醫療院所科技化服務創新與組織能力關係之研究

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姓名

黃舒玄(Shu-hsuan Huang) 查詢紙本館藏

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資訊管理學系

論文名稱

醫療院所科技化服務創新與組織能力關係之研究
(The relationship of organizational capabilities and ICT-enabled service innovation in medical care industry)

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摘要(中)

現今醫療環境丕變，民眾對醫療服務有更高的期許，醫療服務業者在困難的健保醫療給付環境下，面臨更多經營上的挑戰。而隨著資訊應用基礎環境的成熟，應用資通訊科技(Information and Communication Technologies, ICT)為服務業提升附加價值已是各先進國家的重要產業發展方向之一，國內許多醫療院所也體認到持續不斷進行服務改善與創新的重要性，因此積極著手運用ICT進行服務改善與創新，為醫療服務的品質加分。而關於創新的能力，過去文獻多著墨於，與產品開發績效相關之組織能力，據此，本研究主要目的為透過了解國內醫院目前運用ICT於服務創新活動之現況，探討各種不同的組織能力對於醫療院所進行服務創新時的重要性，以及各種組織能力在過程中所扮演的角色。本研究屬探索性研究，採多重個案研究法，以深度訪談四家個案醫院為本研究最主要的資料來源。接著輔以次級資料之蒐集以進行三角驗證及分析。研究結果發現，不同的組織能力在服務創新過程中分別扮演不同的角色，而醫院整體能力水準愈高，其服務創新的成效將愈佳，且運用ICT所創新之服務會由於醫院分級之影響，能力相似但服務創新所專注的服務種類不相同。

摘要(英)

Due to the environment of health care changed, people thus have higher expectations toward health care service. Also, since the policies conducted by the Bureau of National Health Insurance are getting strict with controlling the medical expenditure, the health care service providers are facing more and more challenges nowadays. However, with the maturity of the information technology (IT), using the Information and Communication Technologies (ICT) to enhance the value of service has already become one of the most important directions of industry development for many developed countries. In Taiwan, numerous hospitals have also recognized the importance of keeping service improvement and innovation. Therefore, they actively embark on strengthening their service innovation based on the ICT, aiming to boost the quality of medical care. In regard of innovation, since most of the past literatures were focused on the organization capability that related to new product development performance, in this research, we stress on the real issues encountered by hospitals when they conduct the ICT in service innovation. This research looks into the importance of different organizational capabilities can incur different impacts on the effectiveness of service innovation. In addition, the roles of different organizational capabilities in the process of innovation are also discussed.
This research is an exploratory research rather than explanatory and reached the results based on the multi-case studies. The interviews with four hospitals were considered as the primary source of information. Then we collected the secondary data from related literatures as an attempt to conduct the triangular comparison and analysis. Based on our findings, we suggest that the more capability an organization obtains, the higher performance it can achieve. Furthermore, the effects of using the ICT approach can be various, depending on the level of hospital’s differentiation. In other words, two hospitals that have similar organizational capability may engage in different types of service innovation due to their level differentiation.

關鍵字(中)

★ 醫療照護
★ 服務創新
★ ICT
★ 組織能力

關鍵字(英)

★ ICT
★ Medical care
★ organizational capability
★ service innovating

論文目次

第一章緒論 1
1.1 研究背景與動機 1
1.2 研究目的 4
第二章文獻探討 5
2.1 醫療照護服務 5
2.2 服務創新 10
2.3 組織能力 26
第三章研究方法 43
3.1 研究設計 43
3.2 訪談設計 46
3.3 資料分析方式 49
第四章個案研究發現 51
4.1 LS醫院 51
4.2 WF醫院 59
4.3 BE醫院 69
4.4 YD醫院 73
第五章個案分析與研究發現 80
5.1 跨個案分析 80
5.1.1 個案醫院組織能力比較 80
5.1.2 個案醫院服務創新分類 88
5.1.3 服務創新與組織能力交叉分析 90
5.2 模型建立 93
第六章結論 94
6.1 研究結果 94
6.2 管理意涵 97
6.3 研究限制與未來研究建議 98
參考文獻 99

