Analysis of Network Type Exchange in the Health Care System: A Stakeholder Approach

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• 作者：Wen-Hui Yang (1) whyang@mail.cmu.edu.tw
  Jer-San Hu (2) 074986@mail.fju.edu.tw
  Ya-Yen Chou (3) maggie@cc.feu.edu.tw
• 关键词：Network organization – ; Health care system – ; Network connectedness – ; Stakeholder analysis – ; Qualitative method
• 刊名：Journal of Medical Systems
• 出版年：2012
• 出版时间：June 2012
• 年：2012
• 卷：36
• 期：3
• 页码：1569-1581
• 全文大小：217.2 KB
• 参考文献：1. Hsu, S. F., Yang, Y. L., and Chen, H. C., Social dilemma? An equilibrium analysis of providers’ strategies under global budget. J. Manage. 24(2):155–166, 2007.
  2. Wu, H. L., A look into medical and economic controls: From health insurance disputes. Econ. Outlook Bimonthly 46–56, 2008.
  3. Wang, H. L., Kwan, A. L., Hsiao, Y. C., and Huang, J. Y., The study of the attitude toward medicine practice by physician: Managers performed hospital global budget system in Taiwan. J. Healthc. Manag. 8(4):317–337, 2007.
  4. Huang, K. C., Cheng, Y. H., Chang, H. C., Cheng, W. J., Wen, H. C., and Chiu, C. H., Adaptation strategies of hospitals under the global budget system. Taiwan Journal of Public Health 26(40):283–291, 2007.
  5. Gillies, R. R., Shortell, S. M., Anderson, D. A., Mitchell, J. B., and Morgan, K. L., Conceptualizing and measuring integration: Finding from the health systems integration study. J. Healthc. Manag. 38(4):467, 1993.
  6. Wu, C. Q., and Yeh, S. C. J., The current situation and review of National Health Insurance. Taiwan Medical Journal 44(5):55, 2001.
  7. Achrol, R. S., Changes in the theory of interorganizationl relations in marketing: Toward a network paradigm. J. Acad. Mark. Sci. 25(1):56–71, 1997.
  8. Shortell, S. M., Remaking health care in America: the evolution of organized delivery systems, 2nd edition. Jossey-Bass, San Francisco, 2000.
  9. Satinsky, M. A., The foundations of integrated care: facing the challenges. American Hospital Publishing, 1998.
  10. Lin, B. Y. J., Lin, Y. K., and Lin, C. C., Partnership effectiveness in primary community care networks (PCCNs): A National empirical analysis of partners' coordination infrastructure designs. Health Care Manage. Rev. 35(3):224–234, 2010.
  11. Lin, B. Y. J., and Wan, T. T. H., Creating value for health care organizations: a guide toward successful integrated care. Yeh Yeh Book Gallery, Taipei, 2003.
  12. Chang, L. Y., Medicine and sociology. Ju-Liu, Taipei, 2003.
  13. Persson, S. G., and Steinby, C., Networks in a protected business context: Licenses as restraints and facilitators. Ind. Mark. Manage. 35:870–880, 2006.
  14. Lu, R. J. F., and Shieh, C. R., Health economics. Proedp, Taipei, 2000.
  15. Kotler, P., and Clarke, P. N., Marketing for health care organizations. Prentice-Hall, Englewood Cliffs, 1987.
  16. Salmi, A., Entry into turbulent business networks. The case of a Western company in the Estonian market. Eur. J. Mark. 34(11/1):1374–1390, 2000.
  17. Mattsson, L. G., Industrial marketing. The network perspective. In: Backhaus, K., and Voeth, M. (Eds.), Handbuch Industrieg眉termarketing. Gabler Verlag, M眉nchen, 2004.
  18. Ritter, T., A framework for analyzing interconnectedness of relationships. Ind. Mark. Manage. 29:317–326, 2000.
  19. Anderson, J. C., H氓kansson, H., and Johanson, J., Dyadic business relationships within a business network context. J. Mark. 58:1–15, 1994.
  20. Hu, J. S., and Tsai, Y. F., Paradigms of exchange value effect in market network. Ind. Mark. Manage. 36:636–650, 2007.
  21. Morgan, R. M., and Hunt, S. D., The commitment-trust theory of relationship marketing. J. Mark. 58:20–38, 1994.
  22. Savage, G. T., Taylor, R. L., Rotarius, T. M., and Buesseler, J. A., Governance of integrated delivery systems/networks: A stakeholder approach. Health Care Manag. Rev. 22(1):7–20, 1997.
  23. Yin, R. K., Case study research: design and methods, 3rd edition. Sage, Thousand Oaks, 2003.
  24. Hu, J. S., Marketing challenges in future business environment. 2002 Enterprise Knowledge Management and Innovation Conference. Knowledge Economy Association in Taiwan, 2002.
