题名

政策利害關係人指認的理論與實務：以全民健保改革爲例

并列篇名

The Theory and Practices of Identifying Stakeholders: A Case Study of National Health Care Reform in Taiwan

DOI

10.30174/JSS.201106.0001

作者

陳敦源(Don-Yun Chen)；劉宜君(I-Chun Liu)；蕭乃沂(Nai-Yi Hsiao)；林昭吟(Chao-Yin Lin)

关键词

政策分析 ； 利害關係人 ； 政策網絡 ； 政治可行性評估 ； 二代健保 ； Policy Analysis ； Stakeholder ； Policy Networks ； Political Feasibility ； National Health Insurance

期刊名称

國家與社會

卷期/出版年月

10期（2011 / 06 / 01）

页次

1 - 65

内容语文

繁體中文
中文摘要

相對於經濟可欲性的評估，政治可行性評估(political feasibility)是政策分析過程中重要但一直被忽略的領域，在民主社會當中，政治可行性是政務人員從事政策考量的核心，也是政策專業能否實踐的關鍵。本文就是在這樣一個認知之下，藉著作者們參與「二代健保」政策規劃，應用近年逐漸受矚目的政治可行性分析法－「政策利害關係人分析」(stakeholders analysis)的機會，聚焦在政治可行性分析初期最重要的挑戰－「利害關係人『指認』(identification)」的問題，以文獻與實作來回答政治可行性分析資訊來源指認的問題。本文從理論發展與實務分享兩個角度，以二代健保的實際規劃過程為例，討論政策利害關係人的指認議題。其一，相關的理論的討論，是先從企業策略管理的理論出發，討論利害關係人的定義與起源、分類與指認問題，接著進入公部門的用用；其二，實務操作的分享，主要討論網絡治理與策略規劃等相關理論，找出利害關係人指認與分析在理論上的困難與解決方式。接著，本文詳細整理與紀錄利害關係人分析的決策與時機，特別關注在利害關係人指認的問題上，並從結果資料當中討論指認利害關係人的方法與原則；本文歸納出四點建議，提供學界與實務界參考，包括：利害關係人的指認必須是倫理性以及策略性的，它的運作事在政策制度網絡的環境中，而在操作上，應該注意有限資源的問題、其基本架構最好簡約可行、以及判斷的工作可以專家與內部人員的調查與訪談得知。最後，無論如何，以利害關係人分析來進行政策的政治可行性評估，雖然理論與實務的問題很多，但是仍然值得繼續發展之。
英文摘要