參考文獻

1.
Amit, R., & Schoemaker, P. J. H. (1993). Strategic assets and organizational rent. Strategic Management Journal, 14(1), 33-46.
2.
Ansoff, H. I., & Stewart, J. M. (1967). Strategies for a technology-based business. Harvard Business Review, 45(6), 71-83.
3.
Antonelli, C. (1996). Localised technological change, new information technology and the knowledge-based economy: The european evidence, mimeograph in the context of. TSER-Project on Inovation in Services,
4.
Barney, J. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17(1), 99.
5.
Barney, J. B. (1986). Strategic factor markets: Expectations, luck, and business strategy. Management Science, 32(10), 1231-1241.
6.
Barney, J. B. (1997). Gaining and sustaining competitive advantage Addison Wesley Longman.
7.
Barras, R. (1986). Towards a theory of innovation in services. Research Policy, 15(4), 161-173.
8.
Berry, L. L., & Bendapudi, N. (2007). Health care: A fertile field for service research. Journal of Service Research, 10(2), 111.
9.
Berry, L. L., Shankar, V., Parish, J. T., Cadwallader, S., & Dotzel, T. (2006). Creating new markets through service innovation. MIT Sloan Management Review, 47(2), 56-63.
10.
Booz, A. (1982). New product management for the 1980s. Booz, Allen and Hamilton Inc, New York,
11.
Brown, S. L., & Eisenhardt, K. M. (1995). Product development: Past research, present findings, and future directions. Academy of Management Review, 20(2), 343-378.
12.
Cohen, W. M., & Levinthal, D. A. (1990). Absorptive capacity: A new perspective on learning and innovation. Administrative Science Quarterly, 35(1)
13.
Damanpour, F. (1996). Organizational complexity and innovation: Developing and testing multiple contingency models. Management Science, 42(5), 693-716.
14.
Day, G. S. (1994). The capabilities of market-driven organizations. Journal of Marketing,58(4), 37-52.
15.
Dierickx, I., & Cool, K. (1989). Asset stock accumulation and sustainability of competitive advantage. Management Science, 35(12), 1504-1511.
16.
Dosi, G., & Marengo, L. (1994). Some elements of an evolutionary theory of organizational competences. Evolutionary Concepts in Contemporary Economics, , 157-178.
17.
Ducatel, K., & Miles, I. (1994). ``The diffusion of information technology in europe'. Employment and Technical Change in Europe, Edward Elgar, UK,
18.
Duncan, N. B. (1995). Capturing flexibility of information technology infrastructure: A study of resource characteristics and their measure. Journal of Management Information Systems, 12(2), 37-57.
19.
Fitzsimmons, J. A. (2001). Service management McGraw-Hill Boston.
20.
Gadrey, J., Gallouj, F., & Weinstein, O. (1995). New modes of innovation. International Journal of Service Industry Management, 6(3), 4-16.
21.
Gago, D., & Rubalcaba, L. (2007). Innovation and ICT in service firms: Towards a multidimensional approach for impact assessment. Journal of Evolutionary Economics, 17(1), 25-44.
22.
Gallouj, F., & Weinstein, O. (1997). Innovation in services. Research Policy, 26(4-5), 537-556.
23.
Grant Robert, M. (1998). Contemporary strategy analysis.
24.
Grant, R. M. (1996). Prospering in dynamically-competitive environments: Organizational capability as knowledge integration. Organization Science, 7(4), 375-387.
25.
Gronroos, C. (2000). Service management and marketing Wiley New York.
26.
Hawawini, G., Subramanian, V., & Verdin, P. (2003). Is performance driven by industry-or firm-specific factors? A new look at the evidence. Strategic Management Journal, 24(1), 1-16.
27.
Heany, D. F. (1983). Degrees of product innovation. Journal of Business Strategy, 3(4), 3-14.
28.
Henderson, R., & Cockburn, I. (1994). Measuring competence? exploring firm effects in pharmaceutical research. Strategic Management Journal, 15(8), 63-84.
29.
Herriott, R. E., & Firestone, W. A. (1983). Multisite qualitative policy research:Optimizing description and generalizability. Educational Researcher, 12(2), 14-19.
30.
