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    Title: 醫院及藥商在健保制度下之價值網研究-以A醫院為例
    The Value Net Employed by Hospitals and Pharmaceutical Companies under the National Health Insurance - A Case Study of A Hospital
    Authors: 陳建州
    Chen, Chien-Chou
    Contributors: 李易諭
    Lee, Yih-Yuh
    陳建州
    Chen, Chien-Chou
    Keywords: 競合策略
    價值網
    價值行銷
    藥品供應
    供應商管理
    Competition cooperation
    Value net
    Value marketing
    Medication supply
    Supplier management
    Date: 2020
    Issue Date: 2020-08-03 17:42:03 (UTC+8)
    Abstract: 我國實行全民健康保險制度迄今已近25年,提供全國民眾一個可靠的、負擔得起的醫療照護,實為難能可貴。全民健康保險的實施對於國內的醫療生態有著重大的影響,各醫療機構當中存在著相當程度的競爭與合作關係,而醫院對於上游的供應商也有合作和議價的關係。不可否認的,各醫院為了能夠生存,莫不竭盡心思增加本身的競爭力以讓醫院利潤最大化,而藥品的利益是不容忽視的一部分。醫院和供應商之間如何成為策略聯盟,進而提升對病患的服務品質為本研究之目的。

    本研究針對某一地區中型醫院和藥品供應商進行深入訪談,並且以價值網的角度探討醫院和藥品供應商之間可能的合作策略,雙方需求和可提供的價值可以使醫院提供更有品質的醫療服務。

    研究發現,當尋求雙方合作的可能性時,供應價格就不是唯一的議題,醫院和藥品供應商之間仍有許多可合作的接觸點。隨著醫療產業的生態環境演變,藥商也改變藥品行銷方式來維持與醫院的關係,而醫療院所在選擇藥品時,除了價格因素外,還有藥品本身品質、藥商行銷活動、供應效能等。藥商亦會使用不同的行銷方式與醫院及個別醫師建立關係,提供藥品的相關資訊及贊助醫院、病友活動等。印證了彼此關係架構符合價值網理論,共同為創造病患最大價值而努力。
    In Taiwan, National health insurance has implemented in our country for nearly 25 years. It provides a reliable and affordable medical care for the whole country. But it also has a significant impact on domestic medical ecology. In the health system, there are several kinds of competition and cooperation relationships among medical institutions. On the other hand, medical institutions also have cooperation and bargaining relations with their suppliers and customers. It is undeniable that hospitals need to take every effort to increase their competitiveness and maximize profits to get survival in this environment, and mostly, the profit from pharmaceutical products is part of that cannot be ignored. The purpose of this research is to establish a strategic alliance between hospitals and suppliers to improve the value of service quality of patients.

    This study conducted in-depth interviews with medium-sized hospitals in a certain area and pharmaceutical product suppliers. To discuss the possible cooperation strategies between hospitals and pharmaceutical product suppliers from the perspective of the value net. The needs of both parties and the value that can be provided to make hospitals could provide more quality medical services.

    The study found that when seeking the possibility of cooperation between the two parties, the price of supply is not the only issue, and there are still many points of cooperation between hospitals and pharmaceutical products suppliers. With the evolution of the ecological environment of the medical industry, pharmaceutical products suppliers have also changed the way that their marketing to maintain the relationship with hospitals. In addition to price factors, the quality of the pharmaceutical products itself, suppliers marketing activities, supply efficiency, etc. Suppliers will also use different marketing methods to establish relationships with hospitals and individual physicians, provide information about drugs, and support hospitals and patient events. It confirms that the relationship structure of each other is in line with the value net theory, and work together to create maximum value for patients.
    Reference: 一、中文部分
    行政院衛生福利部中央健保署 (2019)。2018-2019全民健康保險年報。
    林金定、嚴嘉楓、陳美花 (2005)。質性研究方法:訪談模式與實施步驟分析.身心障礙研究季刊,3(2),122–136。
    鈕文英、吳裕益 (2015)。單一個案研究法:研究設計與後設分析:心理出版社。
    黃智銘 (2010)。醫院的醫療耗材採購人員及使用者與供應商對供應品質指標的認知探討─以台灣教會醫療院所協會醫院為例.臺北醫學大學醫務管理學研究所學位論文。
    陳書逸 (2015)。藥廠行銷業務、醫師選擇藥物因素及醫師處方行為關係之研究:以後線抗生素為例。長榮大學高階管理碩士在職專班論文。
    萬文隆 (2004)。深度訪談在質性研究中的應用. 生活科技教育月刊,37(4),17-23。
    賴宗成、陳琮淵 (2015)。藥向前行:臺灣藥品行銷發展.台北:巨流圖書出版社。

