進階搜尋


 
系統識別號 U0026-1307201121545900
論文名稱(中文) 台灣國際醫療旅遊產業發展關鍵影響因素:政府與醫療服務業者之認知落差研究
論文名稱(英文) A Study on the Enabling Factors for Developing Medical Tourism in Taiwan: An Investigation of the Perception Gap between Government Agencies and the Healthcare Service Industry
校院名稱 成功大學
系所名稱(中) 國際經營管理研究所碩士在職專班
系所名稱(英) Institute of International Management (IIMBA--Master)(on the job class)
學年度 99
學期 2
出版年 100
研究生(中文) 林佳錦
研究生(英文) Chia-Chin Lin
電子信箱 eva.cclin@gmail.com
學號 ra797123
學位類別 碩士
語文別 英文
論文頁數 146頁
口試委員 指導教授-鄭至甫
召集委員-陳勁甫
口試委員-陳正忠
中文關鍵字 國際醫療  國家競爭優勢  醫療服務產業  政策  策略 
英文關鍵字 Medical tourism  Competitive advantage of nations  Healthcare service industry  Government policy  Strategy 
學科別分類
中文摘要 國際醫療旅遊產業是目前全球蓬勃發展的新興產業,因為不僅可以為國家帶來為數可觀的外匯收入,還能為醫療服務產業增加營運收入,更能活絡相關旅遊產業,所以全球各國均視為重要經濟活動與收入來源。國際醫療旅遊服務產值在2007年約為美金200億,到2010年成長至美金400億。其中又以亞洲推廣國際醫療頗具成效,以目前很成功的國家,泰國、新加坡與印度已佔有一席之地。
台灣政府積極推動「六大新興產業發展」(生物科技、綠色能源、醫療照護、精緻農業、觀光旅遊、文化創意),做為台灣下個黃金十年重要經濟目標之一,並帶動相關產業之創新發展。其中國際醫療旅遊列為重點產業發展;因此自96年起衛生署推動辦理「醫療服務國際化旗艦計畫」,完整規劃醫療服務國際化整體策略、協助輔導及評估計畫,並籌設「醫療服務國際化整體規劃小組」,由衛生署推派適當人員擔任召集委員,並聘請各部會機關(行政院經濟建設委員會、交通部觀光局、行政院新聞局、經濟部國際貿易、行政院大陸委員會、僑務委員會、外交部等),以及相關領域專家共同擔任此小組委員,依實際計畫推動並定期召開會議。
本研究宗旨,藉由文獻回顧探討目前亞洲泰國、新加坡與印度成功推行國際醫療之醫療現況與消費者選擇國際醫療旅遊與就醫因素;建構發展台灣國際醫療產業競爭的架構與關鍵影響因素之層級結構,並以AHP層級分析法來進行分析評比,找出各個層級因素的相對重要程度及優先順序,以探究台灣政府與醫療服務產業之間對於國際醫療旅遊產業競爭各因素的影響力及重要性之落差分析;提出對政府部門與台灣醫療服務產業相關具體建議,並促進公私部門之合作,以及作為未來研究之參考。本研究群體研究對象以政府自96年推行「醫療服務國際化旗艦計畫」中,政府跨部門成立的整體規劃小組委員以及參與此計劃的31家醫療院所。研究結果顯示,以政府觀點而言「市場需求要素」為最具重要性的影響因素,而醫療服務業觀點是以「政府」最具重要性影響因素。本研究結論為:我國確實具有發展國際醫療服務產業之優勢條件,例如健全的醫療體系、高品質的服務、合理的費用與先進的醫療儀器設備等特色。然而發展國際療,醫療服務提供業者固然首當其衝,但亦有賴政府的協助、支持與徹底執行;並結合公私部門的合作,以建構營造國內國際醫療旅遊產業環境發展,得以活絡及促進國際醫療旅遊產業發展。
英文摘要 Medical tourism is a booming industry around the globe due to the economic growth available to governments and the sustainable business growth available for host countries related industries. Compared to the three main regional destinations (Thailand, India and Singapore) competing for medical tourists, medical tourism in Taiwan is in its infancy. Currently, studies that explore the perception gap between government and industry are limited. Particularly, the enabling factors affecting medical tourism development in Taiwan have been rarely investigated. Therefore, the purpose of this study is to help government agencies and the healthcare industry to determine future directions for policy implementation and strategy formulation related to the growth of medical tourism in Taiwan.
