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博碩士論文 etd-0803111-140025 詳細資訊
Title page for etd-0803111-140025
論文名稱
Title
台灣新流感防疫決策因素之研究 – 以國光生技與大學生為例
A Study on H1N1 Prevention Decision Factors in Taiwan: Adimmune Corporation and College Students
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
108
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
2011-06-10
繳交日期
Date of Submission
2011-08-03
關鍵字
Keywords
none
H1N1, Eye Movement and Recall, Disease Prevention and Control, Adimmune Corporation, Analytical Hierarchy Process (AHP)
統計
Statistics
本論文已被瀏覽 5809 次,被下載 926
The thesis/dissertation has been browsed 5809 times, has been downloaded 926 times.
中文摘要
none
Abstract
A global outbreak of a new strain of H1N1 influenza virus caused the 2009 flu pandemic. Taiwan was one of the 12 countries in the world capable of producing H1N1 vaccine domestically. The domestic vaccine manufactured by Adimmune Corporation proved to be safe and effective. However, the public opinion generally criticized negatively toward this H1N1 prevention work. This study explored the various entities and relations surrounding the prevention.

The first experiment looked into people’s recall toward government’s promotion. This experiment used EyeLink to track subjects’ eye movements on the promotional posters. The data showed the correlation between eye movement and recall, as well as the amount of information received by the subjects. The second experiment looked into people’s decision toward H1N1 prevention. This experiment constructed an AHP model to study the problem. The subjects from various fields answered their view toward H1N1 prevention alternatives, and reported the actual inoculation rate of H1N1 vaccine. The goal aimed to choose a prevention method. The criteria included convenience, confidence, safety, and comfort. The alternatives included vaccination, medication, and sanitation. The experiment outcome summarized the inoculation statistics, attention distribution, involvement correlations, and decision priorities.

