近年來，因中國及新興國家的需求下降，以及歐美國家經濟成長趨緩，使全球航運市場競爭日益激烈，造成海運業損失慘重，2016年9月，世界排名第七的韓進海運宣布破產保護。在台灣，2016年海運業虧損也超過200億元，使得行政院緊急通過海運業600億的紓困貸款。 　　在如此艱困的經營環境中，企業必須擁有良好的供應商評鑑制度，做出良好的採購決策，才能提供具有競爭性的服務予顧客，因此本研究將探討如何針對航運產業的供應商進行評鑑及選擇。此外，供應鏈管理最重要的部分在於如何管理供應商，因為供應商之好壞攸關整個供應鏈之品質、風險與成本，因此，本研究著重於供應鏈管理之核心，並探討管理供應商之根源，進行供應商評鑑與選擇之探討。 　　本研究主要為提出並示範個案公司如何建立一個完整的供應商管理系統，因此評選出之指標未必為直接適用之指標，主要以德菲法、層級分析法及文獻探討法，提出該公司如何選出適合的指標，評斷各個指標之權重，再藉由文獻探討法提出下一層級之評鑑項目。在擁有供應商評鑑指標後，於供應商管理系統中，提出公司如何評估何種情況下需要外包、如何組成評鑑小組、如何針對各個指標進行評分，及哪些採購需要使用本研究所建議之系統。 / In recent years, due to the decreasing demand in China and emerging countries and the slower economic growth in Europe and the United States, the competition in the global shipping market has become increasingly intense, resulting in heavy losses in the shipping industry. In September 2016, Hanjin Shipping, which had been the world’s seventh-largest container shipper, filed for bankruptcy protection. In Taiwan, the loss of shipping industry had exceeded NT$ 20 billion dollars in 2016, causing the Executive Yuan of the central government to emergently approve the relief loans of NT$ 60 billion for the shipping industry. In order to provide competitive services for customers in such a difficult business environment, enterprises must have a good supplier evaluation system for them to make good purchasing decisions. On this account, this study intends to explore how to conduct the evaluation and selection of suppliers in the shipping industry. In addition, a good or bad supplier would affect the quality, risk and cost of the entire supply chain, and thus the most important part of supply chain management lies on how to manage the suppliers. Therefore, this study focuses on the core of supply chain management, investigating the root of the management of suppliers, and also exploring the evaluation and selection of suppliers. This study mainly proposes and demonstrates how the subject company of the case study establishes a complete supplier management system, so that the selected indicators may not be directly applicable indicators. This study uses the Delphi Method, Analytic Hierarchy Process (AHP) and literature review to analyze how the subject company selects the appropriate indicators and determines the weight of each indicator, and also uses the literature review to determine the evaluation item for the next hierarchy. After having the evaluation indicators for suppliers, this study further proposes that in the supplier management system, how the company evaluates the needs for outsourcing in specific circumstances, how to form an evaluation team, how to score for each indicator, and what purchases need to use the system proposed in this study.

