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Title: 新興科技發展對政策過程的影響:以健康照護政策中之醫療科技評估為例
The Impact of New and Emerging Technologies in Policy Process: Analyzing the Case of Health Technology Assessment (HTA) in the Healthcare Policy-Making
Authors: 賴沅暉
Lai, Yuan-Hui
Keywords: 新興科技;醫療科技評估;科技發展;健康照護政策;政策過程
new and emerging technology;health technology assessment (HTA);technology development;healthcare policy;policy-making process
Date: 2004-09
Issue Date: 2017-11-14 17:44:57 (UTC+8)
Abstract: 本研究擬以健康照護政策制訂中的醫療科技評估為例,探討新興科技的研究與運用對政策制訂過程所造成之變遷,並探討政府治理因應之道。目前許多新興科技的運用在疾病治療、改善體質方面皆屬可能,然其風險性(包括對人類或社會所生負面效應)及對人體所生之後遺症,屬科學尚待精確探求之事務。而在科技發展的同時,無可避免地許多議題將會伴隨而來,其中包括倫理、經濟、法律、產業、風險性與其他社會議題等。而隨著議題範圍的擴大,多年來學者的研究發現科技變遷通常與治理機制的變遷息息相關,從而帶動政策理論的演化與政府的政策思維。科學研究通常有清楚地學科界定,無論立場為何,都可以從個別領域中的研究找到支持的科學證據,然政策的制定與治理機制的建立卻需仰賴整體的觀點,需考慮到社會中廣大參與者的立場。另外,目前大多數科技政策的形成,是以參與者之間的競爭關係為基礎,並從中尋求妥協之道。但是各個參與者彼此希望維護或鼓吹的價值或核心信念原本就不同,因此其個別預測性的科技資訊通常只是用來強化各自現有的立場,無法成為具有廣泛共識的政策基礎。於此,如果政府貿然對某種基因科技應用進行開放或管制,只會帶來更多的爭議和不確定性,甚至造成社會對立,而此一切種種皆無寧突顯出建立醫療科技評估機制的重要性。因此,本研究擬以醫療科技評估作為健康照護政策規劃工具為例,分析目前新興科技的研究與運用對政策制訂過程所造成的衝擊。
This research addresses the case of the development of healthcare policy, trying to explore the issue of Health Technology Assessment (HTA) as a pro-active prospective and planning tool in the policy-making process of new and emerging technology. The application of gene technology has shown its efficacy to special diseases and improving health in recent years. However, as gene research be-lieved to have great promise for our health future, its development evoke impor-tant issues such as ethical, economic, legal, industrial and risk. Scientific and health economic research could find any verified evidence in specific field to support its standpoint. Nevertheless, the process of policy-making and regulation mechanism-setting need to depend on their macro-level environment. In addition, the formation of technology policy and governance mechanism is based on the campaign relationship among each actor. Originally, each of them does not have the same value and belief. Therefore, their exercising of forecasting scientific and economic information usually could only consolidated their standpoint, thus it cannot be accepted as legitimacy base in policy- and regulation-making. Regulat-ing the application of gene technology rashly will result in more controversy and uncertainty. All these indicate the importance of health technology assessment. Therefore, to analyze the impact of the development of genetic testing technology to policy theory and governing mechanism, to review policy model currently ex-isting in the world, and to evaluate the change of governing mechanism and the necessity of build up health technology assessment system to the future develop-ment of gene technology, our research will discuss the following six issues: (1) disease (2) social (3) ethical (4) administrative guidance (5) economic (6) indus-trial from the view point of health technology assessment.
Relation: 公共行政學報, 12,93-129
Data Type: article
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