For a long period of time the attention paid to political feasibility analysis has been considerably smaller than that focused on economic feasibility. Despite this imbalance, political feasibility is nearly always the deciding factor in governmental decisions. In this article, authors try to present a real world case of accessing political feasibility by way of so-called ”stakeholder analysis.” Especially, the focus of this paper is on the issue of stakeholder ”identification,” which involves constructing both theoretical framework as well as empirical methods to categorize and recognize related groups and individuals in the analyzing process.A review of the relevant literature first looks at the management theory usage of the term ”stakeholder”, in which it is refers to a strategy used to ensure corporate survival. This is then contrasted against its usage in the public sector, where the term refers to theories of policy networks, strategic planning and ethics. The third section of this article presents in detail our real world example of stakeholder analysis on the national health insurance policy. Conclusions are that: (1) The issue of stakeholder identification is both ethical and strategic in actions; (2) These actions can only be realized in an institutional networks environment; (3) The analysis should be economically oriented, with inside knowledge being required when conducting objective surveys. Lastly, the process of identifying stakeholders is imminently worthwhile, regardless of the fact that it is fraught with problems and unresolved issues.
主题分类 社會科學 > 社會科學綜合
社會科學 > 社會學
参考文献
  1. 王光旭、陳敦源(2010)。政務領導、國會監督與官僚自主：台灣全民健保政策「否決者」之研究：1986~2003。行政暨政策學報，50，107-157。
    連結：
  2. 柯于璋(2009)。災後遷村計畫之政治可行性分析：以高雄縣藤枝新舊部落為例。台灣政治學刊，13(1)，107-159。
    連結：
  3. 張玲星、游佳萍、洪智源(2010)。台灣電子化政府資訊系統的挑戰：利益關係人觀點。資訊管理學報，17(2)，201-231。
    連結：
  4. 郭瑞坤、賴正能、廖英賢(2006)。在地利害關係人對澎湖設置觀光賭場政策影響觀點之研究。公共行政學報，20，33-68。
    連結：
  5. Mayers, James., 2001, “Stakeholder Power Analysis.” In Power Tools: Tools for Working on Politics and Institutions, Series No. 2: Pp.1-24; accessed on 2/14/2005 from http://www.iied.org/forestry/tools/stakholder.html .
  6. Reich, Miahcel R., 1996, “Applied Political Analysis for Health Reform,” from http://www.hsph.harvard.edu/faculty/reich , accessed 02/22/2002.
  7. Ackerman, Bruce.,Anne, Alstott(1999).The Stakeholder Society.New Haven:Yale University Press.
  8. Agle, Bradley R.,Mitchell, Ronald K.,Sonnenfeld, Jeffrey A.(1999).Who Matters to CEOs? An Investigation of Stakeholder Attributes and Salience, Corporate Performance, and CEO Values.The Academy of Management Journal,42(5),507-525.
  9. Alison, Mathie.,Greene, Jennifer C.(1991).Stakeholder Participation in Evaluation: How Important is Diversity?.Evaluation and Program Planning,20(3),279-285.
  10. Arrow, K.(1951).Social Choice and Individual Values.New Haven:Yale University Press.
  11. Besley, Timothy(2006).Principled Agents? The Political Economy of Good Government.New York:Oxford University Press.
  12. Birkland, Thomas A.(2001).An Introduction to the Policy Process: Theories, Concepts, and Models of Public Policy Making.N.Y:M. E. Sharpe.
  13. Boschken, Herman L.(1994).Organizational Performance and Multiple Constituencies.Public Administration Review,54(3),308-312.
  14. Brinkerhoff, D. W.,Crosby, B. L.(2002).Managing Policy Reform: Concepts and Tools for Decision-makers in Developing and Transitioning Countries.Kumarian Press, Inc..
  15. Bryk, A. S.(ed.)(1983).Stakeholder-based Evaluation.San Francisco, CA:Jossey Bass.
  16. Bryk, Anthony. S.(1983).Stakeholder-based Evaluation.San Francisco:Jossey- Bass.
  17. Bryson, John M.(2004).What to Do When Stakeholders Matter: Stakeholder Identification and Analysis Techniques.Public Management Review,6(1),21-53.
  18. Bryson, John M.,Crosby, B. C.,Bryson, J. K.(2009).Understanding Strategic Planning and the Formulation and Implementation of Strategic Plans as a Way of Knowing: The Contributions of Actor-network Theory.International Public Management Journal,12,172-207.