在目前相關文獻中，在全球治理架構下所制定的政策，必將對於各國內部相關政策造成影響。然而，這樣的聯想常被視為是理所當然，卻鮮有實證資料，證明一個國家的公共政策在全球治理的架構下，是否真正受到影響？在哪些面向會受到影響？這些面向實際受到影響的程度為何？需要藉由何種工具，來衡量國家政策受到全球治理影響的程度？ 為了解答上述之問題，本文之研究目的可歸納為以下三點： 1.經由全球治理、全球治理與國家公共政策間關係等文獻探討建立全球治理影響國家公共政策之理論架構 2.藉由理論架構與政策德菲法建立全球治理影響國家公共政策之指標系統 3.透過指標系統實證檢驗京都議定書對於台灣公共政策之影響 本研究最後獲致三大重要成果。首先，建構出全球治理影響國家公共政策之「GG-NPP理論架構」；其次，經由政策德菲法的徵詢結果，彙整出適合用以衡量全球治理對於國家公共政策影響之指標系統，共可分為三大面向、六大變數以及十六項指標。再者，透過前述的指標系統，以京都議定書為個案檢證台灣現行因應之政策。透過數據的整理，發現我國在十六項指標項目中，有十項是呈現因應京都議定書的正向趨勢；但是其餘六項指標，由於受到如主權、國際現實環境等外在因素的侷限，或者是受制於政府自己內部的組織、人事、預算、府際關係等因素，故而全球治理並未對於國家公共政策的結果必然造成影響。 / In some relative literature, we can see the policy outcomes in the national governance level “could” be affected by those in the global level. But there is little practical evidence to affirm such cause and effect. How can we evaluate exactly such relation, dimension and degree? This paper will be grouped into third parts. First, I will review the literature of global governance, the relations between global governance and public policy. By doing so, the theory framework could be formulated. Second, I will select and construct the dimensions, variables and indicators that are related to the relations between global governance and public policy. And I will check and confirm the dimensions and indicators through the “Policy Delphi” method to build the indicator system completely. Third, I will evaluate the impacts of Kyoto Protocol on public policy in Taiwan. Finally, I got three important outcomes. First, I formed a “GG-NPP theory framework”. Second, I constructed an indicator system that can be formed to measure the relation between global governance and public policy by two round “Policy Delphi” process. There are three dimensions, six variables and sixteen indicators in this indicator system. Third, I examine the indicator system by the case of “Kyoto Protocol”. I checked the impacts of Kyoto Protocol on public policy in Taiwan and found some interesting outcomes. And I knew the impacts of Kyoto Protocol on public policy will be affected by some external and internal elements.

保障人民的生命財產安全向來為政府的基本職責之一，而要如何在重大災害發生之際，擬訂周全的處理計畫，確保人民的生命財產安全，則取決於政府的「緊急災難管理」（emergency management）能力。 我國政府自民國八十三年由行政院頒佈「災害防救方案」後，無疑為我國「緊急災難管理」的體系與決策運作制度立下新的里程碑。然而此一體系在歷經了民國八十五年「賀伯風災」、八十六年「溫妮風災」、台北縣汐止鎮「林肯大郡災難」、八十七年桃園縣「華航大園空難」，直至去年（民國八十八年）「九二一大地震」的嚴苛挑戰後，卻如殘垣破瓦般不堪一擊。政府雖於今年（民國八十九年）六月底完成「災害防救法」三讀程序，然而其內容除了在提高災害防救委員會的層級，以及擴增消防署之功能上有所建樹外，仍多半延續舊有的災害防救體制，是否真能一掃以往「災害防救方案」在執行過程中所產生的缺失，仍有待時間來加以檢驗，但吾人不難從今年七月二十二日「八掌溪事件」，政府救災體系的複雜，以及決策運作的紊亂中看出端倪。 本論文的研究目的在探討我國如何建立一個足以防範多元災害的整合性緊急管理體系，並成立從中央至地方一條鞭式，運作順暢的災難決策運作模式。本論文的研究方法主要是透過文獻資料分析，從制度面、決策面與程序面三面向進行美、日兩國的個案比較。制度面旨在探討緊急災難管理之組織體系與架構；決策面旨在分析中央至地方的決策運作模式；程序面則是從美、日之救災實例過程中尋求可供我國政府參考，提高救災績效的運作程序。在此舉美國政府處理加州北嶺大地震（又稱洛杉磯大地震）以及日本政府處理阪神大地震之經過為例。 本論文除透過文獻分析進行美、日兩國的個案比較之外，更於其後藉由「德菲法」（Delphi technique）問卷調查的方式，設計開放式問卷以供專家學者針對如何改進我國目前災害防救體系做出具體回應，以收集思廣益之效。最後則綜合專家學者之意見並取得共識，找出最可行的方案，以作為本論文之政策建議。 本論文的政策建議仍分為制度面、決策面與程序面三面向分別加以探討。除建議我國政府可倣效美國「緊急災難管理」體系，成立台灣之FEMA（緊急管理總署）外，必須將決策層級改為中央－地方兩級制以利決策管道之順暢，至於培訓專業人才、健全法源依據、賦予地方政府較大的決策自主性、加強緊急通訊設備等課題，都是攸關「緊急災難管理機制」健全與否的重要因素，政府千萬不可等閒視之。 「緊急災難管理」是一門「科際整合」的（inter-disciplinary）學問，本論文僅從組織的觀點切入，建議後續研究人員可從法制層面、軍事民防層面與都市計劃層面進行研究探討，使我國「緊急災難管理」體系與制度更趨完備。

