西醫基層診所在全國已超過10000家以上，且每年持續增加，全國人口數長期來看是逐漸下滑，但診所卻愈來愈多，在有限的資源下，西醫基層診所的經營面臨極大的挑戰。
目前全國西醫基層診所約93.29%與健保署簽約為健保特約診所，受制於健保給付規定，健保署幾乎是診所唯一的經費來源，然而健保給付是實施有上限的總額支付制度。
本論文將經由一地處偏鄉之西醫基層診所個案分析及文獻探討，透過該個案診所現在之經營模式，能找出西醫基層診所經營之道。
期能對西醫基層診所的經營策略改善，提昇醫療品質，增進西醫基層診所的競爭力，發揮第一線醫療之功能以促進民眾健康。

Currently, there are more than 10,000 Western private-owned clinical services around the world, and the number is rising annually. In the long term, privately owned clinic populations are growing exponentially even though there is a decrese in population. Due to the lack of resources, clinic operations are facing tremendous challenges.
Presently, approximately 93.29% of clinical physician services have signed contracts with the Health Insurance Department and have officially become health insurance clinics with the limited salaries from the government. The majory of the clinic funding source comes from the Health Insurance Department; moreover, the payments were all capped with necessary limits. In hope to find out a more efficient and long-term strategy, this essay has taken the analysis and experiences from private clinics in rural areas.
In conclusion, through the analysis of clinical physician services and determination, I am seeking to find other solutions to improve the business strategies, quality of medical treatments and competitiveness of clinics in order to enhance public health.

論文審定書
誌謝…………………………………………………………………………………i
摘要…………………………………………………………………………………ii
Abstract ………..………………………………………………………………..…iii
目錄…………………………………………………………………………………iv
表次…………………………………………………………………………………v
圖次…………………………………………………………………………………vi
第一章 緒論………………………………………………………………………01
第一節 研究背景與動機………………………………………….......…………01
第二節 研究目的……………………………………………….......……………02
第三節 研究流程……………………………………………….......……………03
第四節 研究範圍與限制……………………………………….......……………04
第二章 醫療現況與文獻探討……………………………………………………05
第一節 醫療現況………………….………………………….......…………...…05
第二節 文獻探討………………………………………….…….......…………...07
第三章 個案介紹…………………………………………………………………12
第四章 競爭優勢…………………………………………………………………14
第一節 診療差異化…………………………………………….......……………14
第三節 服務差異化…………………………………………….......……………17
第四節 利基市場……………………………………………….......……………30
第五章 結論與建議………………………………………………………………50
第一節 結論…………………………………………………….......……………50
第二節 建議……………………………………………………….......…………51
參考文獻…………………………………………………………..………………52

一、中文
健保署，2014，白色守護：全民健保醫療支付與施政紀實，台北：健保署。
麥可．波特(2010)，競爭優勢，台北：天下文化。

二、網路
中華民國醫師公會全國聯合會，2014，http://www.tma.tw/tma_stats_2014/index.html
國民健康署健康九九網站，2014，http://health99.hpa.gov.tw/TXT/PreciousLifeZone/PreciousLife_detail.aspx?topicno=833&DS=1-life
國民健康署健康九九網站，2016，http://health99.hpa.gov.tw/Default.aspx
全民糖尿病觀測站，2016，http://www.diabetes.org.tw/wddt_heduc.jsp
社團法人糖尿病衛教學會，2016，https://www.tade.org.tw/