  19. Bryson, John M.,Cunningham, Gary L.,Lokkesmoe, Karen J.(2002).What to Do When Stakeholders Matter: The Case of Problem Formulation for the African American Men Project of Hennepin County, Minnesota.Public Administration Review,62(5),568-584.
  20. Clayton, Thomas John.,Poister, Theodore H.(2009).Thinking About Stakeholders of Public Agencies: The Georgia Department of Transportation Stakeholder Audit.Public Organization Review,9(1),67-82.
  21. Dahl, R. A.(1967).Pluralist Democracy in the United States.Chicago:Rand McNally.
  22. de Mesquita, Bueno,Bruce, D. Newman,Rabushka, A.(1985).Forecasting Political Events: The Future of Hong Kong.New Haven:Yale University Press.
  23. DeLeon, P.(1995).Democratic Values and the Policy Science.American Journal of Political Science,39(4),886-905.
  24. Döhler, M.(1991).Policy Network, Opportunity Structures and Neo-Conservative Reform Strategies in Health Policy.Policy Networks: Empirical Evidence and Theoretical Consideration,Boulder:
  25. Dryzek, John(1989).Policy Sciences of Democracy.Polity,12(1),97-118.
  26. Dunn, William(1994).Public Policy Analysis: An Introduction.Englewood Cliffs NJ:Prentice Hall.
  27. Durning, Dan(1993).Participatory Policy Analysis in a Social Service Agency: A Case Study.Journal of Policy Analysis and Management,12(2),297-322.
  28. Eden, C.,Ackermann, F.(1998).Making Strategy: The Journey of Strategic Management.London:Sage Publications.
  29. Fassin, Yves(2009).The Stakeholder Model Refined.Journal of Business Ethics,84,113-135.
  30. Feder, S. A.(2002).Forecasting for Policy Making in the Post-Cold War Period.Annual Review in Political Science,5,111-125.
  31. Feldman, M. S.,Khademian, A. M.,Ingram, H.,Schneider, A. S.(2006).Ways of Knowing and Inclusive Management Practices.Public Administration Review,66,89-99.
  32. Fenno, Richard F., Jr.(1990).Watching Politicians: Essays on Participant Observation.Berkeley. CA:IGS Press.
  33. Forester J.(1999).The Deliberative Practitioner: Encouraging Participatory Planning Processes.Cambridge, MA:MIT Pres.
  34. Fottler, Myron D.,Blair, J. D.,Whitehead, C. J.,Laus, M. D.(1989).Assessing Key Stakeholders: Who Matters to Hospitals and Why?.Hospital & Health Services Administration,34(4),525-546.
  35. Freeman E. Hitt(ed.),Harrison, J.(ed.)(2001).Blackwell Handbook of Strategic Management.Oxford:Blackwell Publishing.
  36. Freeman, E.,Reed, D.(1983).Stockholders and Stakeholders: A New Perspective on Corporate Governance.California Management Review,25(3),88-106.
  37. Freeman, R. Edward(1984).Strategy Management: A Stakeholder Approach.Boston, MA:Pitman.
  38. Friedman, A.,Miles, S.(2006).Stakeholders: Theory and Practices.Oxford:Oxford University Press.
  39. Geurts, J. L. A.,Joldersma, C.(2001).Methodology for Participatory Policy Analysis.European Journal of Operational Research,128,300-310.
  40. Gibson, K.(2000).The Moral Basis of Stakeholder Theory.Journal of Business,26(3),245-257.
  41. Goerdel, Holly T.(2009).Public Administration and the Political World.Public Performance & Management Review,32(4),618-625.
  42. Griffin, Stephen O.,Keller, Adrienne,Cohn, Alan(2001).Developing a Drug Testing Policy at a Public University: Participant Perspectives.Public Personnel Management,30(4),467-481.
  43. Harrison, J.,Freeman, E.(1999).Stakeholders, Social Responsibility and Performance: Empirical Evidence and Theoretical Perspectives.Academy of Management Journal,42(5),479-485.
  44. Haskell, John.(2000).Direct Democracy or Representative Government? Dispelling the Populist Myth.Westview Press.
  45. Hibbard, J. H.,Jewett, J. J.,Engelmann, S.,Tusler, M.(1998).Can Medicare Beneficiaries Make Informed Choices?.Health Affairs,17(6),181-193.
  46. Howlett, Michael.,Ramesh, M.(1995).Studying Public Policy: Policy Cycles and Policy Subsystems.New York:Oxford University Press.
  47. Jenkins-Smith, Hank C.(1990).Democratic Politics and Policy Analysis.New York:Harcourt Brace College Publishers.