雲端運算(Cloud Computing)，是近年來在資訊科技與商業資訊應用領域中，佔有相當重要地位的研究與應用議題。眾多企業的執行長與資訊專家宣稱，雲端運算可降低基礎硬體設施與軟體維護的管理成本，為企業組織帶來新的契機與創造全新的商業模式。並非所有人都對雲端運算有正面的評價，部分專家學者指出，科技公司如Google、Microsoft與Amazon等大力推廣雲端運算，皆為了其利益和提高其現有硬體設備資產之利用度，過度高估雲端運算的價值以吸引企業客戶外包更多資訊系統與資訊應用。而無論雲端運算是否能成為下個世代的潮流，未來電腦發展趨勢，已有趨向集中分散各處的運算資源來完成需要高度運算能力服務之現象。 　　本研究提出一分析模式，預期讓中小企業(Small and Medium-sized Enterprise ,SME)進行外包資訊系統決策，在採用傳統外包與雲端運算外包此二種模式中做抉擇時，能對可能影響決策之因素進行評比與重要性排序，讓雲端服務提供廠商了解使用者所重視的要點以改善現有的服務與加強其發展的方向。本研究亦蒐集雲端運算的相關文獻與各方評價，以及與雲端運算相關之技術和特性，彙整成為一多面向之因素模型。本研究使用德菲法(Delphi Method)與層級分析法(Analytic Hierarchy Process, AHP)，透過製發問卷來濾除模型中不重要之因素與分析因素之間相對的重要程度。本研究之最終研究結果顯示安全性(Security)與穩定性(Stability)兩大面向與相關因素，為中小企業在進行外包決策與選擇服務提供商之優先考量。

本研究旨在建立高級中等學校校務基金績效評鑑系統， 並以「模糊德菲法」蒐集政策利害關係人意見，共建立5項構面29項指標。 本研究結論如下： 一、本研究共建立五大構面， 以構面權重高低排序分別為： 「財務收支及財產管理績效」（21.28%）、 「基金運用、預算編製及執行績效」（20.52%）、 「學校經營目標及經營計畫」（19.72%）、 「基金管理及學校組織運作」（19.51%）、 「學習品質及滿意度」（18.96%）。 二、依照各構面內指標權重高低，依序如下： （一）「財務收支及財產管理績效」構面內最重要者為「教學研究及訓輔費 用占業務成本與費用比率」。 （二）「基金運用、預算編製及執行績效」構面內最重要者為「建立預算編 製與執行作業程序」。 （三）「學校經營目標及經營計畫」構面內最重要者為「學校校務發展定位 與特色」。 （四）「基金管理及學校組織運作」構面內最重要者為「內部審核執行成效」。 （五）「學習品質及滿意度」構面內最重要者為「建立歷年校務基金報表公 開專區」。 最後，依據研究結論分別給予教育主管機關、學校以及後續研究相關建議。 / The purpose of this study is to establish a system about the performance evaluation indicators for the school funds of high schools in Taiwan. By using the fuzzy delphi method with opinions of stakeholder, the study consists of 5 dimensions and 29 indicators in total. According to priority of 5 dimensions, the conclusions are as follows： 1.“performance of financial receipts, expenditures and property management”(accounts for 21.28%) 2.“performance of funds, budget planning and execute”(accounts for 20.52%) 3.“performance of school management goal and planning ”(accounts for 19.72%) 4.“performance of fund management and school organization operation ”(accounts for 19.51%) 5.“performance of learning quality and satisfaction degree”(accounts for 18.96%) According to priority of intra-dimension indicators ,the conclusions are as follows： 1.In the dimension “performance of financial receipts, expenditures and property management”, the indicator “the ratio for teaching, research ,discipline and counseling cost to operation cost ” accounts for the most part. 2.In the dimension “performance of funds, budget planning and execute”, the indicator “establishing standard of procedure for budget planning and execute” accounts for the most part. 3.In the dimension“performance of school management goal and planning ”, the indicator “status and feature for school development” accounts for the most part. 4.In the dimension “performance of fund management and school organization operation ”, the indicator “performance of internal auditing” accounts for the most part. 5.In the dimension“performance of learning quality and satisfaction degree”, the indicator “establishing school-fund statements website over the years” accounts for the most part. According the conclusions, some suggestions had been proposed: 1. suggestions for ministry of education 2. suggestions for school administrators 3. suggestions for further study

