應用社會判斷分析檢視棘手醫療政策：以台灣國際醫療政策為例

The Social Judgment Analysis on Exploring Thorny Healthcare Policy: The Dilemma of International Medical Service Policy in Taiwan

郭彥宏(Yun-Hung Kuo) ； 翁瑞宏(Rhay-Hung Weng) ； 郭宇菁(Yu-Ching Kuo) ； 陳綾穗(Ling-Sui Chen) ； 葉淑娟(Shu-Chuan Yeh)

《醫務管理期刊》 19卷2期 (2018/06) Pp. 118-135

https://doi.org/10.6174/JHM.201806_19(2).118

摘要

目的：不同國際醫療政策造成社會大眾混淆並引起輿論。本研究目的乃以醫務管理領域人士為例，探討對「自由經濟示範區」發展國際醫療之判斷分析。方法：以文獻探討及專家訪談整理出3個主要決策參考變數，並以社會判斷理論發展15個情境的結構式問卷。共發放149份，有效樣本為125人。經Policy PC計算R^2達0.7以上，有效分析樣本共為72人。結果：醫務管理領域人士對台灣發展國際醫療之判斷，其重要性依序為經濟利益（40.5%）＞政治風險（36.2%）＞醫療風險（23.3%）。經圖形分析發現經濟利益接受度呈線性正相關；醫療風險接受度之關係分別包含線性負相關與開口朝上曲線；政治風險發展程度與接受度之關係分別包含線性負相關與開口朝下曲線。結論：當經濟利益明確可圖時，醫務管理領域人士有較高的接受度，兩岸政治風險對其而言並不至構成威脅，但可能導致醫療風險大幅攀升。

關鍵字

自由經濟示範區 ； 國際醫療政策 ； 社會判斷分析 ； 醫務管理領域

並列摘要

Objectives: The dilemma of international medical service policies in Taiwan has made the public confused. The research purpose is to explore the social judgments from medical personnel on the international medical service policy implemented within the ＂free economic demonstration zone.＂ Methods: After extensive literature search and interviews, we proposed three decision-making references to formulate a structured questionnaire for 15 scenarios based on the social judgment theory. A total of 149 participants were recruited, and 125 valid questionnaires were returned. Data from 72 participants were analyzed using the Policy PC software, and the explanatory power was above 0.7. Results: The importance of social judgment on thorny healthcare policy within the free economic demonstration zone depended on the economic benefits (40.5%), followed by the political risks (36.2%) and the health risks (23.3%). Through graphical analysis, a positive correlation was found between the interest of economic development and the acceptance of thorny healthcare policies, while medical risks demonstrated a negative correlation with an upward opening curve. The political risk development and the degree of acceptance were negatively correlated in a downward opening fashion. Conclusions: In general, the higher the economic benefits are made aware, the higher the acceptance of the medical policy will be. Though the political risk would not be a threat, it could still lead to significant medical risks.

並列關鍵字

Free Economic Demonstration Zone ； The International Medical Service Policies ； Social Judgment Analysis ； Thorny Healthcare Policy

參考文獻

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