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題名 以策略觀點探討高科技醫療器材商之競爭策略 - 以I公司為例
The Competitive Strategy in High-technology Medical Device Industry: The Example of Minimal Invasive Surgical Company I
作者 梁容禎
Liang, Jung-Chen
貢獻者 彭朱如
Peng, Tzu-Ju
梁容禎
Liang, Jung-Chen
關鍵詞 醫療器材
策略轉型
微創手術設備
Medical devices
Strategic transformation
Minimally invasive surgical device
日期 2025
上傳時間 4-Aug-2025 13:00:34 (UTC+8)
摘要 由於台灣健保制度採總額控管與正面表列，導致高價醫療器材普及受限，加上新興競爭者以模組化、彈性與價格優勢快速搶佔中型市場，對醫療器材公司造成重大挑戰。本研究聚焦於醫療器材商I公司於台灣高階微創手術市場中所面臨的策略困境，透過制度環境分析、競爭結構評估、與組織能力三層視角，探討其在制度環境受限、市場重構、與內部應變不足下的轉型策略。本研究採用「策略形態分析法」、「策略群組與多角化分析」與「動態能力」「資源基礎」等理論觀點，對I公司所面臨的問題進行分析。研究結果顯示，I公司需從價值重構、平台開放、與組織敏捷三方面進行策略轉型，方能突破制度與競爭限制，實現區域市場擴張與全球策略調整的雙軌目標。本研究結果對於高階醫療器材設備商提出具體可行之策略模組建議，期能為類似產業提供有價值的實務參考。
In Taiwan, the National Health Insurance (NHI) system has limited the widespread adoption of high-priced medical devices due to the global budgeting and positive enlisting. Concurrently, emerging competitors have rapidly captured the mid-tier market by leveraging modularity, flexibility, and cost advantages, posing significant challenges to medical device companies. This study focuses on the strategic dilemmas faced by Company I in Taiwan's advanced minimally invasive surgery market. Through the analysis encompassing institutional environment, competitive structure, and organizational capabilities, this research examines the company's transformation strategies under constraints of institutional limitations, market restructuring, and insufficient internal responsiveness. Based on the theoretical perspectives of “strategic posture analysis”, “strategic group and diversification”, “dynamic capabilities”, and “resource-based view”, this study conducted by a case study approach. The findings indicate that Company I must undergo strategic transformation in three areas: value reconstruction, platform openness, and organizational agility, to overcome institutional and competitive constraints and achieve dual objectives of regional market expansion and global strategic adjustment. The results offer specific and feasible strategic module recommendations for high-end medical device manufacturers, aiming to provide valuable practical references for similar industries.
參考文獻 1. Awad, M.M., Raynor, M.C., Padmanabhan-Kabana, M., Schumacher, L.Y., and Blatnik, J.A. 2024. Evaluation of forces applied to tissues during robotic-assisted surgical tasks using a novel force feedback technology. Surg Endosc, 38: 6193–6202. 2. Carbonara, U., Srinath, M., and Crocerossa, F. 2021. Robot-assisted radical prostatectomy versus standard laparoscopic radical prostatectomy: an evidence-based analysis of comparative outcomes. World J Urol, 39(10):3721-3732. 3. Christensen, C. 2009. Innovation for Executives. International Journal of Innovation Science, 1(3): 149-150. 4. Kaplan, R and Norton, D.P. 2004. Measuring the Strategic Readiness of Intangible Assets, USA: Harvard Business Review. Access date: May 20, 2025. 5. Marchegiani, F., Siragusa, L., Zadoroznyj, A., Laterza, V., Mangana, O., Schena, C.A., Ammendola, M., Memeo, R., Bianchi, P.P., Spinoglio, G., Gavriilidis, P., and de'Angelis, N. 2023. New Robotic Platforms in General Surgery: What's the Current Clinical Scenario? Medicina (Kaunas), 59(7):1264. 6. McGee, J., and Thomas, H. 1986. Strategic groups: theory, research and taxonomy. Strategic management journal, 7(2): 141-160. 7. Porter, M. E. 1980. Competitive Strategy: Techniques for Analyzing Industries and Competitors. New York: Free Press. 8. Porter, M. E. 1985. The Competitive Advantage: Creating and Sustaining Superior Performance. NY: Free Press. (Republished with a new introduction, 1998.) 