Department of Health Services Administration, China Medical University, Taichung, Taiwan.
J Med Syst. 2012 Jun;36(3):1569-81. doi: 10.1007/s10916-010-9618-5. Epub 2010 Nov 3.
The present study aims to offer a different perspective of network systems using the health care system in Taiwan as an example. By establishing a paradigm that conforms to the reality of the health care system, this study expects to develop a correct analysis approach. The study applies the stakeholder analysis approach and performs the sampling according to the principles of the qualitative method. The main findings include (1) The health care system is a regulated network type exchange system, in which a third party affects all exchanges among stakeholders; (2) under mutual intervention of interests, stakeholders pursue common interests in appearance but individual interests in reality; (3) the intervening impacts on stakeholder interests come from a common source, which dominates the operating and dynamics of the entire system.
本研究旨在提供一个不同的网络系统视角，以台湾的医疗保健系统为例。通过建立一个符合医疗保健系统实际情况的范例，本研究期望开发出一种正确的分析方法。本研究采用利益相关者分析方法，并根据定性方法的原则进行抽样。主要发现包括：(1)医疗保健系统是一种受监管的网络类型交换系统，其中第三方会影响所有利益相关者之间的交换；(2)在利益相互干预的情况下，利益相关者表面上追求共同利益，但实际上追求个人利益；(3)对利益相关者利益的干预影响来自一个共同的来源，该来源主导着整个系统的运作和动态。