  48. Jones, Thomas M.(1980).Corporate Social Responsibility Revisited, Redefined.California Management Review,22(2),59-67.
  49. Kettl, D. F.(1999).The Future of Public Administration.Journal of Public Affairs Education,54(April),127-133.
  50. Kickert, W. J.,Klijn, E.,Koppenjan, J.(1997).Managing Complex Networks.London:Sage.
  51. King, A.(ed.)(1978).The New American Political System.Washington:American Enterprise Institute.
  52. Kingdon, John W.(1995).Agendas, Alternatives, and Public Policies.New York, NY:Harper Collins.
  53. Knoke, D.,Pappi, F. U.,Broadbent, J.,Tsujinaka, Y.(1996).Comparing Policy Networks.New York:Cambridge University Press.
  54. Kobrak, Peter.(2002).The Political Environment of Public Management.New York:Longman.
  55. Lewis, Carol W.,Gilman, Stuart C.(2005).The Ethics Challenge in Public Service: A Problem-Solving Guide.San Francisco, CA:Jossey-Bass.
  56. Lin, Chao-Yin,Chen, Don-yun,Liu, I-Chun,Hsiao, Naiyi(2010).Political Feasibility Analysis of the New Financing Scheme for the National Health Insurance Reform in Taiwan: An Application of Stakeholder Analysis.Asian Social Work and Policy Review,4(3),163-183.
  57. Lindblom, C. E.,Woodhouse, E. J.(1992).The Policy Making Process.Prentice Hall.
  58. Lupia, A.,McCubbins, M. D.(1998).The Democratic Dilemma: Can Citizens Learn What They Need to Know?.New York:Cambridge University Press.
  59. Majone, Giandomenico(1975).On the Notion of Political Feasibility.European Journal of Political Research,3,259-274.
  60. Marin, Bernd(ed.),Mayntz, Renate(ed.)(1991).Policy Networks: Empirical Evidence and Theoretical Considerations.Campus Verlag.
  61. Marin, Bernd,Mayntz, Renate(1991).Policy Network Empirical evidence and Theoretical Considerations.Boulder, CO:Westview Press.
  62. Marisa, Kelly.,Maynard-Moody, Steven(1993).Policy Analysis in the Post-Positivist Era: Engaging Stakeholders in Evaluating the Economic Development Districts Program.Public Administration Review,53(2),135-142.
  63. Marmor, T. R.(1983).Political Analysis and American Medical Care.Cambridge:Cambridge University Press.
  64. Marsden, P. V.(1989).Research Methods in Social Network Analysis.Freeman.
  65. Marsh, D.(ed.)(1998).Comparing Policy Networks.Philadelphia, P.A.:Open University Press.
  66. Marsh, D.(ed.),Rhodes, R. A. W.(ed.)(1992).Policy Networks in British Government.Oxford:Clarendon Press.
  67. Mason, R.O.,Mitroff, I. I.(1981).Challenging Strategic Planning Assumptions.New York, NY:Wiley.
  68. Mayntz, Renate(1994).MIPGF Working Paper No.4.MIPGF Working Paper No.4.,Koln:Mar-Planck-Institute.
  69. Mayntz, Renate.(1988).Differenzierung und Verselbstandigung: Zur Entwicklung gesellschafilicher Teilsysteme.Frankfur:Campus.
  70. McAvoy, Gregory E.(1999).Controlling Technocracy: Citizen Rationality and the NIMBY Syndrome.Washington, DC:Georgetown University Press.
  71. McFarland, A. S.(1987).Interest Groups and Theories of Power in America.British Journal of Political Science,17,129-147.
  72. McKelvey, R. D.(1976).Intransitivities in Multidimensional Voting Models and Some Implications for Agenda Control.Journal of Economic Theory,12,472-482.
  73. Mellahi, Kamel.,Geoffrey, Wood.(2003).The Role and Potential of Stakeholders in 'Hollow Participation': Conventional Stakeholder Theory and institutionalist Alternatives.Business and Society Review,108(2),183-202.
  74. Meltsner, A. J.(1972).Political Feasibility and Policy Analysis.Public Administration Review,32(6),859-867.
  75. Miller, Nicholas R.(1983).Pluralism and Social Choice.American Political Science Review,77(3),734-747.
  76. Mitchell, Ronald K.,Agle, Bradley R.,Wood, Donna J.(1997).Toward a Theory of Stakeholder Identification and Salience: Defining the Principle of Who and What Really Counts.Academy of Management Review,22(4),853-886.
  77. Moore, Mark.(1995).Creating Public Value: Strategic Management in Government.Boston, MA:Harvard University Press.
  78. Nohria, Nitin(ed.),Eccles, Robert G.(ed.)(1992).Networks and Organizations: Structure, Form, and Action.Cambridge:Harvard Business School Press.
