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研究生:翁瑞宏
研究生(外文):Rhay-Hung Weng
論文名稱:以知識基礎觀點探討聯盟網絡多元性對醫院組織創新之影響
論文名稱(外文):Using Knowledge-Based View to Explore the Impact of Alliance Network Diversity on Organizational Innovation in Hospitals
指導教授:邱柏松邱柏松引用關係
學位類別:博士
校院名稱:國立中正大學
系所名稱:企業管理所
學門:商業及管理學門
學類:企業管理學類
論文種類:學術論文
論文出版年:2006
畢業學年度:94
語文別:中文
論文頁數:141
中文關鍵詞:醫院管理知識基礎觀點組織創新網絡多元性策略聯盟
外文關鍵詞:Hospital ManagementKnowledge-Based ViewOrganizational InnovationNetwork DiversityStrategic Alliance
相關次數:
  • 被引用被引用:14
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  • 下載下載:365
  • 收藏至我的研究室書目清單書目收藏:5
對醫院來說,其正處於一個具高度競爭性的知識基礎經濟市場內,在這樣的經營環境下,醫院唯有有效整合各種專業知識、積極進行組織創新,才能有效增強其競爭優勢。此外,近來策略聯盟已成為釵h醫院所經常利用的策略性工具,隨著策略聯盟日趨盛行,醫院的聯盟網絡亦趨多元,因此本研究試圖針對醫院所具有的聯盟網絡多元性,對其組織創新的影響進行深入的探討,而本研究認為這樣的影響性,應是透過聯盟網絡所產生的知識利益與限制所造成,因此乃採用知識基礎觀點來進行探討。

透過知識基礎觀點,本研究共發展出組織間關係知識庫(以下統稱IOR知識庫)、潛在性吸收能力、實現性吸收能力與外部知識獲取等四項研究構念,而針對上述構念,共推導出八大項研究假設。在實證的部份,乃以郵寄問卷的方式,針對460家地區醫院級以上醫院之高階主管或聯盟管理者進行問卷調查,有效問卷回收率為35.45%,扣除掉24家未參與聯盟的醫院,共得138家樣本資料。在檢驗樣本資料之代表性後,本研究進一步以驗證性因素分析來檢驗研究構念的建構效度,以及採用階層迴歸來進行研究假設的驗證。

研究結果發現,醫院策略聯盟網絡的發展確實已相當多元化,聯盟夥伴數平均有21.42個,而平均夥伴產業類別數與地區類別數則分別為4.93與3.75。而階層迴歸分析結果顯示,聯盟網絡多元性對醫院組織創新確實有顯著的倒U型關係,除直接性影響外,其亦會透過外部知識獲取的部份中介來影響組織創新。此外,潛在性吸收能力與IOR知識庫在聯盟網絡多元性對外部知識獲取的影響路徑上,乃具有完全中介的效果,而非調節效果。至於實現性吸收能力,結果發現實現吸收能力在外部知識獲取對組織創新的影響路徑上,亦扮演中介性的角色。而本研究另發現醫院自聯盟網絡所進行的外部知識獲取,對於醫院管理創新的強化較具有影響力,在提昇技術創新程度上的影響性則較有限。

綜合上述研究結果,本研究證實聯盟網絡多元性,確實會透過各種直接性以及間接性的路徑,來影響醫院的組織創新表現,而管理者與研究者在探討如何透過聯盟網絡多元性來提升組織創新的表現時,知識基礎觀點確實為重要的理論邏輯。
Hospitals have existed in highly competitive market based on knowledge economy. Under this business environment, hospitals should integrate several kinds of specialties efficiently and drive organizational innovation aggressively to enhance competitive advantage. More recently, strategic alliances have been frequently employed by hospitals as strategic tools. With the increasing usage of strategic alliances, alliance networks of hospitals have become more diverse. Therefore, we attempted to address the impact of alliance network diversity on organizational innovation. Since we argued the influence of alliance diversity would originate from knowledge benefits and limits, we hence adopted knowledge-based view (KBV) to analyze it.

