根據2008年我國傳染病防治法的修正,傳染病的確認機制有了重大改變,即建立傳染病檢驗機構認可制度。而其中,網絡治理是關鍵問題,值得深入探討。本論文從網絡治理的觀點,研究我國傳染病檢驗機構認可制度。 本研究以網絡治理之目標共識性、相互依賴性、多元性及隔離性等四個面向建立研究架構,經由深度訪談法,蒐集資料,分析政策網絡的參與者、角色及參與者間之互動關係,探究傳染病檢驗機構認可制度的問題。 本研究發現:政府是政策網絡的核心及主要管理者、非營利組織是政策支持者、傳染病檢驗認可機構是服務提供者、民眾是公共服務的受益者,各自具備不同角色。並且,政策網絡成員間互動良好,其參與動機大多強調自我實現與專業角色。結論認為:現階段認可制度推動成效良好,但仍需進步,建議檢驗架構應分級分工,並規劃不具備認證資格實驗室之退場機制,以強化傳染病檢驗認可制度之管理。
According to the amendments of Communicable Disease Control Act in 2008, the role of infectious disease testing has been changing. The role of agency in the Country was changed and situation and problems of the policy network are worthy to depthly research. This research adopts the conceptual approach of network governance to observe the interaction and problems among the actors. With the framework of analysis, including the target consensus, interdependence, diversity and isolation to examine, this research adopts in-depth interview methods to discuss: who are the participants, what are the roles of the participants in the policy network, how are the participants interacted and related, and what are the problems in the authorized laboratory testing institutions. The findings of this research are : government is the core and main manager in the policy network. NGOs are supporters of the policy network, authorized laboratory testing institutions are service providers. people are beneficiaries of public services,and each with different roles and good interaction among policy network members. Most of them emphasize on self-realization and motivation to participate in their professional roles. This research concludes that: promoting the effectiveness of the accreditation system at this stage is good, but the framework of testing systems should be hierarchical divided, and the planning of exit-mechanism for laboratories must be established in order to strengthen inspection and accreditation system for the management of infectious diseases.
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