Hill, C. W. L., & Jones, G. R. (2007). Strategic management: An integrated approach (7th ed.) Houghton Mifflin.
31.
Hunt, S. D., & Morgan, R. M. (1995). The comparative advantage theory of competition. Journal of Marketing, 59(2), 1-15.
32.
Ikujiro, N. (1991). The knowledge-creating company. Harvard Business Review, 69(6), 96-104.
33.
Johne, A., & Storey, C. (1998). New service development: A review of the literature and annotated bibliography. European Journal of Marketing, 32(3), 184-251.
34.
Johnson, S. P., Menor, L. J., Roth, A. V., & Chase, R. B. (2000). A critical evaluation of the new service development process: Integrating service innovation and service design. New Service Development: Creating a Memorable Experience, Sage Publications, Sage Publications, Thousands Oaks, CA,
35.
Johnston, R. (1999). Service operations management: Return to roots. International Journal of Operations & Production Management, 19(2), 104-124.
36.
Keen, P. G. W. (1991). Shaping the future: Business design through information technology Harvard Business School Press Boston, MA, USA.
37.
Kelly, D., & Storey, C. (2000). New service development: Initiation strategies. International Journal of Service Industry Management, 11(1), 45-63.
38.
Kim, W. C., & Mauborgne, R. (1997). Value innovation: The strategic logic of high growth. Harvard Business Review, 75(1), 102-112.
39.
Kimberly, J. R., & Evanisko, M. J. (1981). Organizational innovation: The influence of individual, organizational, and contextual factors on hospital adoption of technological and administrative innovations. Academy of Management Journal.Academy of Management, 24(4), 689-713.
40.
Kusunoki, K., Nonaka, I., & Nagata, A. (1998). Organizational capabilities in product development of japanese firms: A conceptual framework and empirical findings. Organization Science, 9(6), 699-718.
41.
Landauer, T. K. (1995). The trouble with computers: Usefulness, usability, and productivity MIT Press.42.
Lawson, B., & Samson, D. (2001). Developing innovation capability in organisations: A dynamic capabilities approach. International Journal of Innovation Management, 5(3), 377-400.
43.
Leonard-Barton, D. (1995). Wellsprings of knowledge: Building and sustaining the sources of innovation Harvard Business School Press.
44.
Licht, G., & Moch, D. (1999). Innovation and information technology in services. Canadian Journal of Economics, 32(2), 363-383.
45.
Lovelock, C. H., & Wirtz, J. (2007). Services marketing: People, technology, strategy Upper Saddle River, NJ: Pearson/Prentice Hall.
46.
Marsh, S. J., & Stock, G. N. (2003). Building dynamic capabilities in new product development through intertemporal integration. Journal of Product Innovation Management, 20(2), 136-148.
47.
Mata, F. J., Fuerst, W. L., & Barney, J. B. (1995). Information technology and sustained competitive advantage: A resource-based analysis. MIS Quarterly, 19(4), 487-505.
48.
McDonald, R. E., & Srinivasan, N. (2004). Technological innovations in hospitals: What kind of competitive advantage does adoption lead to? International Journal of Technology Management, 28(1), 103-117.
49.
McKenney, J. L., Copeland, D. C., & Mason, R. O. (1995). Waves of change: Business evolution through information technology Harvard Business School Press.
50.
Menor, L. J., Tatikonda, M. V., & Sampson, S. E. (2002). New service development: Areas for exploitation and exploration. Journal of Operations Management, 20(2), 135-157.
51.
Metcalfe, J. S., & Miles, I. (2000). Innovation systems in the service economy: Measurement and case study analysis Kluwer Academic Publishers.
52.
Moorman, C., & Rust, R. T. (1999). The role of marketing. Journal of Marketing, 63(4), 180-197.
53.
Penrose, E. T. (1959). The theory of the growth of the firm Oxford University Press, USA.
54.
Pisano, G. P. (1994). Knowledge, integration, and the locus of learning: An empirical analysis of process development. Strategic Management Journal, 15(8), 61-78.
55.
