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題名：臺灣醫療產業的組織合作：不對等合作關係運作機制之探討
書刊名：臺灣社會學
作者：陳端容
作者(外文)：Chen, Duan-rung
出版日期：2002
卷期：3
頁次：頁119-162
主題關鍵詞：醫療產業組織；不對等組織合作；醫院間合作關係；Health service organization；Asymmetric cooperation；Inter-hospital cooperation
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(13) 博士論文(1) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:11
  • 共同引用共同引用:959
  • 點閱點閱:59
　　　　　在一個組織位階結構制度化的醫療產業中，權力與地位不平等的組織進行合作如何 可能？本論文析地位不對等的醫療組織對合作關係正面評價的影響因素。以自行設計之結構 式問卷進行資料蒐集，輔以深入訪談，以地區教學醫院層級以上之128家醫院為研究對象， 回收89家醫院問卷，回收率69.5％，深入訪談49家醫院主管，成功率55.1％。89家醫院共 提出345對實質互動的合作關係。分析結果指出，擁有合作決策主道權，以及透過間接第三 者推薦，都增加優勢組織對合作關係的認可，顯示權力支配原則是優勢組織管理不對等合作 關係的重要基礎。不對等合作關系中的兩方對合作正面評價的影響因素不同，反映合作雙方 在產業結構中強、弱不同的權力位階關係。研究結果支持了制度論者所提出組織行動是鑲嵌 在制度環境中的權力關係與價值架構的論點，也對「社會鑲嵌」論述中有關第三者的策略性 位置提供了部分證據。
　　　　　The central question of this paper concerns the possibility of cooperation between and among health service organizations that operate within the confines of extreme institutional stratification. To determine the grounds for partnership success, and to identify the benefits and barriers associated with these partnerships, we examined human resource transfers (n=345) at 89 hospitals. Data collected via questionnaires and interviews indicate that a)dominant organizations feel it is important to gain leadership positions in order to express positive evaluations of asymmetric cooperation, and b)successful instances of cooperation are generally established through social relationships –i.e., third-party recommendations. The concept of fairness in such exchanges has different meanings for the asymmetric partners, with symbolic gains often considered more important than financial gains. We suggest that future research in this area requires a strong focus on hospital stratification.
期刊論文
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8.Williamson, O. E.(1983)。Credible Commitments: Using Hostage to Support Exchange。The American Economic Review，73(4)，519-540。  new window
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13.趙蕙鈴(19951200)。協力生產網絡資源交換結構之特質--經濟資源交換的「社會網絡化」。中國社會學刊，18，75-116。new window  延伸查詢new window
14.Baum, Joel A. C.、Oliver, Christine(1992)。Institutional Embeddedness and the Dynamics of Organizational Populations。American Sociological Review，57(4)，540-559。  new window
15.Zucker, L.(1989)。Combining Institutional Theory and Population Ecology: No Legitimacy, No History。American Sociological Review，54，542-545。  new window
16.陳東升(19970600)。高科技產業組織間關係的權力分析：以臺灣積體電路產業的設計公司為例。國立臺灣大學社會學刊，25，47-104。new window  延伸查詢new window
17.Meyer, J. W.、Rowan, B.(1977)。Institutional organizations: Formal structure as myth and ceremony。American Journal of Sociology，83(2)，340-363。  new window
18.Gulati, R.、Gargiulo, M.(1999)。Where do interorganizational networks come from?。American Journal of Sociology，104(5)，1439-1493。  new window
19.張苙雲、朱永昌(19940600)。組織場域的浮現：臺灣醫療產業的研究。中央研究院民族學研究所集刊，77，157-192。  延伸查詢new window
20.Devlin, G.、Bleackley, Mark(1988)。Strategic Alliances Guidelines for Success。Long Range Planning，21(5)，18-23。  new window
21.Kanter, R. M.(1994)。Collaborative advantage: The art of alliances。Harvard Business Review，72(4)，96-104。  new window
