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題名：契約委外與都市政治：臺南市立醫院第三期委外經營為例
書刊名：政治科學論叢
作者：陳金哲
作者(外文)：Chen, Chin-cher
出版日期：2012
卷期：53
頁次：頁121-161
主題關鍵詞：契約委外；個案研究；都市政治；領導人因素；公私協力；Contracting-out；Case study；Urban politics；Leadership；Public-private collaboration
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:244
  • 點閱點閱:109
本研究旨在探討地方公立醫院委外過程中，都市政治對公私協力個案所造成的影響為何。在個案選擇上，以台南市立醫院第3期委外經營案為分析單位，透過深度訪談、地方議會議事錄、媒體新聞報導等資料收集方式，將研究聚焦於台南市立醫院第3期委外經營過程之分析，探討政治因素對醫院以契約委外決策的影響，並兼及都市治理的探討。本研究發現契約委外策略屬於政治過程的一環；其決策過程深受領導人因素所影響；地方公立醫院委外經營，除有利於經營績效的提升外，對於建構完整的都市醫療網絡也扮演重要的角色；另公私協力關係從原來的關係伙伴轉為績效評量的契約委外模式。
This paper aims to analyze the influence of urban politics on public-private collaboration in local public hospital contracting-out carried out by the Tainan Municipal Hospital. The case study is adopted as the method to collect empirical data for this study. Based on the in-depth interviews, interpellation documents from the Tainan Municipal Council and related news reports, this study provides the opportunity to look at the characteristics of local public hospital contracting-out to consider a solution to the problems urban governance. The findings of this study are as follows: contracting-out is part of a wider political process; hospital leadership exerts an important influence in this case of local public hospital contracting-out; hospital contracting-out supports the urban health network and helps supply better and accessible medical services for the community; and public-private collaboration has transformed from its original partnership relationship to a model based on performance measurement and contracting-out.
期刊論文
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2.Gerring, John(2004)。What Is a Case Study and What Is It Good for?。The American Political Science Review，98(2)，341-354。  new window
3.湯京平、陳金哲(20050300)。新公共管理與鄰避政治：以嘉義縣市跨域合作為例。政治科學論叢，23，101-132。new window  延伸查詢new window
4.Terry, Larry D.(1998)。Administrative Leadership, Neo-Managerialism, and the Public Management Movement。Public Administration Review，58(3)，194-200。  new window
5.陳金哲(20060600)。準市場機制與區域治理--以秀傳醫院、署立醫院及臺北市立醫院之執行經驗為例。公共行政學報，19，91-126。new window  延伸查詢new window
6.Simon, Herbert A.(1998)。Why Public Administration?。Public Administration Review，58(1)，1-11。  new window
7.Klijn, E.(2002)。Governing Networks in the Hollow State: Contracting out, Process Management or a Combination of the Two。Public Management Review，4(2)，149-165。  new window
8.趙永茂(19980600)。地方政治生態與地方行政的關係。政治科學論叢，9，305-327。new window  延伸查詢new window
9.van Kersbergen, K.、van Waarden, F.(200403)。'Governance' as a Bridge between Disciplines: Cross-Disciplinary Inspiration regarding Shifts in Governance and Problems of Governability, Accountability, and Legitimacy。European Journal of Political Research，43(2)，143-171。  new window
10.Mossberger, Karen、Stoker, Gerry(2001)。The Evolution of Urban Regime Theory: The Challenge of Conceptualization。Urban Affairs Review，36(6)，810-835。  new window
11.Moe, Terry M.(1984)。The New Economics of Organization。American Journal of Political Science，28(4)，739-777。  new window
12.Ferlie, E.、Steane, P.(2002)。Changing Developments in NPM。International Journal of Public Administration，25(12)，1459-1469。  new window
13.Coase, Ronald H.(1937)。The Nature of the Firm。Economica，4(16)，386-405。  new window
14.Molotch, Harvey(1976)。The City as a Growth Machine: Toward a Political Economy of Place。American Journal of Sociology，82(2)，309-332。  new window
15.王輝煌(20070600)。從Clarence N. Stone的體制政治論民主治理理論。東吳政治學報，25(2)，1-64。new window  延伸查詢new window
16.趙永茂(2007a)。從地方治理理論論台灣地方政治發展的基本問題。政治科學論叢，31，1-38。  延伸查詢new window
17.趙永茂(2007b)。台灣地方治理的發展策略與方向。理論與實務月刊，74，7-14。  延伸查詢new window
