從交易成本與社會交換觀點探討醫療供應商夥伴間未來關係互動之影響因素

A Study of the Determinants of Medical Supply Partners' Interaction and Future Relations from Transaction Cost and Social Exchange Perspectives

趙正敏(Cheng-Min Chao) ； 鄭博文(Bor-Wen Cheng)

《商管科技季刊》 13卷2期 (2012/06) Pp. 131-164

https://doi.org/10.30083/CMQ.201206.0002

摘要

成功的供應鏈管理可以提供醫院新的競爭優勢，信任與承諾是促進成功供應鏈與長久關係的關鍵因素。本研究的主要目的旨在探討交易成本理論與社會交換理論對未來的互動關係在發展的信任和承諾的供應鏈關係。本研究以台灣地區醫院、區域醫院與醫學中心之醫療機構中衛材採購相關人員為調查對象，採自陳式問卷方式調查。發出922份問卷，回收有效問卷321份，有效回收率為34.8%。採用結構方程模型（SEM）進行資料分析。研究結果顯示：資產特殊性、資訊共享、預期利益對信任產生正向影響；行為不確定性對信任產生負向影響。資產特殊性、資訊共享、關係時間對承諾產生正向影響。此外，信任對未來關係互動有顯著正向影響，但承諾未產生影響。此結果將可提供醫院在醫療供應鏈管理中，對供應商合作夥伴關係間支持和管理決策的參考，進一步將達到成功的醫療供應鏈管理。

關鍵字

交易成本理論 ； 社會交換理論 ； 關係品質（信任、承諾） ； 結構方程模式

並列摘要

Successful supply chain management can provide hospitals with new competitive advantages. Trust and commitment are important factors of a successful long-term supply chain relationship. The primary purpose of this study is to investigate the role of transaction cost theory, social exchange theory, and the interaction of future relations in the development of trust and commitment in supply chain relationships. A survey was conducted of local community hospitals, regional hospitals, and medical centers in Taiwan. Using a self-report questionnaire, this study investigated hospitals' procurement of people who are responsible for selecting medical device suppliers. From 922 distributed questionnaires, we received 321 completed questionnaires, yielding a response rate of 34.8 %. Using structural equation modeling (SEM), the results showed that the asset specificity, communication, and the perceived benefits have positive effects on trust, uncertainty has negative effects on trust. Asset specificity, information sharing, and relationship tenure have positive effects on commitment. In addition, trust has a significantly positive effect on interaction in future relations, whereas the effects of commitment are non-significant. These results can act as a reference for hospitals sustaining relationships with their supplier partners and making managerial decisions regarding medical device supply chain management. Furthermore, the findings are valuable for successful medical device supply chain management.

並列關鍵字

Transaction Cost Theory (TCT) ； Social Exchange Theory (SET) ； Relationship Quality ； Structural Equation Modeling (SEM)

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