Prahalad, C. K., & Hamel, G. (1990). The core competence of the corporation. HarvardBusiness Review, 68(3), 79-91.
56.
Reed, R., & DeFillippi, R. J. (1995). Casual ambiguity, barriers to imitation, and sustainable competency-based advantage. Academic Management Review, 15(1), 88-102.
57.
Roach, S. S. (1987). America's technology dilemma: A profile of the information economy. Morgan Stanley Special Economic Study,
58.
Rockart, J. F., Earl, M. J., & Ross, J. W. (1996). Eight imperatives for the new IT organization. Sloan Management Review, 38(1), 43-55.
59.
Rubalcaba-Bermejo, L. (1999). Business services in european industry: Growth, employment and competitiveness Luxembourg: Office for Official Publications of the European Communities; Lanham, Md.: Bernan Associates [distributor].
60.
Sabath, R. E., Autry, C. W., & Daugherty, P. J. (2001). Automatic replenishment programs: The impact of organizational structure. Journal of Business Logistics, 22(1), 91-105.
61.
Shostack, G. L. (1984). Designing services that deliver. Harvard Business Review, 62(1), 133-139.
62.
Shostack, G. L. (1987). Service positioning through structural change. Journal of Marketing, 51(1), 34-43.
63.
Stock, G. N., Greis, N. P., & Fischer, W. A. (2001). Absorptive capacity and new product development. Journal of High Technology Management Research, 12(1), 77-91.
64.
Sundbo, J. (1997). Management of innovation in services. The Service Industries Journal, 17(3), 432-455.
65.
Tax, S. S., & Stuart, I. (1997). Designing and implementing new services: The challenges of integrating service systems. Journal of Retailing, 73(1), 105-134.
66.
Teece, D., & Pisano, G. (1994). The dynamic capabilities of firms: An introduction. Industrial and Corporate Change, 3(3), 537-556.
67.
Teece, D. J., Pisano, G., & Shuen, A. (1997). DYNAMIC CAPABILITIES AND STRATEGIC MANAGEMENT. Strategic Management Journal, 18(7), 509-533.
68.
Tether, B. (2003). The sources and aims of innovation in services: Variety between and within sectors. Economics of Innovation and New Technology, 12(6), 481-505.
69.
van Ark, B., Broersma, L., & den Hertog, P. (2003). Services innovation, performanceand policy: A review. Synthesis Report in the Framework of the Project on Structural Information Provision on Innovation in Services (SIID) for the Ministry of Economic Affairs of the Netherlands, University of Groningen and DIALOGIC,
70.
Venkatraman, N. (1991). IT-induced business reconfiguration. The Corporation of the 1990s: Information Technology and Organizational Transformation, , 122-158.
71.
Verona, G. (1999). A resource-based view of product development. The Academy of Management Review, 24(1), 132-142.
72.
Von Hippel, E., & Tyre, M. J. (1994). How learning by doing is done: Problem identification in novel process equipment." forthcoming in research policy.
73.
Wernerfelt, B. (1984). A resource-based view of the firm. Strategic Management Journal, 5(2), 171-180.
74.
Wood, P. (2002). Consultancy and innovation: The business service revolution in europe Routledge.
75.
Yin, R. K. (2003). Case study research: Design and methods Sage Publications Inc.
76.
Zeithaml, V. A., & Bitner, M. J. (2000). Services marketing Irwin/McGraw-Hill Boston.
中文文獻
77.
方世榮、江季芸等人(民92). 服務行銷: 人員, 科技及策略, 華泰書局2003年版.
78.
王敏容、王如萱、王佳惠、郭乃文等人(民94). 市場競爭程度對醫院開發自費醫療服務之影響. 北市醫學雜誌, 2(10), 895-906.
79.
翁瑞宏、邱柏松、黃金安等人(民95). 市場與組織因素對醫院技術創新多元性之影響. 臺灣公共衛生雜誌, 25(5), 372-383.
80.
陳楚杰(民84). 醫院組織與管理宏翰臺北市.
網站資料：
81.
科技產業資訊室，民97，取自：http://cdnet.stpi.org.tw/techroom.htm
82.
數位時代，民96，取自：http://www.bnext.com.tw/StoreView_93
83.
健康夢土，民94，取自：http://wireless.hl.gov.tw/
84.
SkypeBiz企業服務，民96，取自：http://skypebiz.pchome.com.tw/recommendation_23.htm85.
DIGITIMES科技網，民95，取自：http://app.digitimes.com.tw/ShowNews.aspx?zCatId=164&zNotesDocId=15CCFD93255C10124825717200464
86.
壹蘋果網路，民97，取自：http://1-apple.com.tw/index.cfm?Fuseaction=Article&Sec_ID=4&ShowDate=20080515&IssueID=20080515&art_id=30553912&NewsType=1&SubSec=72

指導教授

粟四維(Wesley Shu)

審核日期

2008-7-17

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