22.Gulati, Ranjay(1995)。Does Familiarity Breed Trust? The Implications of Repeated Ties for Contractual Choice in Alliances。The Academy of Management Journal，38(1)，85-112。  new window
23.Larson, Andrea(1992)。Network Dyads in Entrepreneurial Settings: A Study of the Governance of Exchange Relationships。Administrative Science Quarterly，37(1)，76-104。  new window
24.Anderson, Erin(1990)。Two firms, one frontier: On assessing joint venture performance。Sloan Management Review，31(2)，19-30。  new window
25.DiMaggio, Paul J.、Powell, Walter W.(1983)。The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields。American Sociological Review，48(2)，147-160。  new window
26.陳東升(19990600)。高科技產業組織網絡統理架構的內涵及其演變的探討：以臺灣積體電路產業封裝部門為例。中山管理評論，7(2)，293-324+283。new window  延伸查詢new window
27.Oliver, Christine(1990)。Determinants of interorganizational relationships integration and future directions。The Academy of Management Review，15(2)，241-265。  new window
28.Bradach, Jeffrey L.、Eccles, Robert G.(1989)。Price, Authority, and Trust: From Ideal Types to Plural Forms。Annual Review of Sociology，15(1)，97-118。  new window
29.Parkhe, Arvind(1993)。Strategic alliance structuring: A game theoretic and transaction cost examination of interfirm cooperation。Academy of management Journal，36(4)，794-829。  new window
30.Uzzi, Brian(1997)。Social structure and competition in interfirm networks: The paradox of embeddedness。Administrative Science Quarterly，42(1)，35-67。  new window
31.Williamson, Oliver E.(1979)。Transaction-Cost Economics: The Governance of Contractual Relations。The Journal of Law and Economics，22(2)，233-261。  new window
32.Zucker, Lynne G.(1986)。Production of Trust: Institutional Sources of Economic Structure, 1840-1920。Research in Organizational Behavior，8，53-111。  new window
33.Shapiro, Susan P.(1987)。The Social Control of Impersonal Trust。American Journal of Sociology，93(3)，623-658。  new window
34.Raub, W.、Weesie, J.(1990)。Reputation and Efficiency in Social Interactions: An Example of Network Effects。American Journal of Sociology，96(3)，626-654。  new window
35.Gulati, Ranjay、Singh, Harbir(1998)。The architecture of cooperation: Managing coordination costs and appropriation concerns in strategic alliances。Administrative Science Quarterly，43(4)，781-814。  new window
36.Williamson, Oliver E.(1991)。Comparative Economic Organization: The Analysis of Discrete Structural Alternatives。Administrative Science Quarterly，36(2)，269-296。  new window
37.Granovetter, Mark S.(1985)。Economic Action and Social Structure: The Problem of Embeddedness。American Journal of Sociology，91(3)，481-510。  new window
38.Coleman, James S.(1988)。Social capital in the creation of human capital。American Journal of Sociology，94(suppl.)，S95-S120。  new window
39.Selwyn, M.、Valigra, L.(1991)。Making Marrirages of Convenience, Fuji-Xerox: Example Worth Coping。Asian Business，27，26-29。  new window
40.Reagans, R.(1998)。Differences in Social Difference: Examining Third Party Effects on Relational Stability。Social Networks，20，143-157。  new window
41.Jacquemin, A.(1988)。Cooperative Agreement in R&D and European Antitrust Policy。European Economic Review，4，551-560。  new window
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研究報告
1.章英華(1992)。臺灣地區不同層級醫療區之規劃硏究。台北：行政院衛生署。  延伸查詢new window
學位論文
1.童瑞龍(2000)。臺灣醫院策略聯盟決策模式之研究(碩士論文)。國立陽明大學。  延伸查詢new window