十二年國教及中小學教師評鑑即將上路，教學方向的調整與教師能力的提升在不久的將來將列為重要的教師績效指標之一。教師應如何轉型，及如何提升學生的上課狀況，都可透過教學問卷的回饋來作參考；教學問卷可直接且快速的反應學生想法並成為師生溝通的交流管道，使教師反省自我教學方式及技巧，進而改善；因此，在使用問卷時，若利用傳統的統計分析方式來研究結果，強迫學生採用二元邏輯的方式思考與解釋問卷結果，將可能會導致偏差或錯誤的結論。本論文應用模糊理論的概念，以模糊問卷為工具，利用模糊德菲法探討學生喜歡的數學老師類型，再提出新反模糊化值，並藉由模糊威克生等級和檢定及變異數檢定方法，分析學生滿意度是否會因性別、年紀、成績、背景而有所不同，最後討論學校老師及校外老師間的滿意度是否有差別。由實證例子分析結果顯示，我們提出的檢定方法，能有效分析模糊樣本的問題，進而期望能對教學問卷的分析和決策有所貢獻，並將此方法運用於其它模糊性議題之研究。 / The twelve-year compulsory education and the evaluation of the primary and secondary school teachers are brought into practice. The way teachers organizing their teaching strategies and improving their capability will be the key indicators of teachers’ performance review in the coming future. How will teachers fine-tune their instructional skill to attract students’ focus and then to boost students’ learning motivation and academic performance, is binding to the result of a practical Teaching Assessment System. The satisfaction questionnaires designed to students as teachers’ Teaching Assessment is a good evaluation tool to have student’s feedback on teachers’ performance. The questionnaires can quickly and directly reflect the thoughts of the students and serve as a communication channel between the teachers and the students, which can help teachers examine and ameliorate how and what they teach. The result could be used as reference for teachers to enhance the quality and effectiveness of teaching. In those varies of statistical methods used as analysis, if conventional statistical analysis is adapted to analyze the questionnaires and force the students to think and to explain through binary logic, it may result in deviations or erroneous consequences. Furthermore, it may drive to the exaggerated interpretation and detrimental decision. The study, based on Fuzzy Delphi Methods, aims to apply the concept of fuzzy theory and uses fuzzy questionnaires as a tool to analyze what kinds of mathematics teachers the students like. We propose the counter-fuzzy transformation, by using the Fuzzy Wilcoxon Rank-Sum Test and variance test to assay whether the students’ satisfaction differ owing to gender, age, grade, or their family background. Lastly, we will discuss whether the satisfaction is different between the school teachers and the teachers in other schools. The result demonstrates that assaying method, as using fuzzy statistics analysis, is a functional and competent way to analyze fuzzy sampling data through its aims and objectives. We believe it could sustain to support related analysis and decision making on Teaching Assessment, and also could be used to other fuzzy test study.