    二、英文部分
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    Bouncken, R. B., & Fredrich, V. (2016). Learning in coopetition: Alliance orientation, network size, and firm types. Journal of Business Research, 69(5), 1753-1758.
    Brandenburger, A. M., & Nalebuff, B. J. (1997). Co-opetition. New York: Currency Doubleday;.
    Cassiman, B., Di Guardo, M. C., & Valentini, G. (2009). Organising R&D projects to profit from innovation: Insights from co-opetition. Long Range Planning, 42(2), 216–233.
    Czachon, W., & Mucha-Kuś, K. (2014). Coopetition research landscape-a systematic literature review 1997-2010. Journal of Economics & Management, 17, 122-150.
    Devece, C., Ribeiro-Soriano, D. E., & Palacios-Marqués, D. (2019). Coopetition as the new trend in inter-firm alliances: literature review and research patterns. Review of Managerial Science, 13(2), 207-226.
    Eisenhardt, K. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532-550.
    Gee, E. P. (2000). Co-opetition: the new market milieu. Journal of Healthcare Management, 45(6), 359.
    Gnyawali, D. R., & Park, B.-J. R. (2011). Co-opetition between giants: Collaboration with competitors for technological innovation. Research Policy, 40(5), 650–663.
    Johnson, M. W. (2010). Seizing the White Space: Business Model Innovation for Growth and Renewal Harvard Business Press
    Kotzab, H., & Teller, C. (2003). Value-adding partnerships and co-opetition models in the grocery industry. International Journal of Physical Distribution & Logistics Management, 33(6), 268-281.
    Porter, M., & Kramer, M. R. (2002). The competitive advantage of corporate.
    Porter, M. E. (1985). Competitive advantage, creating and sustaining superior performance. New York: Free Press.
    Porter, M. E. (1990). New global strategies for competitive advantage. Planning Review. 18(3), 4-14.
    Porter, M. E. (2008). The five competitive forces that shape strategy. Harvard Business Review, 86(1), 25-40.
    Porter, M. E., & Kramer, M. R. (2006). The link between competitive advantage and corporate social responsibility. Harvard Business Review, 84(12), 78-92.
    Pringle, J., & Huisman, J. (2011). Understanding Universities in Ontario, Canada: An Industry Analysis Using Porter`s Five Forces Framework. Canadian Journal of Higher Education, 41(3), 36-58.
    Raza-Ullah, T., Bengtsson, M., & Kock, S. (2014). The coopetition paradox and tension in coopetition at multiple levels. Industrial Marketing Management, 43(2), 189-198.
    Rollins, B. L., & Perri, M. (2014). Pharmaceutical marketing: Jones & Bartlett Publishers.
    Roth, S., Leydesdorff, L., Kaivo-Oja, J., & Sales, A. (2019). Open coopetition: when multiple players and rivals team up. Journal of Business Strategy. 40(3),198-205.
    Siaw, I., & Yu, A. (2004). An analysis of the impact of the internet on competition in the banking industry, using Porter`s five forces model. International Journal of Management, 21(4), 514.
    Wan, J. P., Zhu, Y. H., & Jiang, Q. W. (2019). Study on core essential elements for O2O business model with value net theory. International Journal of Networking and Virtual Organisations, 20(3), 215-244.
    Weihrich, H. (1982). The TOWS matrix—A tool for situational analysis. Long Range Planning, 15(2), 54–66.
    Zineldin, M. (2004). Co-opetition: The organisation of the future. Marketing Intelligence & Planning, 12(1), 98-104.
    .
    Description: 碩士
    國立政治大學
    經營管理碩士學程(EMBA)
    105932180
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0105932180
    Data Type: thesis
    DOI: 10.6814/NCCU202001036
    Appears in Collections:[經營管理碩士學程EMBA] 學位論文

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