In order to allow for the successful development of Taiwan into a compelling medical tourism destination, this research adopted the analytical hierarchy process (AHP) method based on Porter’s (1990) Diamond of National Advantage framework, with a focus on investigating the which are the most relevant enabling factors affecting medical tourism development in Taiwan, from the perspective of experts within the government departments and from healthcare service providers.
The primary results, based on 18 valid responses from government and industry, reveal that the two sectors have significant differences in perception across the five items of dimensions: Factor Conditions, Demand Conditions, Related and Supporting Industries, Firm Strategy, Structure and Rivalry, and Government Role. The largest differences are found related to Government Role, where it receives the highest rank in importance by the industry experts, and the lowest rank by the government experts; government experts rank Demand Conditions as the most relevant factor contributing to the goal of promoting medical tourism in Taiwan.
Based on the empirical findings of this research, we suggest that policy makers and healthcare providers should incorporate the ranking results of the sixteen enabling criteria as guidance not only in formulating policies and forming strategies but also in reinforcing public-private partnerships.
論文目次 ACKNOWLEDGEMENTS I
ABSTRACT II
摘要 IV
TABLE OF CONTENTS VI
LIST OF TABLES IX
LIST OF FIGURES XI
CHAPTER ONE INTRODUCTION 1
1.1 Research Background and Motivation. 1
1.2 Research Objectives. 8
1.3 Research Procedure. 9
CHAPTER TWO LITERATURE REVIEW 11
2.1 The Concepts Integrated into the Model Applied in This Study. 11
2.1.1 Introduction. 11
2.1.2 The Fundamental Concept of the Competitive Advantage of Nations. 12
2.2 Analysis of the Medical Tourism Sector. 17
2.2.1 Basic Concept and Definition. 17
2.2.2 The Medical Tourism Destination Countries Worldwide. 19
2.2 3 Types of Services Provided in Medical Tourism. 21
2.2.4 Types of Procedures in Medical Tourism. 22
2.2.5 The Factors Facilitating the Growth of Medical Tourism. 24
2.2.6 The Factors Influencing Consumers to Choose Destinations. 29
2.3 Facts Regarding the Leading Medical Tourism Destination Nations in Asia. 32
2.3.1 Thailand. 34
2.3.2 India. 37
2.3.3 Singapore. 41
2.4 The Factors of Medical Tourism’s Competitive Advantage in Asia. 45
2.4.1 Factors of Competitive Advantage in Leading Destinations. 45
2.4.2 Analysis of the Enabling Factors under the Diamond Framework. 49
2.5 Medical Tourism in Taiwan. 57
2.5.1 An Overview of Taiwan. 57
2.5.2 An Overlook of Taiwan’s Healthcare Industry. 59
2.5.3 Development and Current Status of Medical Tourism. 60
2.5.4 SWOT Analysis. 64
CHAPTER THREE RESEARCH DESIGN AND METHODOLOGY 74
3.1 Research Methodology. 74
3.2 Research Design. 75
3.3 Identifying the Enabling Factors Using the Diamond Framework. 76
3.4 AHP Implementation. 77
3.5 Questionnaire Design. 80
3.6 Sampling Plan and Data Collection. 81
3.7 Data Analysis and Procedure. 83
CHAPTER FOUR RESEARCH RESULTS 85
4.1 Descriptive Analysis. 85
4.2 Weight Analysis. 86
4.2.1 Weight Analysis Results for the Government Sector. 86
4.2.2 Weight Analysis Results for the Industry Sector. 88
4.3 Comparison of the Two Groups. 91
CHAPTER FIVE CONCLUSION AND SUGGESTIONS 95
5.1 Research Conclusions. 95
5.2 Research Discussion. 96
5.3 Managerial Implications and Recommendations. 99
5.3.1 Suggestions for the Healthcare Industry. 100
5.3.2 Suggestions for the Government Sector. 101
5.4 Research Limitations and Suggestions. 102
REFERENCES 104
APPENDICES 109
Appendix 1: Questionnaire (English Version) 109
Appendix 2: Questionnaire (Chinese Version) 116
Appendix 3: Dimension and Criteria Codes. 127
Appendix 4: The Priority Weights for Each of the 18 Participants 128
Appendix 5: The AHP Matrix for Each of the 18 Participants 129
參考文獻 REFERENCES
Anderson, G., Hussey, P., Frogner, B., & Waters, H. (2005). Health spending in the United States and the rest of the industrialized world. Health Affairs, 24(4), 903-914.
