醫療策略聯盟群間競合關係之研究－－以中部地區某兩策略聯盟群為例

The Study of Co-opetition between two Hospital Strategic Alliances in Mid-Taiwan area

本文爲聯盟層次之研究，目的在藉由以台灣中部地區的某兩醫療策略聯盟群的網絡型態現況分析、結構分析及優勢分析，並討論這兩策略聯盟群的群間競合互動關係在現階段的概況。本文是以聯盟群整體或網絡視爲一體而成的分析單位，經由對兩群中的主要醫院的實際參與及負責的經理人進行深度訪談，結果發現（一）群的型態差異大：一是成放射狀組織，二則是成網狀組織；（二）形成網絡的策略意含不同：一主要是取得互補性資源，二主要是擴大市場佔有率；（三）兩群的聯盟治理機制相似，都是由網絡中心醫院的決策小組負責聯盟管理、協調、分配資源的工作，且都未成立各醫院代表的聯盟管理委員會；（四）聯盟群的優勢，一是表現在彼此互補性上，二是表現在識別標示（品牌）上。另外對於兩群間的競合關係，在現階段並不明顯，沒有明顯作爲可視爲聯盟群內的各家醫院有出現協同一致對外的競爭或以群的方式進行合作的行爲。本文可以作爲未來在醫療策略管理探討聯盟群的經營實務及供學術研究參考。

The paper is a study of co-opetition at Alliance level. For the purpose of analysis of two healthcare strategic networks’ co-opetitive relationship and their network typologies, structural and advantages. This article focuses on the unit of analysis at alliancelevel, and analyzes the content of interviews with the major executive managers of these two alliances. There are several findings as follows : first of all, different typologies between them : one is radius and axis networks, the other is nodal-linked networks; the second, different goals between them, one is for accessing the compensatory resources and the other is for increasing market share; the third, networks governance are similar between them : govern by decision-making teams in the central hospitals without establishing representative committee; finally, differences in group-based advantages. And, in this stage of network competition, the co-opetition phenomena between these two groups at network-level didn't emerge in the research.