18.Clingermayer, J. C.、R. C. Feiock(1997)。Leadership Turnover, Transaction Costs, and External City Service Delivery。Public Administration Review，57(3)，231-239。  new window
19.Clingermayer, J. C.、Feiock, R. C.、Stream, C.(2003)。Governmental Uncertainty and Leadership Turnover: Influences on Contracting and Sector Choice for Local Services。tate and Local Government Review，35(3)，150-160。  new window
20.Johnston, Van R.、Seidenstat, P.(2007)。Contracting Out Government Service: Privatization at the Millenium。International Journal of Public Administration，30，231-247。  new window
21.Pallesen, T.(2004)。A Political Perspective on Contracting Out: The Politics of Good Times. Experiences from Danish Local Governments。Governance，17(4)，573-587。  new window
22.Vincent-Jones, P.(1999)。The Regulation of Contractualisation in Quasimarkets for Public Services。Public Law，1999(2)，304-327。  new window
23.Vining, A. R.、Globerman, S.(1999)。Contracting-out Health Care Service: A Conceptual Framework。Health Policy，46，77-96。  new window
會議論文
1.李宗勳(2002)。政府業務委外經營的定位與省思－「入股台灣」與「夥伴政府」的視野。2002 年博物館公辦民營政策之理論與實務研討會，(會議日期: 5月24日至5月25日)。台東：國立台灣史前文化博物館。new window  延伸查詢new window
2.高仁川(2011)。論民營化與國家監督責任－美國法制的考察。公私合作法制建構之理論與實務研討會，(會議日期: 11月4日)。嘉義：中正大學法學院公法研究中心。  延伸查詢new window
3.Christensen, T.、Per Laegreid(2008)。Increased complexity in public organizations－the challenges and implications of combining NPM and post-NPM features。SOG/IPSA Conference，(會議日期: Nov. 13-15)。Gothenburg。  new window
4.Christensen, T.、Per Laegreid(2009)。Democracy and administrative policy: Contrasting elements of NPM and Post-NPM。EGPA Annual Conference，(會議日期: Nov.2-5)。Malta, Oslo。  new window
5.Hajnal G.(2010)。Patterns of Administrative Policy Pre- and Post-NPM: An Analysis of the Institutional Dynamics of Hungarian Central Government Agencies。ECPR Standing Group on Regulatory Governance, Third Biennial Conference，(會議日期: June 17-19)。Dublin。  new window
圖書
1.Ostrom, Vincent(1988)。Local Government in the United States。San Francisco, CA：Institute for Contemporary Studies。  new window
2.Craig, Paul(2003)。Administrative Law。London：Sweet & Maxwell limited。  new window
3.胡幼慧(2001)。新醫療社會學：批判與另類的視角。台北：心理出版社。new window  延伸查詢new window
4.World Health Organization(2000)。Bulletin of the World Health Organization 8(6)。Switzerland：World Health Organization。  new window
5.Dahl, Robert A.(1961)。Who Governs? Democracy and Power in an American City。New Haven, Connecticut。  new window
6.Hunter, F.(1953)。Community Power Structure。Chapel Hill, NC：University of North Carolina Press。  new window
7.Savas, E. S.(2000)。Privatization and public-private partnerships。New York：Seven Bridges Press。  new window
8.林鍾沂(2001)。行政學。臺北：三民書局。  延伸查詢new window
9.Perrow, Charles(1986)。Complex Organizations: A Critical Essay。New York：Random House。  new window
10.陳敦源(20020000)。民主與官僚：新制度論的觀點。臺北：韋伯文化。new window  延伸查詢new window
11.Ostrom, Vincent(1989)。The Intellectual Crisis in American Public Administration。Tuscaloosa, Alabama：University of Alabama Press。  new window
12.Philip Rosenzweig、徐紹敏(2007)。光環效應。台北：商智文化股份有限公司。  延伸查詢new window
13.黃錦堂(2011)。地方制度法論。台北：元照出版公司。  延伸查詢new window
14.蕭文、顏裕庭(2000)。演進中的台灣醫院經營型態：從「公辦」醫院、「民營」醫院到「公辦民營」醫院。台南：世峰出版公司。  延伸查詢new window
15.Clingermayer, J. C.、Feiock, R. C.(2001)。Institutional Constraints and Policy Choice: An Exploration of Local Governance。New York：State University of New York Press。  new window
16.Jewson, N.、MacGreger, S.(1997)。Transforming Cities? Contested Governance and New Spatial Divisions。London：Routledge。  new window
17.Mcnabb, D. E.(2010)。Case Research in Public Management。New York：M. E. Sharpe, Inc.。  new window
18.Mishler, E. G.(1991)。Research Interviewing: Context and Interviewing。Cambridge：Harvard University Press。  new window
19.Stone, N.(1989)。Regime Politics: Governing Altanta, 1946-1988。Kansas：University Press of Kansas。  new window
其他
