基層醫療院所採用第三方醫療器材電子市集採購關鍵影響因素分析研究

Identifying Critical Affecting Factors in the Adoption of Medical Device E-Procurement in Primary Health Care Institutions

我國地區醫院以及基層診所通路，在全民健保控制預算政策壓力下，很難提昇醫材、藥品的健保給付價格，還得面臨國家健保政策變動的巨大壓力。整體產業唯一能夠調整的便是重新設計銷售與配送機制，利用資訊科技與資訊系統來創造新的商機擴大銷售通路規模，降低人力銷售模式所產生的成本。因此如何開發運用第三方醫療器材電子交易市集，協助基層醫療院所提昇營運績效，加強整體產業競爭力成為產業的轉型契機，已成為一個重要的研究課題。本研究嘗試從地區醫院及基層診所的角度，去探討分析地區醫院及基層診所採用第三方醫療器材電子市集採購的關鍵影響因素。透過文獻回顧以及經過醫藥產業界專家之意見整合，歸納出六大構面二十項準則，以修正式德爾菲法問卷與AHP問卷共計28份有效問卷進行樣本結構分析、敘述性統計分析、信度分析、AHP權重運算分析等程序。實證結果發現，目前所受訪的基層醫療院所，最在意的是物流服務品質構面與電子交易市集系統使用性構面。而在其兩大構面之準則方面，則以準時交貨、價格的快速反應能力、出貨配送頻率、功能完整的下單系統、網頁內能清楚地說明產品規格內容及價格等五項準則最為受訪者所重視。顯見未來若有業者有意發展第三方醫療器材電子交易市集，得縝密規劃物流配送系統與電子交易平台的設計，此兩大構面之重要性最受重視。

Under the pressure of the National Health Insurance cost containment policy, it is very difficult for Taiwan’s district hospitals and primary care clinics to raise the NHI payment for the medical equipment and medicine. In order to create new business opportunities, expand the scale of sales channels, and reduce selling costs, the only solution is to take advantage of the information technology and system to redesign the sales and distribution mechanism. Therefore, it is a very important research topic about how to develop the third-party medical equipment e-marketplace, how to help primary care clinics improve operating performance, and enhance the entire industry’s competitiveness. This study attempts to explore the key factors influencing on the intentions of the district hospitals and primary care clinics to adopt the third-party medical equipment e-marketplace. A total of 28 valid questionnaires from modified Delphi method and analytic hierarchy process theory (AHP) are verified by samplestructure analysis, descriptive statistics analysis, reliability analysis, and analytic hierarchy process. The empirical results are as follows. Through literature review andthe opinions from the experts of the medical and pharmaceuticalindustry, this study concluded 6 dimensions and 20 criteria. It is found that the respondents are most concerned about the logistics service quality dimension and e-marketplace system dimension. From the criteria of these two dimensions, the following 5 criteria are considered most important by the respondents: (1) on-time delivery, (2) rapid response capability for prices, (3) delivery frequency, (4) full-featured ordering system, and (5) detailed and clear web pages for the product specifications and price.