  79. Norris, P.(ed.),Bennett, W. L.(ed.),Entman, R. M.(ed.)(2001).Digital Divide: Civic Engagement, Information Poverty, and the Internet Worldwide.New York:Cambridge University Press.
  80. O''Connell, Lenahan(2005).Program Accountability as an Emergent Property: The Role of Stakeholders in a Program's Field.Public Administration Review,65(1),85-93.
  81. Pareto, Vilfredo.(1991).The Rise and Fall of Elites: An Application of Theoretical Sociology.Transaction Publication.
  82. Rhodes, R.(1996).The New Governance: Governing without Government.Political Studies,44,652-657.
  83. Richardson, J. J.,Jordan, A. G.(1979).Governing under Pressure: The Policy Process in a Post-Parliamentary Democracy.Oxford:Martin Robertson.
  84. Riker, William H.(1965).Some Ambiguities in the Notion of Power.American Political Science Review,58(2),341-349.
  85. Roberts, N. C.,King, P. J.(1989).Stakeholder Audit Goes Public.Organizational Dynamics,17(3),63-79.
  86. Sabatier, Paul(1988).An Advocacy Coalition Framework of Policy Change and the Role of Policy-oriented Learning Theories.Policy Sciences,21,129-168.
  87. Schattschneider, E. E.(1975).The Semisovereign People: A Realist's View of Democracy in America.New York:Harcourt Brace Jovanovich College Publishers.
  88. Skok, James E.(1995).Policy Issue Networks and the Policy Cycle: A Structural-Functional Framework to Public Administration.Public Administration Review,55(4),325-332.
  89. Steinmo, Sven(ed.),Thelen, Kathleen(ed.),Longstreth, Frank(ed.)(1992).Structuring Politics: Historical Institutionalism in Comparative Analysis.New York:Cambridge University Press.
  90. Stivers, Camilla(2006).Governance in Dark Times: Practical Philosophy for Public Service.Washington, DC:Georgetown University Press.
  91. Stivers, Camilla(2004).On Theorizing in Dark Times.Administrative Theory & Praxis,26(1),19-26.
  92. Stone, Deborah(1998).Policy Paradox: The Art of Political Decision Making.New York:W. W. Norton & Company.
  93. Tsebelis, George(2002).Veto Players.Princeton:Princeton University Press.
  94. Van Waarden, F.(1992).Dimensions and Types of Policy Networks.European Journal of Political Research,21,29-52.
  95. Vedung, Evert(2000).Public Policy and Program Evaluation.New Brunswick:Transaction Publishers.
  96. Weber, David J.(1986).Analyzing Political Feasibility: 'Political Scientists' Unique Contribution to Policy Analysis.Policy Study Journal,14(4),545-553.
  97. Weible, Christopher M.(2007).An Advocacy Coalition Framework Approach to Stakeholder Analysis: Understanding the Political Context of California Marine Protected Area Policy.The Journal of Public Administration Research and Theory,17(1),95-117.
  98. Weible, Christopher M.,Sabatier, Paul A.,McQueen, Kelly(2009).Themes and Variations: Taking Stock of the Advocacy Coalition Framework.The Policy Studies Journal,37(1),121-140.
  99. Weimer, D. L.,Vining, A. R.(2010).Policy Analysis: Concepts and Practice.Prentice Hall.
  100. Weimer, David L.(1998).Policy Analysis and Evidence: A Craft Perspective.Policy Studies Journal,26(1),114-128.
  101. Wilson, James Q.(1989).Bureaucracy.New York:Basic Books.
  102. Wisniewski, Mik,Stewart, Derek(2004).Performance Measurement for Stakeholders: The Case of Scottish Local Authorities.The International Journal of Public Sector Management,17(2/3),222-233.
  103. 丁仁方(1999)。威權統合主義：理論、發展與轉型。臺北:時英出版社。
  104. 辛炳隆、陳敦源、林昭吟、劉宜君、蕭乃怡(2003)。行政院二代健保規劃小組政策評估組期末報告行政院二代健保規劃小組政策評估組期末報告,未出版
  105. 張四明(2010)。政府施政績效評估制度之實證分析。研考雙月刊，34(3)，12-23。
  106. 張四明、陳敦源、林昭吟(2002)。行政院二代健保小組政策評估組期末報告行政院二代健保小組政策評估組期末報告,未出版
  107. 陳恒鈞、梁瑋倩(2009)。建成圓環再生計畫失敗因素之探討：參與治理觀點。文官制度季刊，1(3)，81-124。
  108. 陳敦源(2002)。民主與官僚：新制度論的觀點。臺北:韋伯出版社。
  109. 陳敦源(2009)。民主治理：公共行政與民主政治的制度性調和。臺北:五南圖書公司。
  110. 陳震寰、鄧宗業(2002)。行政院衛生署中央健康保險局91年度研究發展計畫行政院衛生署中央健康保險局91年度研究發展計畫,未出版
  111. 劉宜君、陳敦源、蕭乃沂、林昭吟(2005)。利害關係人管理之概念與實務： 以我國全民健康保險政策改革為例。台灣社會福利學刊，4(1)，95-130。
  112. 蕭元哲(2009)。利害關係人對互動管理的瞭解與應用。文官制度季刊，考試院八十週年慶特刊，145-158。
被引用次数
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