基於學術研究之需，首次購買新型儀器時，偏好採購儀器創新程度高的機種，且其採用速度較地區醫院快。反觀地區醫院較不會追逐儀器的新穎度，對於「儀器是否符合需求及性價比」的重視程度較「儀器先進與否」來得高，不過當地區醫院鎖定特定醫療項目作為策略目標時，會集中資源採購最先進的儀器，並弱化非核心醫療項目之設備的採購意願。
就各層級醫院採購決策的考量因素而言，儀器預期的財務性效益大多是首要考量，私立醫院較公立醫院更注重之，地區醫院則較醫學中心在意儀器的性價比。此外，貴重儀器之醫療必要性的高低亦造成不同層級醫院的決策差異，儀器本身的技術含量與技術創新速度也可能影響醫院採購的意願。
There are two purposes of this research. The first purpose is to explore how the ownership of hospitals and the features of devices impact on medical procurement decisions. The second purpose is to investigate the factors affecting innovation adoption of medical devices.
Based on the case studies of procurement decision experiences made by seven selected hospitals and medical centers in Taiwan, the study focuses on analyzing the willingness of adoption, adoption time, and the favorable standards in procurement decision of aesthetic devices and medical imaging devices.
The findings and conclusions drawn from the study show that the academic level and strategy objective of a hospital are associated with the willingness and adoption time of innovation. Academic medical centers are likely to adopt the innovative device earlier for researching purpose, whereas small-to-middle-sized hospitals would be early adopters of innovative products for strategic purpose.
In addition, the features of devices also have substantial impacts upon innovative device adoption. Academic medical centers will be early adopters of the medical devices with significant medical necessity. The degree of technology involved and the length of product life cycle of medical devices will affect the medical procurement decision as well. Besides, the priority of distinct factors affecting medical procurement decisions varies from case to case. However, generally speaking, economic benefit will be the most important concern of both private and public hospitals. |
| Reference: | 一、中文文獻：
（一）專書：
1.Rogers, Everett M.（2006），唐錦超譯，創新的擴散Diffusion of Innovations，初版，台北：遠流。
2.陳正平譯 (2000)，Moore, Geoffrey A. 原著，《跨越鴻溝》，臉譜出版 (Crossing the Chasm)。
3.陳正平譯 (1999)，Moore, Geoffrey A. 原著，《龍捲風暴》，臉譜出版 (Inside the Tornado)。
（二）學位論文：
1.孫玉齡（2011），醫師採用創新產品之影響因素-以採用心臟支架之情境為例。國立政治大學科技管理研究所碩士論文。
2.石尊元 (2007)，新藥於台灣醫院間擴散性探討-以Thiazolidinediones實證研究為例。碩士, 國立陽明大學醫務管理研究所碩士論文。
3.黃鈺琦 (2009)，醫院技術創新前因與後果之研究。嘉南藥理科技大學醫療資訊管理研究所碩士論文。
4.黃嘉敏 (2009)，LED產業技術採用生命週期管理－以LED背光源應用為例。國立政治大學智慧財產權研究所碩士論文。
5.連俊瑋 (2000)，國內區域級以上醫院pacs採用的考量與影響之研究。國立中正大學碩士論文。
6.徐健章(2007)，應用ANP層級分析法評選醫療設備採購供應商之研究。義守大學工業工程研究所碩士論文。
（三）公司年報：
1.曜亞股份有限公司民國101年年報 p.68, 72。
（四）網路資料：
1.台中醫院醫學美容中心-蔡新中主任2012年10月20日演講簡報
2.蔡呈芳，〈認識脈衝光〉，http://pchome.uho.com.tw/beauty.asp?aid=2103。（last visited: Dec. 19, 2013）
3.林建忠（1999）〈醫療雷射技術與產業現況〉，http://www.pida.org.tw/optolink/optolink_pdf/88032009.pdf。（last visited: Dec. 19, 2013）
4.李雪雯（2013.10），〈醫美市場進入戰國「低利」時代〉，財訊 第 434 期。http://www.wealth.com.tw/index2.aspx?f=901&id=3594。(last visited: Dec. 19, 2013)