9. Ricciardi, R., Seshadri-Kreaden, U., and Yankovsky, A. 2025. The compare Study: Comparing perioperative outcomes of oncologic minimally invasive laparoscopic, da Vinci Robotic, and Open Procedures: A systematic review and meta-analysis of the evidence. Ann Surg, 281(5):748-763. 10. Rumelt, R. P. 1982. Diversification strategy and profitability. Strategic management journal, 3(4): 359-369. 11. Servais, E.L., Rashidi, L., Porwal, P., Garibaldi, M., and Hung, A.J. 2025. Novel force feedback technology improves suturing in robotic-assisted surgery: A pre-clinical study. Surg Endosc, 39(2):1217-1226. 12. Teece, D. J. 2007. Explicating dynamic capabilities: The nature and microfoundations of (sustainable) enterprise performance. Strategic Management Journal, 28(13), 1319–1350. 13. Teece, D. J., Pisano, G., and Shuen, A. 1997. Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 77–116. 14. Whooley, S. 2025. Intuitive da Vinci Procedures increased by 17% in 2024. The Robot Report. https://www.therobotreport.com/intuitive-da-vinci-procedures-increased-17-in-2024/. Assess date: May 17, 2025. 15. Intuitive Surgical Official Site, 2025. U.S. FDA clears first stapler designed for single-port robotic surgery | Intuitive Surgical. https://isrg.intuitive.com/news-releases/news-release-details/us-fda-clears-first-stapler-designed-single-port-robotic-surgery. Access date: May 17, 2025. 16. Intuitive Surgical Official Site, 2025. Da Vinci Xi System Brochure. https://www.intuitive.com/en-us/-/media/ISI/Intuitive/Pdf/da-vinci-xi-system-brochure.pdf. Access date: May 20, 2025 17. 健保署，2023。健保協同商保—醫療保障更到位。https://www.nhi.gov.tw/ch/cp-1773-5c179-3120-1.html。搜尋日期:2025年5月20日。 18. CMR Surgical Official Site, 2025. Versius Surgical Robot I CMR Surgical - CMR Surgical. https://cmrsurgical.com/versius. Access date: May 16, 2025. 19. Johnson & Johnson MedTech Official Site, 2025. Surgical Robotics | J&J MedTech. https://thenext.jnjmedtech.com/surgical-robotics. Access date: May 16, 2025. 20. Medtronic Official Site, 2025. Robotic-Assisted Surgery (RAS) | Medtronic. https://www.medtronic.com/en-us/healthcare-professionals/specialties/surgical-robotics/robotic-assisted-surgery.html. Access date: May 17, 2025. 21. Intuitive Surgical Official Site, 2025. Da Vinci Robotic Surgical Systems | Intuitive.https://www.intuitive.com/en-us/products-and-services/da-vinci. Access date: May 17, 2025. 22. Intuitive Surgical Official Site, 2025. Meet the da Vinci 5 robotic surgical system | Intuitive. https://www.intuitive.com/en-us/products-and-services/da-vinci/5. Access date: May 17, 2025. 23. L.E.K. Consulting, 2023. The Robotic-Assisted Surgery Opportunity in Latam | L.E.K. Consulting. https://www.lek.com/insights/hea/lat/ar/robotic-assisted-surgery-opportunity-latam. Access date: June 28, 2025. 24. 馬偕紀念醫院，2025。達文西機器手臂：馬偕醫院。https://www.mmh.org.tw/webpage.php?id=196. 搜尋日期:2025年5月17日。 25. 長庚醫療財團法人長庚紀念醫院，2020。長庚醫院與直覺公司合作宣佈成立「達文西手術訓練中心」|長庚醫療財團法人全球資訊網。https://www.cgmh.org.tw/tw/News/PressNews/200612001。搜尋日期:2025年5月17日。 26. 衛生福利部國際醫療管理工作小組，2025。達文西手術 - 臺灣國際醫療全球資訊網。https://www.medicaltravel.org.tw/Feature.aspx?a=229&l=1。搜尋日期:2025年5月17日。
描述 碩士
國立政治大學
經營管理碩士學程(EMBA)
112932037
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0112932037
資料類型 thesis
dc.contributor.advisor 彭朱如zh_TW
dc.contributor.advisor Peng, Tzu-Juen_US
dc.contributor.author (Authors) 梁容禎zh_TW
dc.contributor.author (Authors) Liang, Jung-Chenen_US
dc.creator (作者) 梁容禎zh_TW
dc.creator (作者) Liang, Jung-Chenen_US
dc.date (日期) 2025en_US
dc.date.accessioned 4-Aug-2025 13:00:34 (UTC+8)-
dc.date.available 4-Aug-2025 13:00:34 (UTC+8)-
dc.date.issued (上傳時間) 4-Aug-2025 13:00:34 (UTC+8)-
dc.identifier (Other Identifiers) G0112932037en_US
dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/158321-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 經營管理碩士學程(EMBA)zh_TW
dc.description (描述) 112932037zh_TW
dc.description.abstract (摘要) 由於台灣健保制度採總額控管與正面表列，導致高價醫療器材普及受限，加上新興競爭者以模組化、彈性與價格優勢快速搶佔中型市場，對醫療器材公司造成重大挑戰。本研究聚焦於醫療器材商I公司於台灣高階微創手術市場中所面臨的策略困境，透過制度環境分析、競爭結構評估、與組織能力三層視角，探討其在制度環境受限、市場重構、與內部應變不足下的轉型策略。本研究採用「策略形態分析法」、「策略群組與多角化分析」與「動態能力」「資源基礎」等理論觀點，對I公司所面臨的問題進行分析。研究結果顯示，I公司需從價值重構、平台開放、與組織敏捷三方面進行策略轉型，方能突破制度與競爭限制，實現區域市場擴張與全球策略調整的雙軌目標。本研究結果對於高階醫療器材設備商提出具體可行之策略模組建議，期能為類似產業提供有價值的實務參考。zh_TW
dc.description.abstract (摘要) In Taiwan, the National Health Insurance (NHI) system has limited the widespread adoption of high-priced medical devices due to the global budgeting and positive enlisting. Concurrently, emerging competitors have rapidly captured the mid-tier market by leveraging modularity, flexibility, and cost advantages, posing significant challenges to medical device companies. This study focuses on the strategic dilemmas faced by Company I in Taiwan's advanced minimally invasive surgery market. Through the analysis encompassing institutional environment, competitive structure, and organizational capabilities, this research examines the company's transformation strategies under constraints of institutional limitations, market restructuring, and insufficient internal responsiveness. Based on the theoretical perspectives of “strategic posture analysis”, “strategic group and diversification”, “dynamic capabilities”, and “resource-based view”, this study conducted by a case study approach. The findings indicate that Company I must undergo strategic transformation in three areas: value reconstruction, platform openness, and organizational agility, to overcome institutional and competitive constraints and achieve dual objectives of regional market expansion and global strategic adjustment. The results offer specific and feasible strategic module recommendations for high-end medical device manufacturers, aiming to provide valuable practical references for similar industries.en_US
dc.description.tableofcontents 第一章 緒論 1 第一節 研究背景與研究動機 1 第二節 研究問題 3 第三節 研究流程與章節架構 4 第二章 文獻探討 5 第一節 策略問題與產業挑戰的理論背景 5 第二節 本研究所採用之分析工具文獻回顧 6 第三節 相關研究回顧與研究缺口整理 7 第三章 公司背景與產業現況 8 第一節 台灣微創手術與健保制度現況 8 第二節 機械手臂市場競爭與產業動態 11 第三節 I公司全球發展與核心技術演進 13 第四節 I公司在台灣的發展歷程與策略佈局 16 第五節 I公司所面臨的關鍵挑戰與研究問題導引 18 第四章 問題分析與工具應用 20 第一節 制度環境挑戰 20 第二節 競爭定位與策略群組分析 24 第三節 動態能力分析 28 第五章 策略對應與執行規劃 32 第一節 制度框架下的市場擴張策略 32 第二節 策略群組重構下的定位調整 35 第三節 組織應變能力的強化與策略調整機制 37 第四節 小結：整體策略架構整合 39 第六章 結論與建議 40 第一節 研究總結與核心發現 40 第二節 策略整合意涵與實務貢獻 41 第三節 研究限制與後續建議 44 參考文獻 46zh_TW
dc.format.extent 2111191 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0112932037en_US
dc.subject (關鍵詞) 醫療器材zh_TW
dc.subject (關鍵詞) 策略轉型zh_TW
dc.subject (關鍵詞) 微創手術設備zh_TW
dc.subject (關鍵詞) Medical devicesen_US
dc.subject (關鍵詞) Strategic transformationen_US
dc.subject (關鍵詞) Minimally invasive surgical deviceen_US
dc.title (題名) 以策略觀點探討高科技醫療器材商之競爭策略 - 以I公司為例zh_TW
dc.title (題名) The Competitive Strategy in High-technology Medical Device Industry: The Example of Minimal Invasive Surgical Company Ien_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) 1. Awad, M.M., Raynor, M.C., Padmanabhan-Kabana, M., Schumacher, L.Y., and Blatnik, J.A. 2024. Evaluation of forces applied to tissues during robotic-assisted surgical tasks using a novel force feedback technology. Surg Endosc, 38: 6193–6202. 2. Carbonara, U., Srinath, M., and Crocerossa, F. 2021. Robot-assisted radical prostatectomy versus standard laparoscopic radical prostatectomy: an evidence-based analysis of comparative outcomes. World J Urol, 39(10):3721-3732. 3. Christensen, C. 2009. Innovation for Executives. International Journal of Innovation Science, 1(3): 149-150. 4. Kaplan, R and Norton, D.P. 2004. Measuring the Strategic Readiness of Intangible Assets, USA: Harvard Business Review. Access date: May 20, 2025. 5. Marchegiani, F., Siragusa, L., Zadoroznyj, A., Laterza, V., Mangana, O., Schena, C.A., Ammendola, M., Memeo, R., Bianchi, P.P., Spinoglio, G., Gavriilidis, P., and de'Angelis, N. 2023. New Robotic Platforms in General Surgery: What's the Current Clinical Scenario? Medicina (Kaunas), 59(7):1264. 6. McGee, J., and Thomas, H. 1986. Strategic groups: theory, research and taxonomy. Strategic management journal, 7(2): 141-160. 7. Porter, M. E. 1980. Competitive Strategy: Techniques for Analyzing Industries and Competitors. New York: Free Press. 8. Porter, M. E. 1985. The Competitive Advantage: Creating and Sustaining Superior Performance. NY: Free Press. (Republished with a new introduction, 1998.) 9. Ricciardi, R., Seshadri-Kreaden, U., and Yankovsky, A. 2025. The compare Study: Comparing perioperative outcomes of oncologic minimally invasive laparoscopic, da Vinci Robotic, and Open Procedures: A systematic review and meta-analysis of the evidence. Ann Surg, 281(5):748-763. 10. Rumelt, R. P. 1982. Diversification strategy and profitability. Strategic management journal, 3(4): 359-369. 11. Servais, E.L., Rashidi, L., Porwal, P., Garibaldi, M., and Hung, A.J. 2025. Novel force feedback technology improves suturing in robotic-assisted surgery: A pre-clinical study. Surg Endosc, 39(2):1217-1226. 12. Teece, D. J. 2007. Explicating dynamic capabilities: The nature and microfoundations of (sustainable) enterprise performance. Strategic Management Journal, 28(13), 1319–1350. 13. Teece, D. J., Pisano, G., and Shuen, A. 1997. Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 77–116. 14. Whooley, S. 2025. Intuitive da Vinci Procedures increased by 17% in 2024. The Robot Report. https://www.therobotreport.com/intuitive-da-vinci-procedures-increased-17-in-2024/. Assess date: May 17, 2025. 15. Intuitive Surgical Official Site, 2025. U.S. FDA clears first stapler designed for single-port robotic surgery | Intuitive Surgical. https://isrg.intuitive.com/news-releases/news-release-details/us-fda-clears-first-stapler-designed-single-port-robotic-surgery. Access date: May 17, 2025. 16. Intuitive Surgical Official Site, 2025. Da Vinci Xi System Brochure. https://www.intuitive.com/en-us/-/media/ISI/Intuitive/Pdf/da-vinci-xi-system-brochure.pdf. Access date: May 20, 2025 17. 健保署，2023。健保協同商保—醫療保障更到位。https://www.nhi.gov.tw/ch/cp-1773-5c179-3120-1.html。搜尋日期:2025年5月20日。 18. CMR Surgical Official Site, 2025. Versius Surgical Robot I CMR Surgical - CMR Surgical. https://cmrsurgical.com/versius. Access date: May 16, 2025. 19. Johnson & Johnson MedTech Official Site, 2025. Surgical Robotics | J&J MedTech. https://thenext.jnjmedtech.com/surgical-robotics. Access date: May 16, 2025. 20. Medtronic Official Site, 2025. Robotic-Assisted Surgery (RAS) | Medtronic. https://www.medtronic.com/en-us/healthcare-professionals/specialties/surgical-robotics/robotic-assisted-surgery.html. Access date: May 17, 2025. 21. Intuitive Surgical Official Site, 2025. Da Vinci Robotic Surgical Systems | Intuitive.https://www.intuitive.com/en-us/products-and-services/da-vinci. Access date: May 17, 2025. 22. Intuitive Surgical Official Site, 2025. Meet the da Vinci 5 robotic surgical system | Intuitive. https://www.intuitive.com/en-us/products-and-services/da-vinci/5. Access date: May 17, 2025. 23. L.E.K. Consulting, 2023. The Robotic-Assisted Surgery Opportunity in Latam | L.E.K. Consulting. https://www.lek.com/insights/hea/lat/ar/robotic-assisted-surgery-opportunity-latam. Access date: June 28, 2025. 24. 馬偕紀念醫院，2025。達文西機器手臂：馬偕醫院。https://www.mmh.org.tw/webpage.php?id=196. 搜尋日期:2025年5月17日。 25. 長庚醫療財團法人長庚紀念醫院，2020。長庚醫院與直覺公司合作宣佈成立「達文西手術訓練中心」|長庚醫療財團法人全球資訊網。https://www.cgmh.org.tw/tw/News/PressNews/200612001。搜尋日期:2025年5月17日。 26. 衛生福利部國際醫療管理工作小組，2025。達文西手術 - 臺灣國際醫療全球資訊網。https://www.medicaltravel.org.tw/Feature.aspx?a=229&l=1。搜尋日期:2025年5月17日。zh_TW