醫療器材採購之供應商投機行為實證研究__臺灣人文及社會科學引文索引資料庫

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題名：	醫療器材採購之供應商投機行為實證研究
作者：	陳穎修
作者(外文)：	Ying-HsiouChen
校院名稱：	國立成功大學
系所名稱：	企業管理學系碩博士班
指導教授：	蔡燿全
學位類別：	博士
出版日期：	2010
主題關鍵詞：	投機主義；統治機制；組織信任；關係績效；關係效能；關係效率；opportunism；governance mechanisms；Inter-organizational Trust；relationship performance；relationship effectiveness；relationship efficiency
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:0 共同引用:0 點閱:36

過去十幾年的關係行銷的研究著重在關係的發展與利益上，亦即企業如何與顧客或夥伴建立親密的合作關係以獲得利益。研究顯示，1996至2001年約有57000個聯盟的形成，但是策略聯盟的失敗率亦相當高。這意味著夥伴關係很重要，但成功的夥伴關係卻不多。因此探討夥伴關係為何失敗應該是一個很重要的課題。然而過去大多數研究皆僅著重在夥伴關係的光明面。相反的，一些潛藏難以觀察的因素亦可能破壞夥伴關係的利益甚至導致關係的惡化。有學者認為，投機主義是其中一個影響夥伴關係的關鍵變數。
醫療支出是國家發展的重要指標。在這項研究的重點是購買醫療設備的供應商投機行為。由於醫療設備製造的專業性、複雜性，故資訊不對稱的問題相當嚴重，這是導致投機行為發生的主因。資訊不對稱造成市場不完美的結果，使供應商的投機行為不被發現。供應商若有投機主義傾向，則對醫院而言，將付出很高交易成本。這會增加的成本勢必轉嫁給病患。
這項研究採用郵寄問卷調查，以衛生署評鑑合格的地區醫院以上等級的醫院為受測對象，共479家醫院。問卷變項採用7點李克特量表，1表示非常差或非常不同意，7表示非常好或非常同意，衡量統治機制、機會主義、信任、衝突和關係績效的關係。
這項研究證實：(1)統治機制和供應商的投機主義間有顯著負相關，同時統治機制和投機主義的交互作用亦是影響投機主義的關鍵因子；(2)投機主義亦與信任、合作、未來購買意向呈顯著負相關；(3)投機主義和功能性衝突有顯著正向關係；(4)投機主義和購買意願有顯著負相關、功能性衝突和購買意向有顯著正向關係、合作與關係績效有顯著正向關係。本研究除提出重要的管理意涵外，並針對投機主義議題，提出未來研究的方向。

以文找文

Studies of relationship marketing conducted in the past decade or so have focused on the development and benefits of relationships. Research indicates that about 57,000 alliances were formed from 1996 to 2001, yet the failure rate of strategic alliances is significantly high. Most studies have focused on the positive aspects of partnerships only and not on those hidden and elusive factors that can damage the returns of partnerships or even cause relationships to go sour.
Health care expenditure is an important indicator of national development. The focus of this study is on opportunism in purchasing medical equipments. The scope of Taiwan’s medical equipment market is about 0.6% to 0.8% in the world. The medicines paid for by the National Health Insurance reach 31%, much higher than the 12% of other advanced nations. Advanced medical equipments would create information asymmetry. Information asymmetry is a kind of market imperfection, which enables a supplier to act opportunistically without being detected. This will then increase higher purchasing costs.
This study primarily involves a questionnaire survey, measuring governance, opportunism, trust, conflict, and relationship performance. All of the theoretical constructs were measured using a 7-point Likert scale, with 1 indicating very poor or highly disagree, and 7 indicating very good or highly agree. A copy of the questionnaire was mailed to the purchasing managers of each of the 479 hospitals on the list compiled by the Department of Health, R.O.C. (Taiwan).
This study confirmed a significantly negative relationship between governance mechanisms and supplier’s opportunism. The results indicate that the interactions of governance mechanisms are seen as determinants for opportunism. There is a general agreement that opportunism plays a critical role in purchasing relationships. Opportunism was negatively related to trust, cooperation, and future purchase intentions. Opportunism and functional conflict have a positive relationship. Opportunism and purchase intentions have a negative relationship. Functional conflict and purchase intentions have a positive relationship. Cooperation and relationship performance have a positive relationship. The study also discusses the theoretical and managerial implications of their findings.

以文找文

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