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題名 | 網絡分析在利害關係人概念之應用--以我國全民健保政策改革為例=The Application of Network Analysis in the Concept of Stakeholders: A Case Study of National Health Insurance Policy Reform in Taiwan |
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作者 | 劉宜君; 陳敦源; 蕭乃沂; 林昭吟; | 書刊名 | 臺灣社會福利學刊 |
卷期 | 4:1 民94.06 |
頁次 | 頁95-130 |
分類號 | 412.56 |
關鍵詞 | 網絡; 網絡分析; 利害關係人; 全民健保; 二代健保; Network; Network analysis; Stakeholder; National health insurance policy; NHI; The second generation NHI; |
語文 | 中文(Chinese) |
中文摘要 | 近十餘年來,有關網絡或是政策網絡的概念在公共政策領域受到相當多的討論,且著重於意涵、重要性與政策實務應用上的討論。有鑑於政府在推動政策時,利害關係人不但有能力影響管理者與組織決策,尤其利害關係人之間意見經常紛歧,或是形成不同的聯盟關係。因此,本文研究動機在於將網絡概念與利害關係人相結合,試圖將網絡分析觀點探討決策者如何策略地管理利害關係人的立場與意見,並以我國全民健保政策改革(即二代健保)的實際規劃過程為例,討論政策利害關係人之間互動網絡的形成與其管理議題。 本文首先討論利害關係人的概念與其管理的相關理論,尤其著重以網絡觀點觀察利害關係人的影響。進一步本文將以二代健保規劃的財務改革規劃議題作為討論案例。本文將藉由實際操作過的結果資料中,說明利害關係人形成的網絡關係與管理策略的意涵。研究發現,不論就健保政策的資訊獲得、交換或是本研究焦點議題的「保費改革方案」的資訊來源,均能形成由公、私與第三部門所組成的資訊網絡,同時亦發現網絡的中心仍是衛生署與健保局,尤其「保費改革方案」仍在規劃階段,因此呈現出的資訊網絡為弱連結。此外,由互動網絡的結構與集中程度發現行政部門不再被認為擁有獨占的專業知識,必須依賴私部門與第三部門提供政策資訊與諮詢,同時成為政策夥伴。 |
英文摘要 | Currently, concepts of network and policy network are very popular research topics in public policy analysis. Also, the importance of stakeholders also is mentioned in the field of business management and public policy. Both public and private managers acknowledge and actively monitor the concerns of all legitimate stakeholders, and should take their interests appropriately into account in decision-making and operations. The paper will attempt to combine network analysis and stakeholders in the empirical study of a new financial scheme for the National Health Insurance (NHI) by the “the second generation NHI (2G-NHI)” reform in Taiwan. The purpose of this paper is three-folds. First, authors will discuss the concepts and importance of stakeholders and networks. Especially, we will focus on the issue of combining two perspectives in the application of a new financial scheme for the NHI by the 2G-NHI reform. Second, we will present the theoretical rationale, the method, and the results of our efforts to access political feasibility by combining stakeholder analysis, policy network analysis, and opinion survey. Lastly, we will analyze outcomes of questionnaire survey and present our major network analysis findings. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。