The experiment result shows the subjects do not receive government’s promotion well. The result also shows the subjects prefer sanitation for prevention. In addition, this study investigates Taiwan’s vaccine and disease prevention development status. The analysis examines Adimmune Corporation and the vaccine market from different aspects. Finally, the conclusion provides recommendations for the people, the vaccine factory, and the government.
目次 Table of Contents
Dedication i
Acknowledgements ii
Abstract iii
Table of Contents iv
List of Figures x
List of Tables xii
Chapter 1 Introduction 1
Section 1.1 Research Background and Motivation 1
1.1.1 Biotechnology 1
1.1.2 Diamond Takeoff Plan 1
1.1.3 Taiwan’s Biotechnology Industry 3
Section 1.2 Research Purpose 5
Section 1.3 Research Procedure 6
Section 1.4 Research Scope and Limitation 7
Chapter 2 Literature Review 10
Section 2.1 Purposes and Benefits of Vaccination 10
Section 2.2 History and Development of Influenza Vaccine 11
2.2.1 History of Influenza 11
2.2.2 Major Flu Pandemics 11
2.2.3 Origin and Development of Influenza Vaccine 11
2.2.4 Antigenic Drift 12
2.2.5 Reassortment and Reverse Genetics 12
Section 2.3 Flu Pandemic of 2009 13
2.3.1 2009 H1N1/A 13
2.3.2 Genetic Origins of the 2009 Swine Flu Virus 13
2.3.3 Timeline of H1N1 Events 14
2.3.4 Industry Status 15
2.3.5 2009 Flu Pandemic Data from World Health Organization 15
Section 2.4 Literatures from Vaccine Journal 16
2.4.1 Introduction 16
2.4.2 Vaccine 16
2.4.3 Results 16
Chapter 3 Case Study: Adimmune and H1N1 19
Section 3.1 Government Hierarchy 19
Section 3.2 Prevention Policy 20
Section 3.3 Procurement Process 21
Section 3.4 Prevention Promotion and Administration 22
Section 3.5 Adimmune Corporation 23
3.5.1 Corporate Vision 23
3.5.2 Sophisticated Equipments 24
3.5.3 Products 24
3.5.4 Awards, Accreditations, and Major Milestones 25
3.5.5 Innovation, Research, and Development 27
3.5.6 Contract Manufacturing Services 27
3.5.7 Future Prospects 28
Section 3.6 Vaccine Manufacturing Process 29
Section 3.7 Vaccine Delivery and Clinical Tests 31
3.7.1 Adimmune Vaccine Delivery 31
3.7.2 Adimmune Clinical Trial Result – Effectiveness 31
3.7.3 Adimmune Clinical Trial Result – Adverse Reactions 31
3.7.4 Adimmune Clinical Trial Result – Painfulness 31
Section 3.8 Demographics of Taiwan 32
Section 3.9 Prevention Results 34
Chapter 4 Research Design 36
Section 4.1 Research Framework 36
Section 4.2 Targeted Subjects 37
Section 4.3 Attention Experiment Setup 37
4.3.1 Attention Economy 37
4.3.2 CDC Posters 38
4.3.3 Equipments 38
Section 4.4 Analytical Hierarchy Process (AHP) 40
4.4.1 Introduction 40
4.4.2 Weight Calculation in the Hierarchy 41
4.4.3 Final Score 42
4.4.4 Application 43
Section 4.5 AHP of Prevention Decision 44
Chapter 5 Results 45
Section 5.1 Sample Pool 45
5.1.1 Sex 45
5.1.2 Major 45
Section 5.2 Poster Design 46
Section 5.3 Questionnaire Results 47
5.3.1 Statistics of Familiarity 47
5.3.2 Statistics of Involvement 47
5.3.3 Statistics of Need for Cognition 48
5.3.4 Statistics of Attention 49
5.3.5 Statistics of Poster Recall 50
5.3.6 Statistics of Vaccine Question 51
Section 5.4 Correlations of Vaccine Question Correctness 53
5.4.1 Correlation between Attention and Vaccine Question 53
5.4.2 Correlation between Involvement and Vaccine Question 53
5.4.3 Correlation between Cognition and Vaccine Question 54
5.4.4 Correlation between Familiarity and Vaccine Question 54
5.4.5 Correlation Analysis 54
Section 5.5 Inoculation Results 55
Section 5.6 AHP Questionnaire Results 56
Section 5.7 Correlations of Decision Factors 58
5.7.1 Correlation between Involvement and Convenience 58
5.7.2 Correlation between Involvement and Confidence 58
5.7.3 Correlation between Involvement and Safety 59
5.7.4 Correlation between Involvement and Comfort 59
5.7.5 Correlation Analysis 59
Section 5.8 Eye Movement Analysis 60
5.8.1 Eye Movement and Cognitive Process 60
5.8.2 Correlation between Poster Eye Movement and Recall 60
5.8.3 Correlation between Overall Eye Movement and Recall 61
Section 5.9 AHP Calculations 62
5.9.1 Notations 62
5.9.2 Hierarchical Structure 62
5.9.3 Level 2 Comparisons 62
5.9.4 Level 3 Comparisons 63
5.9.5 Goal: Picking the Best Prevention Decision 64
Chapter 6 Conclusion 65
Section 6.1 Summary 65
6.1.1 People’s Reception toward Government 65
6.1.2 People’s Decision toward Prevention 65
Section 6.2 Recommendations 66
6.2.1 Recommendations for Government 66
6.2.2 Recommendations for Vaccine Factory 66
6.2.3 Recommendations for People 66
Section 6.3 Analysis of Adimmune Corporation 67
6.3.1 SWOT Analysis 67
6.3.2 Diamond Model Analysis 67
6.3.3 PEST Analysis 68
6.3.4 Vaccine Market Analysis 68
Section 6.4 Managerial Implications 69
6.4.1 Economic Aspect 69
6.4.2 Supply Chain Aspect 71
6.4.3 Value Chain Aspect 71
6.4.4 Marketing 4C/4P Aspect 72
6.4.5 Porter’s Five Forces Aspect 72
6.4.6 Marketing Strategy Aspect 73
6.4.7 Externality Aspect 74
Section 6.5 Conclusion 75
References 76
Appendix 82
Appendix A: AHP Questionnaire in Chinese 82
Appendix B: Involvement Questionnaire in Chinese 83
Appendix C: Need for Cognition Questionnaire in Chinese 84
Appendix D: Poster Questionnaire in Chinese 85
Set 1 85
Set 2 86
Set 3 87
Set 4 88
Set 5 89
Set 6 90
Set 7 91
Appendix E: Promotional Posters of H1N1 92
Appendix F: Promotional Posters of Anti-Smoking 93
Appendix G: EyeLink Specifications 94
參考文獻 References
American Scientist. 2003. Influenza. http://www.americanscientist.org/issues/feature/2003/2/influenza, January 30, 2011.

