大量傷患事件的協力決策治理與系統韌性之比較研究

Compare Study on Collaborative Decision Governance and System Resilience of Mass Casualty Incident

李宗勳(Tzung Shiun Li)

《中央警察大學警察行政管理學報》 14期 (2018/05) Pp. 113-137

摘要

在過去的幾十年裡，公共行政學術致力研究如何通過合作治理構建災害治理的系統韌性設計，鮮少將協力決策置於災害事故脈絡下進行探究。本文將針對2014年7月31日發生的高雄市氣爆、2015年6月27日發生的新北市八仙塵爆、2016年2月6日台南市美濃大地震等三個相當嚴重災害事故，均屬大量傷患事件之緊急應變的協力決策治理進行比較分析，參考相關文獻檢閱建構的分析架構，從信任關係、資訊溝通、課責與規範、領導與授權等四個面向，檢視不同的災害事故類別是否有顯著的不同協力決策治理模式，顯著的影響因素為何，協力決策治理的系統如何進行整合﹖整合是否具有韌性﹖最後將提出精進的政策建議。

關鍵字

大量傷患事件 ； 協力決策治理 ； 系統韌性

並列摘要

Abundant literature discusses collective decision-making, but scant studies put the collaborative decision-making in the context of a disaster situation. Therefore, this study aims at exploring the initiative role and functions of bureaucratic leadership and understanding the critical factors influence on the decision-making process of collaborative disaster governance. After reviewing literature and framing the analytical framework for this study, three cases in Taiwan will be discussed. These include: On 31 July 2014, a series of gas explosions occurred in Kaohsiung City (southern Taiwan), on June 27, 2015, flammable starch-based powder exploded at Formosa Fun Coast, a recreational water park in Bali, New Taipei City (northern). The third case involved with the earthquake occurred on Feb. 6, 2016 in Tainan City (southern Taiwan). Among all the three cases, although an integrated regional disaster management mechanism exists in northern Taiwan, the response seemed chaotic in the beginning. Eventually the disaster was effectively controlled and fewer news stories appeared that placed blame. The paper collected qualitative data through 4 in-depth interviews (5 persons) and 4 focus group discussions (total 42 persons). After the interviews, we had more detailed information about the experience and recommendations for future research directions.

並列關鍵字

Mass Casualty Incident ； collaborative decision governance ； system resilience