5.蔡尚岳、趙品尊、林益如等，〈醫療影像之技術發展趨勢〉，http://thinktank.stpi.narl.org.tw/Chinese/WWS/Pages/WWS_0.aspx 。(last visited: Dec. 19, 2013)
6.行政院原子能委員會網站：http://www.aec.gov.tw/newsdetail/newsprint/306-309-2639.html。(last visited: Dec. 19, 2013)
7.王慰祖(2011)，四大品牌競逐高階醫療影像儀器市場，http://edn.udn.com/article/view.jsp?aid=367097。(last visited: Dec. 19, 2013)
8.吳定國(2006年)，非侵襲性診斷冠狀動脈心臟病的新利器--64切螺旋電腦斷層掃描儀http://www.kmuh.org.tw/www/kmcj/data/9507/4.htm。(last visited: Dec. 19, 2013)
9.電腦斷層掃描怎麼做？，常春樂活誌第288期，http://www.ttvc.com.tw/front/bin/ptdetail.phtml?Part=g0288-5。(last visited: Dec. 19, 2013)
10.台大醫院影像醫學部網頁http://www.ntuh.gov.tw/radiology/default.aspx。(last visited: Dec. 19, 2013)
11.台北市立聯合醫院忠孝院區-影像醫學科之網頁http://www.tpech.gov.tw/ct.asp?xItem=1241975&CtNode=30795&mp=109171。(last visited: Dec. 19, 2013)
二、外文文獻：
Abernathy,W.and James M. U. (1978), Patterns of Industrial Innovation, Technology Review, pp.41-48.
Allan Afuah (1998), Innovation Management: Strategies, Implementation, and Profits, Oxford University Press, Inc.
Allen and Hamilton (1982), New Products Management for the 1980s, New York: Free Press.
Bass, F. M. (1969), A new product growth model for consumer durable. Management Science, 15(5), 215-227.
Cain & Mittman (2002), “Diffusion of Innovations in Healthcare” Institute for the Future, California Healthcare Foundation
Frederick Betz.,(1998), Strategic Technology Management,New York: McGraw-Hill,Inc.Frederick
Gelijns, a. and N. Rosenberg. 1994. The dynamics of technological change in medicine. Health Affairs 13, no. 3: 28-46.
Kotler (1991), Marketing Management, seventh ed., Prentice-Hall.
Kotler (2000), Marketing Management, 10 th. ed., Prentice-Hall.
Luce, B.R. 1993. Medical technology and its assessment. In Introduction to health services. 4th ed., eds. S.J. Williams and P.R. Torrens, 245-268. Albany, NY: Delmar Publishers.
Marquish, D. G. (1982), The Anatomy of Successful Innovation, Winthrop Publishers, Cambridge.
Moore, Geoffrey A.,“Inside the Tornado: Marketing Strategies from Silicon Valley’s Cutting Edge”, 1995.
Moore, Geoffrey A., “Crossing the Chasm: Marketing and Selling High-Tech Products to Mainstream Customers”, 1999.
Robertson(1967), The Process of Innovation and the Diffusion of Innovation，Journal of Marketing, Vol.31, p.14-19.
Rogers, Everett M.(1962), Diffusion of Innovation, Free Press, New York.
Rogers, E. M. (1983, 1995), “Diffusion of innovation”, London: MacMillian.
Schumpeter, J.A.,(1934), “The Theory of Economic Development”, Cambridge, Harvard University Press. |
| Description: | 碩士
國立政治大學
商管專業學院碩士學位學程(AMBA)
100380007
102 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G1003800071 |
| Data Type: | thesis |
| Appears in Collections: | [管理碩士學程/商管專業學院碩士學位學程 AMBA] 學位論文
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