Artenstein, A.W. 2010. Vaccines: A Biography: 191-205. New York, NY: Springer. ISBN: 1-441-91107-3.

BBC News. 2009. What Scientists Know about Swine Flu. http://news.bbc.co.uk/2/hi/8028371.stm, January 30, 2011.

Cacioppo, J.T., & Petty, R.E. 1982. The need for cognition. Journal of Personality and Social Psychology, 42(1): 116-131.

Cacioppo, J.T., Petty, R.E., & Kao, C.F. 1984. The efficient assessment of need for cognition. Journal of Personality Assessment, 48: 306-307.

Cacioppo, J.T., Petty, R.E., Feinstein, J.A., & Jarvis, W.B.G. 1996. Dispositional differences in cognitive motivation: the life and times of individuals varying in need for cognition. Psychological Bulletin, 119: 197-253.

CDC. 2009. Novel Influenza A (H1N1) Virus Infections. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5817a1.htm, January 30, 2011.

CDC. 2009. Morbidity and Mortality Weekly Report. http://www.cdc.gov/mmwr/, January 30, 2011.

CDC. 2009. Influenza Vaccination: A Summary for Clinicians. http://www.cdc.gov/flu/professionals/vaccination/vax-summary.htm, January 30, 2011.

CDC. 2010. 2009 H1N1 Flu. http://www.cdc.gov/h1n1flu/, July 23, 2010.

Central Intelligence Agency. 2011. The World Fact Book. https://www.cia.gov/library/publications/the-world-factbook/geos/tw.html, January 30, 2011.

Chan, S. 2011. Personal Interview, June 28, 2011.

Chen, R.T., DeStefano, F., Davis, R.L., Jackson, L.A., Thompson, R.S., Mullooly, J.P., Black, S.B., Shinefield, H.R., Vadheim, C.M., Ward, J.I., & Marcy, S.M. 2000. The vaccine safety datalink: immunization research in health maintenance organizations in USA. Bulletin of the World Health Organization, 78(2): 186-194.

CIDRAP. 2009. Some Immunity to H1N1 Flu Found in Seniors. http://www.cidrap.umn.edu/cidrap/content/influenza/panflu/news/may2109serum-jw.html, January 30, 2011.

Davenport, T.H., & Beck, J.C. 2001. The Attention Economy: Understanding the New Currency of Business. Cambridge, MA: Harvard Business School Press. ISBN: 1-57851-441-X.

Davis, R.L., Kolczak, M., Lewis, E., Nordin, J., Goodman, M., Shay, D.K., Platt, R., Black, S., Shinefield, H., & Chen, R.T. 2005. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology, 16(3): 336-341.

Deubel, H., & Schneider, W.X. 1996. Saccade target selection and object recognition: evidence for a common attentional mechanism. Vision Research, 36(12): 1827-1837.

European CDC. 2010. Daily Update on the 2009 Pandemic. http://www.ecdc.europa.eu/en/healthtopics/H1N1/whats_new/Pages/daily_update.aspx, November 24, 2010.

Henderson, J.M., & Hollingworth, A. 1999. High-level scene perception. Annual Review of Psychology, 50: 243-271.

Hoffman, J.E., & Subramaniam, B. 1995. The role of visual attention in saccadic eye movements. Perception & Psychophysics, 57(6): 787-795.

Hsueh, P.O., Lee, P.I., Chiu, W.H., & Yen, M.Y. 2010. Pandemic (H1N1) 2009 Vaccination and class suspensions after outbreaks, Taipei City, Taiwan. Emerging Infectious Disease, 16(8): 1309-1311.

Huang, W.T., Chuang, J.H., & Kuo, H.S. 2010. Monitoring the safety of pandemic H1N1 vaccine. The Lancet, 375: 1164.

Iskander, J., Pool, V., Zhou, W., English-Bullard, R. 2006. Data mining in the US using the vaccine adverse event reporting system. Drug Safety, 29(5): 375-384.

Just, M.A., & Carpenter, P.A. 1976. Eye fixations and cognitive processes. Cognitive Psychology, 8(4): 441-480.

Kao, T.M., Hsieh, S.M., Kung, H.C., Lee, Y.C., Huang, K.C., Huang, L.M., Chang, F.Y., Wang, N.C., Liu, Y.C., Lee, W.S., Liu, H.E, Chen, C.I., & Chen, C.H. 2010. Immune response of single dose vaccination against 2009 pandemic influenza A (H1N1) in the Taiwanese elderly. Vaccine, 28: 6159-6163.

Knobler, S.L., Mack, A., Mahmoud, A., & Lemon, S.M. 2005. The Threat of Pandemic Influenza: Are We Ready? Washington, DC: The National Academies Press. ISBN: 0-309-09504-2.

Kumar, A., Zarychanski, R., Pinto, R., Cook, D.J., Marshall, J., Lacroix, J., Stelfox, T., Bagshaw, S., Choong, K., Lamontagne, F., Turgeon, A.F., Lapinsky, S., Ahern, S.P., Smith, O., Siddiqui, F., Jouvet, P., Khwaja, K., McIntyre, L., Menon, K., Hutchison, J., Hornstein, D., Joffe, A., Lauzier, F., Singh, J., Karachi, T., Wiebe, K., Olafson, K., Ramsey, C., Sharma, S., Dodek, P., Meade, M., Hall, R., & Fowler, R.A. 2009. Critically ill patients with 2009 influenza A (H1N1) infection in Canada. Journal of the American Medical Association, 302(17): 1872-1879.

Kung, H.C., Huang, K.C., Kao, T.M., Lee, Y.C., Chang, F.Y., Wang, N.C., Liu, Y.C., Lee, W.S., Liu, H.J., Chen, C.I., Chen, C.H., Huang, L.M, & Hsieh, S.M. 2010. A clinical study to assess the immunogenicity and safety of a monovalent 2009 influenza A (H1N1) vaccine in an area with low-level epidemics of pandemic influenza. Vaccine, 28: 7337-7343.

LeMonde.fr. 2009. La Fiche d'Identite d'un Virus Inedit. http://www.lemonde.fr/planete/infographie/2009/04/30/la-fiche-d-identite-d-un-virus-inedit_1187597_3244.html#ens_id=1185166, January 30, 2011.

Lieu, T.A., Black, S.B., Ray, P., Chellino, M., Shinefield, H.R., & Adler, N.E. 1994. Risk factors for delayed immunization among children in an HMO. American Journal of Public Health, 84(10): 1621-1625.

Lu, C.Y., Shao, P.L., Chang, L.Y., Huang, Y.C., Chiu, C.H., Hsieh, Y.C., Lin, T.Y., & Huang, L.M. 2010. Immunogenicity and safety of a monovalent vaccine for the 2009 pandemic influenza virus A (H1N1) in children and adolescents. Vaccine, 28: 5864-5870.

National Institution of Allergy and Infectious Diseases. 2011. Antigenic Drift. http://www.niaid.nih.gov/topics/Flu/Research/basic/Pages/AntigenicDriftIllustration.aspx, January 30, 2011.

National Institution of Allergy and Infectious Diseases. 2011. Reassortment. http://www.niaid.nih.gov/topics/Flu/Research/basic/Pages/ReassortmentIllustration.aspx, January 30, 2011.

New Scientist. 2009. Deadly New Flu Virus in US and Mexico May Go Pandemic. http://www.newscientist.com/article/dn17025-deadly-new-flu-virus-in-us-and-mexico-may-go-pandemic.html, January 30, 2011.

The New York Times. 2011. A Multitude of Vaccine Benefits, yet Controversy Persists. http://www.nytimes.com/ref/health/healthguide/esn-vaccinations-ess.html,
January 30, 2011.

Nichol, K.L., Nordin, J.D., Nelson, D.B., Mullooly, J.P., & Hak, E. 2007. Effectiveness of influenza vaccine in the community-dwelling elderly. The New England Journal of Medicine, 357: 1373-1381.

Office of the Federal Register. 2010. Code of Federal Regulations 7CFR3415.2. http://edocket.access.gpo.gov/cfr_2003/7CFR3415.2.htm, November 24, 2010.

PhysOrg.com. 2009. Swine Flu Name Change? Flu Genes Spell Pig. http://www.physorg.com/news160371024.html, January 30, 2011.

Plotkin, S.A., Orenstein, W.A., & Offit, P.A. 2008. Vaccines: 6-7. Philadelphia, PA: Saunders. ISBN: 1-416-03611-3.

Posner, M.I. 1980. Orienting of attention. Quarterly Journal of Experimental Psychology, 32: 3-25.

Roehm, M.L. 2001. Instrumental vs. vocal versions of popular music in advertising. Journal of Advertising Research, 41(3): 49-58.

Sadowski, C.J., & Gulgoz, S. 1996. Elaborative processing mediates the relationship between need for cognition and academic performance. The Journal of Psychology, 130: 303-307.

Sadowski, C.J., & Cogburn, H.E. 1997. Need for cognition in the big-five factor structure. The Journal of Psychology, 131: 307-312.

Salvucci, D.D., & Anderson, J.R. 1998. Tracing eye movement protocols with cognitive process models. Proceedings of the Twentieth Annual Conference of the Cognitive Science Society: 923-928. Hillsdale, NJ: Lawrence Erlbaum Associates. ISBN: 0-805-83231-9.

Simon, H.A. 1971. Designing organizations for an information-rich world. Computers, Communication, and the Public Interest: 37-72. Baltimore, MD: The Johns Hopkins Press. ISBN: 0-8018-1135-X.

The Sunday Times. 2006. Battle of Time, Luck and Science. http://www.timesonline.co.uk/tol/news/world/article703543.ece, January 30, 2011.

TED.com. 2010. Thomas Goetz: It’s Time to Redesign Medical Data. http://www.ted.com/talks/thomas_goetz_it_s_time_to_redesign_medical_data.html, March 22, 2011.

TED.com. 2010. Noreena Hertz: How to Use Experts – and When Not to. http://www.ted.com/talks/noreena_hertz_how_to_use_experts_and_when_not_to.html, March 22, 2011.

Varricchio, F., Iskander, J., Destefano, F., Ball, R., Pless, R., Braun, M.M., & Chen, R.T. 2004. Understanding vaccine safety information from the vaccine adverse event reporting system. Pediatric Infectious Disease Journal, 23(4): 287-294.

Volkmann, F.C. 1986. Human visual suppression. Vision Research, 26: 1401-1416.

Wikipedia. 2010. Influenza A Virus Subtype H1N1. http://en.wikipedia.org/wiki/Influenza_A_virus_subtype_H1N1, July 23, 2010.

Wikipedia. 2010. 2009 Flu Pandemic. http://en.wikipedia.org/wiki/2009_flu_pandemic, July 23, 2010.