2.王正璞(1993)。企業策略聯盟之管理作為與績效關係之研究--以共同研發聯盟為例(碩士論文)。中原大學。  延伸查詢new window
3.Awadzi, Winston K.(1987)。Determinants of Joint Venture Performance: A Study of International Joint Ventures in the United States(博士論文)。Louisiana State University and Agricultural and Mechanical College。  new window
4.鄭夙惠(2000)。臺灣私立醫院組織互動之實證研究，臺南。  延伸查詢new window
5.嚴建藏(1987)。省市立醫院連鎖經營之研究，臺中。  延伸查詢new window
6.張瓊文(2000)。全民健保政策與醫院合作經營之研究，臺南。  延伸查詢new window
7.陳馨文(1991)。醫院院際合作之相關性研究，臺北。  延伸查詢new window
圖書
1.Buckley, P. J.、Casson, M.(1988)。A Theory of Cooperation in International Business。Cooperative Strategies in International Business。San Francisco, CA：Lexington, MA：New Lexington Press：Lexington Books。  new window
2.Zukin, Sharon、DiMaggio, Paul(1990)。Introduction。Structures of capital: the social organization of the economy。Cambridge England：New York：Cambridge University Press。  new window
3.莊逸洲、黃崇哲(2000)。醫療機構管理制度。台北：華杏。  延伸查詢new window
4.Burt, Ronald S.(1992)。Structural Holes. Cambridge。Cambridge, MA：Harvard University Press。  new window
5.吳思華(1996)。策略九說：策略思考的本質。臺北：麥田出版社。new window  延伸查詢new window
6.張苙雲(1998)。醫療與社會：醫療社會學的探索。台北：巨流。new window  延伸查詢new window
7.林南(2001)。Social Capital: A Theory of Social Structure and Action。Cambridge University Press。  new window
8.陳介玄(19940000)。協力網絡與生活結構：台灣中小企業的社會經濟分析。臺北：聯經。new window  延伸查詢new window
9.Williamson, Oliver E.(1975)。Markets and Hierarchies: Analysis and Antitrust Implications。New York, NY：Free Press。  new window
10.Coleman, James Samuel(1990)。Foundations of social Theory。Belknap Press of Harvard University Press。  new window
11.Gargiulo, M.、Benassi, M.(1999)。The Dark Side of Social Capital。Corporate Social Capital and Liability。沒有紀錄。  new window
12.Christianson, J. B.、Moscovice, I. S.、Wellever, A. L.(1995)。The Structure of Strategic Alliances: Evidence from Rural Hospital Networks。Partners for the Dance: Forming Strategic Alliances in Health Care。Ann Arbor, MI。  new window
13.張苙雲(1999)。組織連外活動的行動邏輯：臺灣醫院產業，1980-1995。網絡臺灣：企業的人情關係與經濟理性。臺北。  延伸查詢new window
14.行政院衛生署(2000)。全民健保體檢小組報告。全民健保體檢小組報告。臺北。  延伸查詢new window
圖書論文
1.Luhmann, Niklas(1980)。Trust: A Mechanism for the Reduction of Social Complexity。Trust and Power。New York：Wiley。  new window
2.Granovetter, Mark(1994)。Business Groups。The Handbook of Economic Sociology。Russell Sage Foundation。  new window
3.Powell, Walter W.、Smith-Doerr, Laurel(1994)。Networks and Economic Life。The Handbook of Economic Sociology。New York：Russell Sage Foundation。  new window
4.Ring, Peter Smith(1997)。Processes Facilitating Reliance on Trust in Inter-Organizational Networks。The Formation Inter-Organizational Networks。New York：Oxford University Press。  new window
5.Luhmann, Niklas(1988)。Familiarity, confidence, trust: Problems and alternatives。Trust: Making and breaking cooperative relations。Basil Blackwell。  new window
6.Elster, J.(1998)。Introduction。Deliberative Democracy。NY：Cambridge University Press。  new window
7.Harrigan, K. R.(1988)。Strategic Alliances and Partner Asymmetries。Cooperative Strategies in International Business。Lexington Books。  new window
8.Powell, Walter W.(1991)。Expanding the Scope of Institutional Analysis。The New Institutionalism in Organizational Analysis。The University of Chicago Press。  new window
 
 
 
 
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