Four research constructs generated by the knowledge-based view included inter-organization relationship knowledge store (IOR knowledge store), potential absorptive capability (PACAP), realized absorptive capability (RACAP), and external knowledge acquisition. Based on these constructs, we built up eight research hypotheses. The self-administered mail survey was employed to collect data. Questionnaires were mailed to 460 hospitals accredited as district hospitals and above. The informants were the top managers or alliance managers of these hospitals. The overall valid response rate was 35.45%. We finally obtained 138 samples excluding hospitals not joining any alliance. After testing sample representativeness, we adopted confirmatory factor analysis to test the construct validity of each research construct and hierarchical multiple regression to test our hypotheses.

Our findings indicated alliance networks of hospitals actually appeared diverse; the number of partners, unique local partners, and unique industries of partners were 21.24, 4.93, and 3.75. Alliance network diversity would affect organizational innovation directly, and the relationship between these two constructs exhibited an inverse-U curve. External knowledge acquisition would partially mediate this relationship in addition to direct effect. Further, PACAP and IOR knowledge store would fully mediate the relationship between alliance network diversity and external knowledge acquisition. RACAP would also play the mediating role in explaining the influence of external knowledge acquisition on organizational innovation. There was one other thing that is important for us. We found that the impact of knowledge gathered by hospitals from alliance networks on management innovation is greater than technological innovation.

According to the above research findings, we testified that alliance network diversity would direct and indirect affect organizational innovation of the hospital. Besides, KBV actually was a vital theoretical logic while managers and researchers discussed how to enhance organizational innovation by alliance network diversity.
圖 目 錄 viii
表 目 錄 ix
附 錄 目 錄 x
第一章 緒論 1
第一節 研究背景與動機 1
第二節 預期研究貢獻 3
第三節 研究目的 4
第二章 文獻回顧 5
第一節 組織創新 5
壹、 組織創新的定義 5
貳、 組織創新的類別 8
參、 醫院組織創新的內涵 9
肆、 小結 10
第二節 不同理論觀點對策略聯盟的探討 11
壹、 聯盟形成 11
貳、 聯盟管理結構 13
參、 聯盟績效 15
肆、 小結 20
第三節 聯盟網絡多元性 20
壹、 網絡理論 21
貳、 網絡理論下的策略聯盟 25
參、 聯盟網絡多元性的本質與重要性 27
肆、 小結 29
第四節 知識基礎觀點 30
壹、 知識的定義與類別 30
貳、 知識基礎觀點的源起與核心概念 33
參、 知識基礎觀點下的策略聯盟 34
肆、 小結 37
第五節 吸收能力 37
第六節 組織間關係知識庫 40
第三章 研究方法 43
第一節 研究假設 43
壹、 聯盟網絡多元性對醫院組織創新的直接效果 43
貳、 外部知識獲取的中介效果 44
參、 聯盟網絡多元性對外部知識獲取的直接效果 44
肆、 外部知識獲取對醫院組織創新的直接效果 46
伍、 吸收能力的調節效果 47
陸、 組織間關係知識庫的調節效果 49
第二節 研究架構 51
第三節 研究樣本與資料收集 51
第四節 研究構念之定義與衡量 53
壹、 聯盟網絡多元性 53
貳、 醫院組織創新 55
參、 外部知識獲取 56
肆、 吸收能力 57
伍、 組織間關係知識庫 58
第五節 問卷效度與信度 59
第六節 控制變數 59
第七節 分析方法 63
第四章 研究結果 65
第一節 樣本特性 65
第二節 研究構念之測量模式 68
壹、 吸收能力之測量模式 68
貳、 組織間關係知識庫之測量模式 70
參、 組織創新之測量模式 72
肆、 整體研究構念之測量模式 74
第三節 階層迴歸分析結果 80
壹、 外部知識獲取之分析結果 80
貳、 組織創新之分析結果 81
第五章 討論 94
第一節 醫院之策略聯盟網絡現況 94
第二節 聯盟網絡多元性對組織創新的影響 95
第三節 吸收能力與組織間關係知識庫的調節性角色 96
第四節 整體研究模式之修正 98
第六章 結論與建議 100
第一節 結論 100
第二節 實務意涵與建議 101
第三節 理論意涵與貢獻 103
第四節 研究限制與未來研究建議 104
參考文獻 106
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