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博碩士論文 etd-0306109-125528 詳細資訊
Title page for etd-0306109-125528
論文名稱
Title
血液透析中心策略聯盟的相關因素:以體制理論與資源依賴理論觀點
Factors Associated with Strategic Alliance among Hemodialysis Centers: A Fusion of Institutional and Resource Dependence View
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
142
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2009-03-05
繳交日期
Date of Submission
2009-03-06
關鍵字
Keywords
體制、資源依賴、策略聯盟、透析中心
institutional, Strategic alliance, hemodialysis centers, resource dependence
統計
Statistics
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The thesis/dissertation has been browsed 5819 times, has been downloaded 21 times.
中文摘要
本研究運用資源依賴理論與制度理論來討論影響透析中心參與策略聯盟的因素,主要的研究目的涵蓋:(1)探討透析中心目前參與策略聯盟的情形,包括策略聯盟對象的種類、數目以及正式化的程度。(2)探討影響透析中心參與聯盟的因素(3)探討影響透析中心參與策略聯盟正式簽約的因素(4)探討影響透析中心參與策略聯盟對象數量的因素。

透過問卷發放與次級資料的收集,共回收有效問卷219份進行實證分析。結果發現透析中心在決定參與策略聯盟時,主要是由其所面臨的體制環境所導致的強制性、規範性與模仿性的同質的結果,體制環境的力量勝過於組織內部外部資源豐富性複雜性的影響。但是當透析中心一旦參與聯盟之後,組織會依據其內部環境與外部環境豐富性、複雜性來決定是否與聯盟對象簽訂正式化契約,而組織聯盟對象的數量則未能在本研究的理論變項中找到影響的因素。

本研究瞭解資源依賴理論與體制理論在組織參與策略聯盟不同的階段與程度上所扮演的角色,研究結果除了結果可驗證理論架構外,也可作為實施保險制度時政策制定的參考,並可對實務界提供經營的參考。
Abstract
The research has applied both Resource Dependence Theory and Institutional Theory to analyze the organization and the market factors that will influence the hemodialysis centers in adopting a strategic alliance, contracting with and choosing the number of strategic partners. The followings have been examined and analyzed:
1) the current trend of hemodialysis centers’ strategic alliance, including variety of alliance partners, number of strategic alliance, and the degree of an alliance.
2) the factors that will cause hemodialysis centers to adopt a strategic alliance.
3) the factors that will affect the hemodialysis centers to contract with their strategic alliance partners.
4) the factors that influence centers’ choosing alliance partner(s).
Questionnaires and collection of secondary dada were conducted. The empirical analysis of the 219 valid questionnaires shows that hemodialysis centers’ strategic alliance decision is influenced by coerce, normativeness and mimicry caused more by institutional environment than by resource environment. However, after an alliance has been adopted, the resource environment has more influence than institutional environment in deciding whether to contract with strategic partners. The research found the number of strategic alliance partners is not influenced by the resource or institutional environment factors.
This research found both theories play different roles at the different stages of adopting strategic alliance and contracting with partners. The finding not only can help examine the theory framework but also be quite useful to insurance policy decision making and to centers’ daily operation.
目次 Table of Contents
第 一 章 緒 論 1
第一節 研究背景與動機 1
第二節 研究目的 3
第 二 章 文 獻 探 討 5
第一 策略聯盟 5
第二節 理論依據探討影響策略聯盟因素的研究 18
第三節 台灣透析產業情況 39
第 三 章 理 論 與 假 設 48
第一節 資源依賴理論(RESOURCE DEPENDENCE THEORY) 48
第二節 研 究 架 構 64
第 四 章 研 究 方 法 65
第一節 研究設計 65
第二節 研究變項 65
第三節 研究對象與資料來源 72
第四節 分析方法 72
第 五 章 研 究 結 果 75
第一節 樣本基本資料 75
第二節 樣本的聯盟對象與項目分佈 75
第三節 參與策略聯盟與未參與聯盟透析中心在各項因素上之差異 82
第四節 透析中心參與策略聯盟後,是否有正式簽約在各項因素上的差異 85
第五節 透析中心參與策略聯盟後,聯盟對象數量在各項因素上的相關與差異 88
第六節 自變項相關分析 90
第七節 資源特性對透析中心參與聯盟影響之分析 93
第八節 有參與聯盟之透析中心資源特性對正式簽約影響之分析 97
第九節 有參與聯盟之透析中心資源特性對聯盟對象數目影響之分析 100
第十節 有參與聯盟之透析中心體制特性對參與聯盟與否之影響分析 103
第十一節 有參與聯盟之透析中心體制特性對正式簽約影響之分析 105
第十二節 有參與聯盟之透析中心體制特性對聯盟對象數目影響之分析 107
第十三節 所屬醫院是否參策略聯盟對透析中心參與聯盟影響之分析 109
第十四節 連鎖系統中其他成員參與聯盟情形對透析中心參與聯盟之影響分析 110
第 六 章 討 論 116
第 七 章 結 論 與 建 議 125
第一節 結論 125
第二節 研究貢獻 127
第三節 未來研究建議 129
第四節 研究限制 130
第 八 章 參 考 文 獻 131

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