Balfour, F., Kripalani, M., Capell, K., & Cohn, L. (2004). Over the sea, then under the knife. Business Week, 77, 20-22.
Benavides, D. (2002). Trade policies and export of health services: A development perspective. WHO Publication.
Bies, W., & Zacharia, L. (2007). Medical tourism: outsourcing surgery. Mathematical and Computer Modelling, 46, 1144-1159
Bookman, M., & Bookman, K. (2007). Medical tourism in developing countries: Palgrave Macmillan New York.
Brady, C. (2007). Offshore gambling: medical outsourcing versus ERISA's fiduciary duty requirement. Wash. & Lee L. Rev., 64, 1073-1114.
Brouthers, K., & Brouthers, L. (1997). Explaining national competitive advantage for a small European country: A test of three competing models. International Business Review, 6(1), 53-70.
Burkett, L. (2007). Medical tourism - concerns, benefits, and the American legal perspective. Journal of Legal Medicine, 28(2), 223-245.
Caballero-Danell, S., & Mugomba, C. (2006). Medical tourism and its entrepreneurial opportunities-a conceptual framework for entry into the industry. School of Business, Economics and Law, Goteborg University
Chambers, D., & McIntosh, B. (2008). Using authenticity to achieve competitive advantage in medical tourism in the English-speaking Caribbean. Third World Quarterly, 29(5), 919-937.
Chiang, T. (1997). Taiwan's 1995 health care reform. Health policy, 39(3), 225-239.
Connell, J. (2006). Medical tourism: Sea, sun, sand and . . . surgery. Tourism Management, 27(6), 1093-1100.
Cortez, N. (2008a). International health care convergence: the benefits and burdens of market-driven standardization. Wisconsin. International Law Journal, 26, 646-704.
Cortez, N. (2008b). Patient without borders: The emerging global market for patients and the evolution of modern health care. Indiana Law Journal, 83, 71-131.
Crook, S. (2009). Medical tourism offers hope in global downturn. Taiwan Journal, XXVI, 1-2.
de Arellano, A. B. R. (2007). Patients without borders: The emergence of medical tourism. International Journal of Health Services, 37(1), 193-198.
Deloitte. (2008). Medical tourism: 2008 survey of health care consumers. (Missing information)
Deloitte. (2009). Medical tourism: Update and implications (Missing information)
Department of Health. (2009). An upgrade for health care services. Taiwan Health in the Global, 5, 6-31.
Department of Health, E. Y., Taiwan (2006). Statistic Retrieved April 22, 2010, from http://www.doh.gov.tw/cht2006/index_populace.aspx
Department of Investment Services. (2009). Six emerging industries. Retrieved. from http://investtaiwan.nat.gov.tw/matter/show_eng.jsp?ID=200.
Douglas, N., & Derrett, R. (2001). Special interest tourism. John Wiley and Sons, Australia, 330-354.
Executive Yuan. (2009). Six emerging industries to boost Taiwan's competitiveness. Retrieved. from (Date?) http://www.ey.gov.tw/ct.asp?xItem=55212&ctNode=1334&mp=1.
Forgione, D. A., & Smith, P. C. (2007). Medical tourism and its impact on the US health Care System. Journal Of Health Care Finance, 26(1), 137-141.
Fried, B. J., & Harris, D. M. (2007). Managing healthcare services in the global marketplace. Frontiers of Health Services Management, 24(2), 3-18.
Government of India. (2003). Beudget speech: union budget 2003-2004. National Informatics Centre. Retrieved May 23, 2010, from http://indiabudget.nic.in/ub2003-04/bs/speecha.htm
Gupta, A. S. (2004). Medical tourism and public health. People's Democracy, XXVIII, 1-3.
Harryono, M., Huang, Y. F., Miyazawa, K., & Sethaput, V. (2006). Thailand medical tourism cluster. Harvard Business School (vol. / pages)
Horowitz, M., & Rosensweig, J. (2007). Medical tourism--health care in the global economy. Physician executive, 33(6), 24-30.
Hsu, S.-M. (2008). Report on medical tourism, mid term report. Retrieved. from. (font size, missing info)
JCI. (2011). Joint Commission International (JCI) Accredited Organizations Retrieved January 2, 2009, from http://jointcommissioninternational.org/JCI-Accredited-Organizations/.