1.中華日報社論(2005)。台南市醫競標應周全綢繆，http://www.cdns.com.tw， 2006/06/01。  延伸查詢new window
2.中華日報社論(2007)。台南市醫院不能開天窗，http://www.cdns.com.tw， 2008/03/21。  延伸查詢new window
3.台南市議會(2007)。台南市議會第十六屆第二次定期大會、第二次臨時會、第三次臨時會議事錄，台南：台南市議會。  延伸查詢new window
4.台南市議會(2008)。台南市議會第十六屆第三次定期大會、第四次臨時會、第五次臨時會議事錄，台南：台南市議會。  延伸查詢new window
5.台南市議會(2008b)。台南市議會第十六屆第四次定期大會、第五次臨時會議事錄，台南：台南市議會。  延伸查詢new window
6.台南市議會(2009)。台南市議會第十六屆第五次定期大會、第六次臨時會、第七次臨時會議事錄，台南：台南市議會。  延伸查詢new window
7.台南市政府衛生局(2009)。台南市立安南醫院興建營運移轉（BOT）案投資契約草案，台南：台南市政府。  延伸查詢new window
8.吳順永(2008)。彰基、秀傳結盟市醫續約權露曙光，http://www.nownews.com/2008/04/03/124-2254926.htm， 2009/04/16。  延伸查詢new window
9.吳順永(2009)。市立醫院委外經營秀傳醫療社團法人接手 2009/08/01。  延伸查詢new window
10.孫若瑄(2007)。市醫向民庭提優先續約訴訟 2008/03/21。  延伸查詢new window
11.郭美杏(2005a)。市長：若衛生局無法確保民眾醫療服務的最佳利益，市醫及改由民營化經營。  延伸查詢new window
12.郭美杏(2005b)。續約未定案，市醫人心惶惶 2006/06/01。  延伸查詢new window
13.郭美杏(2005)。市醫委外規劃完成招標 2006/06/01。  延伸查詢new window
14.陳銀全(2007)。市醫經營爭議里長盼早日落幕 2008/03/21。  延伸查詢new window
15.黃微芬(2007a)。什麼都不能做牟聯瑞反對延約 2008/03/21。  延伸查詢new window
16.黃微芬(2007b)。市醫第三次甄審會 2008/03/21。  延伸查詢new window
17.黃微芬(2007c)。市醫委外延約秀傳點頭 2008/03/21。  延伸查詢new window
18.黃微芬(2008a)。市醫案投標公告下月截止 2009/04/16。  延伸查詢new window
19.黃微芬(2008b)。市醫招標權利金高秀傳轉保守 2009/04/16。  延伸查詢new window
20.黃微芬(2008c)。市醫委外招商案截止衛生局將展開資格審查 2009/04/16。  延伸查詢new window
21.黃微芬(2010)。安南醫院招商中國醫大附醫最優 2011/03/06。  延伸查詢new window
22.黃微芬(2010b)。台南安南醫院招BOT 動工 2011/03/06。  延伸查詢new window
23.翁順利(2008)。秀傳與市府簽約繼續經營市醫 2009/04/16。  延伸查詢new window
24.翁順利(2010)。安南醫院簽約2 年內啟用 2011/03/06。  延伸查詢new window
25.曾淵如(2007)。請特定醫院不要挑起台南市立醫院委外案的紛，http://www.show.org.tw/headline_detail.asp?no=1534， 2007/04/25。  延伸查詢new window
26.曾淵如(2007b)。檢視台南市長及民進黨，http://www.show.org.tw/headline_detail.asp?no=1436， 2007/04/25。  延伸查詢new window
27.Byrkjeflot, H.(2005)。The Rise of a Healthcare State？Recent Healthcare Reforms in Norway 2011/10/07。  new window
28.Christensen, T.，Per Laegreid(2010)。Complexity and Hybrid Public Administration－Theoretical and Empirical Challenges 10/07。  new window
圖書論文
1.Ostrom, Elinor、Ostrom, Vincent(1977)。Public Goods and Public Choices。Alternatives for Delivering Public Services。McGinnis. Michigan：The University of Michigan。  new window
2.Eisenhardt, K. M.(1995)。Building Theories from Case Study Research。Longitudinal Field Research Methods : Studying Processes of Organizational Change。Thousand Oaks, CA：Sage。  new window
3.Stoker, Gerry(1995)。Regime Theory and Urban Politics。Theories of Urban Politics。London：Sage Publications Ltd.。  new window
4.蔡茂寅(2003)。醫院、市場委託經營管理法制及實務問題之探討--以行政契約之判斷相關問題為中心。地方法制研討會選輯。臺北：臺北市政府法規委員會。  延伸查詢new window
5.Pettigrew, A. M.(1995)。Longitudinal Field Research on Change: Theory and Practice。Longitudinal Field Research Methods: Studying Processes of Organizational Change。Thousand Oaks, California：Sage Publications, Inc。  new window
6.Wunsh, J. S.(1999)。Institutional Analysis and Decentralization: Developing an Analytical Framework for Effective Third World Administrative reform。Polycentric Governance and Development。Michigan：The University of Michigan Press。  new window
7.陳清秀(2003)。委託經營管理法制及實務問題探討。地方法制研討會選輯。台北：台北市政府法規委員會。  延伸查詢new window
8.Greve, C.(2000)。Governance by Contract Creating: Public-Private Partnerships in Denmark。Contracting in the New Public Management-From Economics to Law and Citizenship。Amsterdam：IOS Press。  new window
9.Martinussen Pal E.、Jon Magnussen(2009)。Health care reform: the Nordic experience。Nordic Health Care Systems: Recent Reform and Current policy。Berkshire：Open University Press。  new window
10.Peters, G.(2000)。Contracts As A Tool For Public Management: Their Strange Absence in North America。Contracting in the New Public Management-From Economics to Law and Citizenship。Amsterdam：IOS Press。  new window
 
 
 
 
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