臺灣推動醫療照護產業化之分析：政策學習的觀點

Industrialization of Medical Care: Perspectives of Policy Learning

劉宜君(I-Chun Liu)

《社會政策與社會工作學刊》 16卷1期 (2012/06) Pp. 183-232

https://doi.org/10.6785/SPSW.201206.0183

摘要

隨著經濟全球化、便捷的國際航空技術及電信網絡迅速發展，讓過去限於地域性的醫療照護服務出現顛覆傳統的服務模式，醫療照護產業成為全球成長最快的產業之一。相較於全球醫療照護產業的蓬勃發展，有些國家政府同意醫院可以發行股票上市或是廣告行銷，臺灣醫療照護產業化推動的起步較晚，必須學習他國經驗。本研究透過深度訪談參加「醫療服務國際化旗艦計畫」第一階段的醫院，分析其對於醫療照護產業化的意見。研究發現受訪醫院認知產業化的優點與發展限制，不論是實質獲益或是提高競爭力，以及先天條件的不足。研究建議政府能以政策學習觀點理解醫療服務業者的認知與動機，整合政府資源協助醫院在國際上競爭；建議在確保國內病患權益的前提下，適度開放對於醫療廣告的管理規範，及國際自費服務的經營方式。

關鍵字

醫療觀光 ； 政策學習 ； 全民健康保險政策 ； 醫療照護 ； 產業化

並列摘要

As the economy becomes increasingly globalized, international air travel becomes more convenient, telecommunication develops more rapidly, health care services are no longer limited to a single region. With the global health care industry thriving, some national governments have stipulated that hospitals cannot only issues tocks, but also promote their services to patients worldwide. Because Taiwan is a relative newcomer to the area of medical tourism, the Taiwan government must study the experiences of other countries regarding the development of their medical tourism industries. The International Medical Services Flagship Program has been part of the government's strategy to promote both the quality and the image of Taiwan's health care industry, as well as to develop related industries and boost the domestic economy. The purpose of this study is to analyze the industrialization of health care services in Taiwan, based on semi-structured interviews with hospital representatives of the International Medical Services Flagship Program. We found that hospitals can benefit from industrialization, whether by gaining national recognition or international competitiveness, or by caring for more international patients. Simultaneously, these policies must both be profitable and be conducted within the budget. Consequently, hospitals have a strong incentive to develop policies to promote medical tourism because this will help develop the market. The study suggests that the relevant government units can study policy to understand the thinking and motivation of the medical service providers. Given that hospitals ensure that domestic patients' rights, the government could open up the standards for health care advertising, as well as the mode of operation of international services.

並列關鍵字

medical tourism ； policy learning ； national health insurance policy ； medical care ； industrialization

參考文獻

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