  25. Gupta, S., Polonsky, M., Woodside, A., and Webster, C. M., The impact of external forces on cartel network dynamics: Direct research in the diamond industry. Ind. Mark. Manage. 39:202–210, 2010.
  26. Johnston, W. J., Lewin, E., and Spekman, R. E., International industrial marketing interactions: Dyadic and network perspective. J. Bus. Res. 46:259–271, 1999.
  27. Ritter, T., and Gemunden, H. G., Interorganizational relationships and networks: An overview. J. Bus. Res. 56:691–697, 2003.
  28. Lenney, P., and Easton, G., Actors, resources, activities and commitments. Ind. Mark. Manage. 38:553–561, 2009.
  29. Johnston, W. J., Peters, L. D., and Gassenheimer, J., Questions about network dynamics: Characteristics, structures, and interactions. J. Bus. Res. 59:945–954, 2006.
  30. Hu, J. S., Yang, W. H., and Chou, Y. Y., Classifying healthcare network relationships: An analysis with recommendations for managers. Int. J. Manag. 23(4):665–678, 2006.
  31. Gonul, F., Carter, F., Petrova, E., and Srinivasan, K., Promotion of prescription drugs and its impact on physicians choice behavior. J. Mark. 65:79–90, 2001.
  32. Manchanda, P., and Chintagunta, P. K., Responsiveness of physician prescription behaviour to salesforce effort: An individual level analysis. Mark. Lett. 15(2–3):129–145, 2004.
  33. Singh, R., Network connectedness of pharmaceutical sales rep (FLE)-physician dyad and physician prescription behavior: A conceptual model. J. Med. Marketing 8(3):257–268, 2008.
  34. Liu, I. C., Chen, D. Y., Hsiao, N. Y., and Lin, C. Y., The application of network analysis in the concept of stakeholders: A case study of national health insurance policy reform in Taiwan. Taiwanese Journal of Social Welfare 4(1):95–130, 2005.
  35. Dymond, S., Nix, W. T., Rotarius, M. T., and Savage, T. G., Why do key integrated delivery stakeholder really matter? Assessing control, coalitions, resources and power. Med. Group Manage. J. 42(6):26–38, 1995.
  36. Vandekerckhove, W., and Dentchev, A. N., A network perspective on stakeholder management: Facilitating entrepreneurs in the discovery of opportunities. J. Bus. Ethics 60:221–232, 2005.
  37. Pestoff, V. A., Control and multi-stakeholder organizational. In: Aldershot UK, Brookfield Vt (Eds.), Beyond the Market and State: Social Enterprises and Civil Democracy in a Welfare Society. Sydney: Ashgate, 106–127, 1998.
  38. Preble, J. F., Toward a comprehensive model of stakeholder management. Bus. Soc. Rev. 110(4):407–431, 2005.
  39. Greenley, G. E., Hooley, G. J., and Rudd, J. M., Market orientation in a multiple stakeholder orientation context: Implications for marketing capabilities and assets. J. Bus. Res. 58:1483–1494, 2005.
  40. Neuman, W. L., Social research methods: qualitative and quantitative approaches, 5th edition. Allyn and Bacon, Boston, 2002.
• 作者单位：1. Department of Health Services Administration, China Medical University, No.91 Hsueh-Shih Road, Taichung, 40402 Taiwan2. Department of Business Administration, Fu Jen Catholic University, Taipei County, Taiwan3. Department of Marketing and Logistics Management, Far East University, Tainan County, Taiwan
• 刊物类别：Mathematics and Statistics
• 刊物主题：Statistics
  Statistics for Life Sciences, Medicine and Health Sciences
  Health Informatics and Administration
  
• 出版者：Springer Netherlands
• ISSN：1573-689X

文摘

The present study aims to offer a different perspective of network systems using the health care system in Taiwan as an example. By establishing a paradigm that conforms to the reality of the health care system, this study expects to develop a correct analysis approach. The study applies the stakeholder analysis approach and performs the sampling according to the principles of the qualitative method. The main findings include (1) The health care system is a regulated network type exchange system, in which a third party affects all exchanges among stakeholders; (2) under mutual intervention of interests, stakeholders pursue common interests in appearance but individual interests in reality; (3) the intervening impacts on stakeholder interests come from a common source, which dominates the operating and dynamics of the entire system.