Wikipedia. 2010. Analytic Hierarchy Process. http://en.wikipedia.org/wiki/Analytic_Hierarchy_Process, July 23, 2010.

Wikipedia. 2010. Attention Economy. http://en.wikipedia.org/wiki/Attention_economy, November 24, 2010.

Wikipedia. 2010. 2009 Flu Pandemic in Taiwan. http://en.wikipedia.org/wiki/2009_flu_pandemic_in_Taiwan, January 30, 2011.

Wolverton, G.S., & Zola, D.A. 1983. The temporal characteristics of visual information extraction during reading. Eye Movements in Reading: Perceptual and Language Processes: 41-51. New York, NY: Academic Press. ISBN: 0-125-83680-5.

World Health Organization. 2010. Pandemic (H1N1) 2009. http://www.who.int/csr/disease/swineflu/en/, July 23, 2010.

World Health Organization. 2011. Global Alert and Response (GAR). http://www.who.int/csr/disease/swineflu/notes/h1n1_surveillance_20090710/en/index.html, January 30, 2011.

World Health Organization. 2009. Media Centre Fact Sheet N°211. http://www.who.int/mediacentre/factsheets/fs211/en/, January 30, 2011.

Zaichkowsky, J.L. 1994. The personal involvement inventory: reduction, revision, and application to advertising. Journal of Advertising, 23(4): 59-70.

Zhang, H., & Chen, L. 2009. Possible origin of current influenza A H1N1 viruses. The Lancet, 9: 456-457.


Adimmune. 2010. 「A (H1N1) 專區」. http://www.adimmune.com.tw/qa.php, July 23, 2010.

Adimmune. 2010. 「國光生物科技股份有限公司聲明稿」. http://www.adimmune.com.tw/news.php?act=view&no=26, July 23, 2010.

行政院衛生署 疾病管制局. 2009. 「防疫專區 疾病介紹」. http://www.cdc.gov.tw/sp.asp?xdurl=disease/disease_detail_more.asp&id=2362&mp=1&ctnode=1498&ictunit=870, November 24, 2010.

行政院衛生署 國民健康局. 2009. 「H1N1專區 宣導品下載」. http://health99.doh.gov.tw/download_h1n1.aspx, November 24, 2010.

行政院衛生署 疾病管制局. 2011. 「流感防治網 防治策略Q&A」. http://flu.cdc.gov.tw/lp.asp?ctNode=3972&CtUnit=455&BaseDSD=7&mp=150, January 30, 2011.

行政院衛生署 疾病管制局. 2009. 「流感防治網 H1N1知多少」. http://flu.cdc.gov.tw/ct.asp?xItem=15527&ctNode=3940&mp=150, January 30, 2011.

行政院衛生署 國民健康局. 2009. 「菸害防制主題館 宣導品」. http://www.health99.doh.gov.tw/box2/smokefreelife/Download.aspx?CategoryIDNo=16, January, 30, 2011.

自由電子報. 2009. 「天價買疫苗? 專家3問衛署」. http://www.libertytimes.com.tw/2009/new/sep/2/today-life2.htm, January 30, 2011.

自由電子報. 2009. 「疫苗採購1000萬劑 最快九月開打」. http://www.libertytimes.com.tw/2009/new/may/27/today-life1-2.htm, January 30, 2011.

教育部統計處. 2011. 「重要教育統計資訊」. http://www.edu.tw/statistics/content.aspx?site_content_sn=8956, June 14, 2001.

新型流感中央流行疫情指揮中心. 2009. 「H1N1個人防疫自我測試題庫」. http://www.cdc.gov.tw/ct.asp?xItem=25210&ctNode=220, November 24, 2010.

經濟部生物技術與醫藥工業發展推動小組. 2010. 「台灣生物技術產業現況」. http://www.bpipo.org.tw/2t2s/situation.html, November 24, 2010.

維基百科. 2010. 「臺灣行政區人口密度表」. http://zh.wikipedia.org/wiki/臺灣行政區人口密度表, January 30, 2011.
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