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研究生:沈玉文
研究生(外文):Yu-Wen Shen
論文名稱:醫療策略聯盟知識分享效果之研究:知識統治觀點
論文名稱(外文):A Study on the Knowledge Sharing of a Medical Alliance: Knowledge Governance Approach
指導教授:李雨師李雨師引用關係吳文傑吳文傑引用關係
指導教授(外文):Yu-Shin LeeWen-Sju Wu
學位類別:碩士
校院名稱:中原大學
系所名稱:企業管理研究所
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:2016
畢業學年度:104
語文別:中文
論文頁數:51
中文關鍵詞:知識分享、知識管理機制、策略聯盟
外文關鍵詞:Knowledge sharingknowledge management mechanismstrategic alliance
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面對環境快速變遷的時代,知識已成為企業重要競爭力來源。就醫療產業而言,當醫療機構所處的外在環境發生巨大變化時,會以建立策略聯盟尋求跨組織的合作關係,希望透過與聯盟成員在資源、知識、管理作為等方面所產生的互補或綜效,來強化自身的競爭優勢。
本研究主要在探討醫院聯盟組織間所分享各類型知識,透過不同的分享管道或管理機制的介入,所得到的知識分享效果之差異。採用質性研究之個案研究法,選擇跨組織醫療機構聯盟作為研究對象,以聯盟組織間的知識分享事件進行深入訪談,並歸納提出九個研究命題。研究結果得知:(1)聯盟成員針對不同知識類型,在選擇知識分享管道時,主要受到時間急迫程度、可即時回饋、可建立共識、資料完整程度與可個人化等五個因素影響,且不同知識類型所考量因素也有所不同。(2)互動式學習、學習意圖知識管理機制,促使知識透明程度具可近性;網絡互動與信任關係知識管理機制,促使知識透明程度具相關性。(3)在知識分享管道與管理機制互相作用下,所得到知識分享效果可產生綜效,且因知識分享管道、管理機制與知識透明程度三者間的良性循環,促使聯盟成員彼此存在互惠、互信關係,促使聯盟間的知識分享效果發揮極大的效用。


In the era of fast changing environment, knowledge has become the important source of competitive capacity for the enterprise. In the medical industry, whenever the immense change has arisen in the external environment of the medical institute, developing a strategic alliance is a usual way to seek partnership among organizations. Through the complementation or synergy brought by the resource, knowledge, management, etc. from the alliance members, hope to strengthen the competitive advantage for oneself.
This study focused on the differences among knowledge sharing results when various types of knowledge were shared among the hospital alliance parties through different channels or intervention of management mechanisms. Case study of qualitative research method was used in the study. Inter-organization medical alliances were selected as the study objects. In-depth interview on knowledge sharing events were carried out among alliance parties, and summed up with nine research propositions. The results showed (1) Time urgency, prompt feedback, developing consensus, data integrity and personalization were the five factors that alliance members mostly concerned when choosing the knowledge sharing channels for various knowledge types. Different considerations also applied to different knowledge types. (2) Interactive learning and learning intention knowledge management mechanism promoted accessibility of knowledge transparency. Network interactions and trust relationships knowledge management mechanism made knowledge transparency become relevant. (3) Under the interaction of knowledge sharing channels and management mechanisms, knowledge sharing may generate synergy. The virtuous circle of knowledge sharing channels, management mechanisms and knowledge transparency helped alliance members to develop reciprocal and trusting relationships, greatly enhanced the effectiveness of knowledge sharing among the alliances.


目 錄
摘 要…………………………………………………………………………………………………..….I
Abstract………………………………………………………………………………………………......II
誌 謝…………………………………………………………………………………………………....III
目 錄…………………………………………………………………………………………………....IV
圖目錄……………………………………………………………………………………………………VI
表目錄…………………………………………………………………………………………………..VII
第一章 緒論 1
第一節 研究背景 1
第二節 研究動機與問題 2
第三節 研究流程 3
第二章 文獻回顧 4
第一節 知識類型 4
第二節 知識分享管道 5
第三節 知識管理機制 6
第四節 知識透明程度 7
第五節 文獻意涵 8
第三章 研究設計與方法 10
第一節 研究方法 10
第二節 個案選取 10
第三節 資料收集 10
第四章 個案分析 13
第一節 個案介紹 13
第二節 概念意涵 15
第三節 個案事件說明 16
第四節 個案知識分享事件譯碼與分析 23
第五節 研究發現與命題 29
第五章 結論與建議 34
第一節 研究結論 34
第二節 理論意涵 35
第三節 實務意涵 37
第四節 研究限制與未來研究建議 38
參考文獻 40
一、中文部份 40
二、英文部份 40
附錄………………………………………………………………………………………………………………………………………………44
附錄一、訪談題綱………………………………………………………………………………………………………………….44

圖目錄
圖1 研究流程圖……………………………………………………………………3
圖2初步觀念性架構圖……………….………………..…………………………..9
圖3聯盟組織架構圖……………………………………………………………...13
圖4觀念性架構圖(知識分享路徑圖)…………………...……………………….33
表目錄
表1 訪談醫院與受訪人彙總表…………………………………………………12
表2 聯盟成員醫院屬性及所在地區類別………………………………………14
表3 環台醫療策略聯盟各項會議彙總表………………………………………14
表4 不同知識類型之特性所選擇之知識分享管道……………………………23
表5 一般性知識使用即時通訊軟體(群組)為分享管道分析表……………….23
表6 一般性知識使用官方電子郵件為分享管道分析表………………………24
表7 一般性知識使用例行會議為分享管道分析表……………………………24
表8 一般性知識使用電話為分享管道分析表…………………………………25
表9 獨特性知識使用例行會議為分享管道分析表……………………………25
表10 獨特性知識使用電話為分享管道分析表…………………………………26
表11 關鍵性知識使用例行會議為分享管道分析表……………………………26
表12 關鍵性知識使用電話為分享管道分析表…………………………………27
表13 策略性知識使用例行會議為分享管道分析表……………………………27
表14 策略性知識使用電話為分享管道分析表…………………………………28
表15 個案知識分享事件綜合分析比較表………………………………………29
表16 研究命題與訪談對象對應表………………………………………………32



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