Lagiewski, R., & Myers, W. (2008). Medical Tourism: perspectives and applications for destination development. (Missing information)
Lee, C. (2007). Medical tourism, an emerging international business. Monash Business Review Retrieved October 20, 2010, from http://www.buseco.monash.edu.au/mbr/assets/issue-eight/final-medical-tourism.
Lee, C., & Spisto, M. (2007). Medical Tourism, the Future of Health Services. Retrieved October 5, 2010, from http://www.bm.nsysu.edu.tw/tutorial/iylu/12th%20ICIT/07-07
Lu, J., & Hsiao, W. (2003). Does universal health insurance make health care unaffordable? Lessons from Taiwan. Health Affairs, 22(3), 77-88.
MacIntosh, C. (2004). Medical Tourism: Need Surgery, Will Travel. CBS News Online, from http://www.medical-tourism-india.com/ (Retrived date?)
Mattoo, A., & Rathindran, R. (2005). Does health Insurance impede trade in health care services? World World Bank Policy Research Working Paper 3667.
McCallum, B., & Jacoby, P. (2007). Medical outsourcing: Reducing clients' health care risks. Journal of financcial planning-denver, 20(10), 60-69.
Medical Tourism Association. (2009). MTA releases first patient surveys on medical tourism. Retrieved Mar 5th, 2010, from http://www.medicaltourismmag.com/article/mta-releases.html
Ministry of Tourism. (2007). Incredible India Retrieved May 23, 2010, from http://www.incredibleindia.org/index.html
Ministry of Trade and Industry. (2003). Paper1:Developing Singapore as the compelling hub for healthcare services in Asia. Retrieved. from. (date? from?)
Murry, J. W., Jr., & Hammons, J. O. (1995). Delphi:A versatile medthodology for cunducting qualitative research. Review of Higher Education 18 (4), 423-436.
National Health Insurance. (2010). The survival rate of organ transplantation comparison between Taiwan and USA variation. Retrieved June, 7, 2010, from
Phuket Health and Tourism. (2010). Phuket health and tourism. Retrieved May 22, 2010, from http://www.phuket-health-travel.com/services.htm
Pope, J. (2007). The globalisation of medicine: The emerging market of medical tourists-estimates, challenges and prospects. (Missing information)
Porter, M. E. (1980). Competitive strategy: New York: Free Press.
Porter, M. E. (1990). The competitive advantage of nations. Harvard Business Review.
Saaty, T. (2008). Decision making with the analytic hierarchy process. International Journal of Services Sciences, 1(1), 83-98.
Singh, B. K., Stone, J., & Gelderen, M.V. (2009). Ageing of the population and opportunities in NZ Tourism. Massey University.
Smith, R. D., Chanda R.,Tangcharoensathien V. (2009). Trade in health-related services. 373, 593-601.
Tattara, G. (2010). Medical tourism and domestic population health. University of Venice "Ca' Foscari".
The China Post. (2010). ECFA will benefit Taiwan, China: Joint report. The China Post Retrieved Jun 20th, 2010, from http://www.chinapost.com.tw/taiwan/china-taiwan-relations/2010/01/21/241684/ECFA-will.htm
Tourism Authority of Thailand. (2010). Health tourism-the rising star: Strategies for success, Thailand as a center of excellent health of Asia. . Retrieved May 5, 2010, from http://www.tatnews.org/common/print.asp?id=1983
UNESCAP. (2007). Medical travel in Asia and the Pacific Bangkok,Thailand: United Nations Economic and Social Commission for Asia and the Pacific o. Document Number) (if no document number, remove it)
Vequist, D. G., Valdez, E. & Morrison, B. (2009, June 1). Medical tourism economic report: Latin America versus Asia, . Medical Tourism Magazine, 1-2. (vol. / page?)
Woodman, J. (2008). Patients beyond borders Taiwan edition: everybody's guide to affordable, world-class medical travel: Health Travel Media
World Economic Outlook Database. (2009). Retrieved June 8, from http://www.imf.org/external/pubs/ft/weo/2009/01/weodata/groups.htm
World Travel and Tourism Council. (2009). Progress and Priorities (Missing information)
Wu, M.-Y. (2009). Medical service internalization flagship project, final report Retrieved. from. (date? from?)
Yeh, P.-S. (2011). The study on the competitive advantages of the development of Taiwan's medical tourism based on Porter's diamond system. National Taipei University.


論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2016-07-29起公開。
  • 同意授權校外瀏覽/列印電子全文服務,於2016-07-29起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw