| dc.contributor.advisor | 何小台 | zh_TW |
| dc.contributor.author (Authors) | 陳光冠 | zh_TW |
| dc.creator (作者) | 陳光冠 | zh_TW |
| dc.date (日期) | 2012 | en_US |
| dc.date.accessioned | 22-Jul-2013 11:23:49 (UTC+8) | - |
| dc.date.available | 22-Jul-2013 11:23:49 (UTC+8) | - |
| dc.date.issued (上傳時間) | 22-Jul-2013 11:23:49 (UTC+8) | - |
| dc.identifier (Other Identifiers) | G0097932023 | en_US |
| dc.identifier.uri (URI) | http://nccur.lib.nccu.edu.tw/handle/140.119/58946 | - |
| 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) | 97932023 | zh_TW |
| dc.description (描述) | 101 | zh_TW |
| dc.description.abstract (摘要) | 全民健康保險自1995年三月實施，提昇國人健康及疾病治療水準，有其正面的貢獻，但也影響了醫療相關的從業者甚巨。藥品的費用占率約全部健保費用的百分之二十五，是除了醫事服務相關費用之外，占率最高的費用。健康保險局，收支潛在的赤字在健保實施次年後已浮現，隨即採用多種藥費及藥價控管措施。新藥核價過低、過程耗時；已上市的藥品，除每兩年健保局的藥價調查後的全面性調降，和不定時的異常品項調查外，尚需面臨客戶端再次降價的要求。對於藥業營運已有顯著的負面影響。再者現行的健保制度，保證醫療院所藥品的申報一律為健保給付價，無論其以多低的價格採購，中間的價差利潤皆歸之所有，俗稱藥價黑洞，外界難以了解其對醫療體系的運作的重要性，一味的譴責之！事實上於現行總額給付實施之下，可彌補醫療院所健保給付不足所造成的營運困難，使民眾得以持績享受價平質佳的醫療照護。然負面影響為無法提昇病患痊癒效率，也對醫事人員專業的養成，及産業的發展伏下隱憂。健保制度沿於現有的法源，法源不改，扭曲的現象續存，最終的受害者為全體民眾。二代健保法於2011年元月立法院三讀通過。產業環境的遊戲規則勢必改變。經由訪談，二十家不同類型的藥品供應廠商的經營領導者，於新的健保法實施之際的應變措施，且其合計市占率已超過整體藥品市場的41 %。由深度訪談中，可了解不同類型的廠商，對新制度的看法及其因應措拖的異同，再佐以近代管理學的概念檢視對照不同的領導風格，推估其和產業的特性及未來發展生存之道的關連性，或許可提供予産業長遠發展的建議。歸納本研究的重要結論為：台灣藥業環境變動是漸進的，易被輕忽影響度；且從事藥業廠商者眾不易形成共識，很難共同努力改善環境不利的變動；依靠新産品的開發取得，是藥業重要成長的策略。於經營者的研究結論：發現大多數的領導者的强項為執行力及銷售力，這可能和産品生命週期長，進入門檻高有關；但因之不利改變慣例，跳脱舒適圈，將公司導向更兼具靈活彈性又與環境更符合的營運模式。未來成長的契機在於領導者洞悉未來的趨勢；藥業營造有利趨勢，在於跳脱近親繁殖，取法於外。 | zh_TW |
| dc.description.abstract (摘要) | National Health Insurance has been launched on March, 1995. It has been recognized as the safeguard to the improvement for all country’s residents. The financial burden of BNHI has struggled to balance its books from early on. Drug costs contributed about 25% of NHI healthcare spending, therefore is controlled mainly through pricing and reimbursement policy, particularly the regular rounds of price cut. The current system allows health providers gain profit from drug purchasing under negotiations with pharmaceutical companies which subsidizes the insufficient reimbursement for other service to patients. All these system hamper the healthcare industry sound growth. Without healthcare reform cannot correct the system toward healthier operation.Winder reform in the shape of 2G NHI Act was finally passed by the Legislative Yuan in January 2011. The future NHI scheme will change in many areas. In order to understand the counter actions from pharmaceutical industry, the study is designed to interview 20 leaders in Rx companies which included different types such as MNC, domestic and agencies. The overall revenue from the 20 companies shared over 41% in Taiwan pharmaceutical industry. The study will compare and analyze the difference from each company’s actions toward the future change, from results to use modern business scholarship theory checking any particular similarity within the industry.The main findings of the study are 1) The change of environment is easily been neglected for moving slowly and gradually, 2) To shape environment toward the positive side is difficult since hard to have consensus within industry, 3) Introduction of new products is the main growth strategy, 4) The most strength leadership capability from the interviewees is the execution, and the possible explanations are longer products life cycle plus higher entry barriers from new competitors. The downside of this type of leadership is hard to flexibly move fast in developing new business model to match the environment evolution. In-depth understanding trend of leaders will be the key of future success. The industry might learn from other industries to shape the environment more effectively. | en_US |
| dc.description.tableofcontents | 書名頁…………………………………………………………………………………1致謝辭……………………………………………………………………………..….2論文摘要…………………………………………………………………………..….3Abstract………………………………………………………………………………4論文目錄……………………………………………………………………….……..5圖目錄 ………………………………………………………………………….…..7第一章 研究緒論....................................................9第一節 研究背景及動機..........................................9第二節 研究目的...............................................10第二章 台灣藥業與健保探討.........................................11第一節 台灣藥業市場的概況.....................................11第二節 健保的實施及健保局對於藥品管控.........................15第三節 二代健保與藥品相關的條文...............................21第四節 政府於醫療生技的扶植策略...............................25第三章 經營領導者管理任務與領導力的探討...........................29第四章 研究方法與步驟.............................................32第一節 研究方法...............................................32第二節 研究步驟...............................................32第三節 研究問題...............................................33第四節 研究限制與倫理.........................................34第五章 受訪公司背景分析...........................................35第一節 受訪公司經營者管理經驗分析.............................35第二節 受訪公司營收分析.......................................35第三節 受訪公司组織人力分析...................................36第四節 受訪公司生産物流通路分析...............................37第五節 受訪公司産品研發分析...................................38第六節 受訪公司自主及重要性分析...............................39第六章 訪談研究發現與分析.........................................41第一節 台灣藥業市場的特色.....................................41第二節 營運成功因素...........................................42第三節 需要列入營運計劃或預算書内的改變.......................43第四節 改變定案前可帶給公司正面的激流作為.....................44第五節 面對未來挑戰的短中長期的備戰措施.......................45第六節 過渡期領導人親自運作的重要任務.........................47第七節 環境變遷之經營管理.....................................48第七章 結論與建議. ..............................................51第一節 研究結論...............................................51第二節 本研究之管理意涵.......................................53第三節 未來研究之建議.........................................54參考文獻...........................................................56 | zh_TW |
| dc.format.extent | 630918 bytes | - |
| dc.format.mimetype | application/pdf | - |
| dc.language.iso | en_US | - |
| dc.source.uri (資料來源) | http://thesis.lib.nccu.edu.tw/record/#G0097932023 | en_US |
| dc.subject (關鍵詞) | 二代健保 | zh_TW |
| dc.subject (關鍵詞) | 台灣藥業經營領導者 | zh_TW |
| dc.subject (關鍵詞) | 環境變革 | zh_TW |
| dc.subject (關鍵詞) | 藥價政策 | zh_TW |
| dc.subject (關鍵詞) | 藥價調查 | zh_TW |
| dc.subject (關鍵詞) | 藥品支付目標 | zh_TW |
| dc.subject (關鍵詞) | 2G NHI | en_US |
| dc.subject (關鍵詞) | Taiwan pharmaceutical leaders | en_US |
| dc.subject (關鍵詞) | change management | en_US |
| dc.subject (關鍵詞) | pharmaceutical benefit scheme | en_US |
| dc.subject (關鍵詞) | price volume survey | en_US |
| dc.subject (關鍵詞) | drug expenditure target | en_US |
| dc.title (題名) | 藥業經營者面對二代健保實施的因應措施 | zh_TW |
| dc.title (題名) | The Counter Strategies of Pharmaceuticals Leaders Address to the Implementation of 2nd Generation National Health | en_US |
| dc.type (資料類型) | thesis | en |
| dc.relation.reference (參考文獻) | 1.健保局著，《2011-2012 全民健康保險簡介》2.健保局著，《2012-2013全民健康保險簡介》3.王復中著，《二代健保重點說明》，健保局，20124.黃三桂著，《全民健康保險藥品給付制度簡介》，健保局，20125.法務部著，《全國法規資料庫》6.行政院衛署健保字第 1012660298號7.行政院衛署健保字第1019001854號8.柯林斯(J.Collins)等著，《基業長青》，智庫。9.科特(Kotter)等著，《變革》，天下文化，200010.史雷特(R.Slater)著，《複製奇異》，麥格羅希爾，200211.司徒達賢著，《管理學的新世界》，天下文化，200512.薩爾(D.Sull)等著，《哪些企業不會倒？》，天下，200913.P.E.Drucker，《Managing in a time of great change》，Dutton. 199514.N. M.Tichy，《The Leadership Engine》, Harper Business. 199715.J. Collins，《Good to Great》, Harper Business. 200116.IMS，《Quarterly Dashboard Report 2012Q3》，IMS Health，201217.IMS，《IMS Market Prognosis 2012-2016》，IMS Health，201218.WHO website 19.PhRMA website | zh_TW |