本論文主要在瞭解財經頻道的可信度。可信度是社會的資產；國內財經頻道成立至今12年，有其特殊的發展需要和歷程；本論文之研究期間，正值主管當局對財經頻道進行換照審議工作，財經頻道可信度的瞭解因此更為需要。本研究以文獻探討及財經頻道之前驅研究建立財經頻道可信度之架構，並以修正式德菲法對專家學者小組進行兩回合問卷調查，及四位學者專家的深度訪談，試圖建構國內財經頻道可信度面向及量表。 / 本研究將財經頻道可信度可分為可信賴性、專業性、正確性、多元性及社會責任等5個面向共38項題項，其中可信賴性有9項題項、專業性有9項題項、正確性有8項題項、多元性有4項題項、社會責任則有8項題項。 / 研究顯示，社會責任面向中的「從業人員不涉及股市內線交易」與「經營者以大眾利益為考量」等兩個題項是財經頻道可信度最重要的量表題項，相較於過去國內對一般新聞媒體可信度研究的結果對社會責任面向的不確定性，本研究認為社會責任面向為財經頻道可信度的面向之一；在可信賴性面向中，「平衡報導、多方並陳」因應財經頻道特質所納入的題項，也成為此面向中最重要的題項。可信賴性與社會責任兩個面向較偏向一般性的媒體可信度面向，專業性、正確性及多元性等三個面向則偏向財經頻道特有的可信度面向。研究發現，財經頻道的可信度與一般電視可信度的量表題項的確略有不同，理論界與實務界應將兩者區分開來，不應一視同仁。以此研究反觀國內八家財經頻道，大部份頻道的現況與本研究結果相去甚遠，值得欲永續經營的財經頻道經營者及從業人員深思。 / 研究建議，財經頻道應以中立的態度多方並陳、平衡報導，提升從業人員對自我的道德要求及專業訓練，加強議題的選擇、處理、追蹤的能力，並在組織內控上善盡把關之責，不但需要多元的內容呈現，也希望提供訊息來源並經過驗證，最後，對社會責任的認知及製作品質精良的節目是財經頻道未來應持續發展的方向。本研究結果期望能對財經頻道業者在經營及操作上提供參考，並提供閱聽眾在選擇收視財經頻道時做為評鑑之參考指標。 / This study aims to build evaluation criteria of financial news channel credibility. In comparison of news channels, there are comprehensive approaches to evaluate their credibility, but those approaches may not fit precisely with the feature of the financial news channel. Based on literature review and pilot study, a framework of credibility specific to financial news channels is built within this study. The scale of credibility evaluation is conducted by two rounds of questionnaires and in-depth interviews with professionals through Delphi method. / Through a total of 38 questions, this study categorizes financial channel credibility into five dimensions of trustworthiness, professionalism, accuracy, diversity, and social responsibility. It consists of 9 questions regarding trustworthiness, 9 questions on professionalism, 8 questions related to accuracy, 4 questions on diversity, and 8 questions on social responsibility. / In the social responsibility part, two issues of “no insider trading conducted by personnel in the business” and “managers make considerations based on public benefits” are the most important on the scale for financial channel credibility. To compare with the uncertainties on news media credibility in past domestic studies of social responsibility, this study reveals that social responsibility is one of most important dimensions of financial channel credibility. In the trustworthiness dimension, “balanced reporting and description of multiple sources” is incorporated in response to the features of financial channels, and is the most important issue in this aspect. In comparison with other media credibility studies, “trustworthiness” and “social responsibility” belong to general media credibility dimensions, while the three dimensions of professionalism, accuracy, and diversity are more unique to financial channel credibility. This study discovers that the credibility of financial channels indeed shows differences from issues on the credibility scales of general television; the two should be separated in theory and in practice. / The report suggests that financial channels should keep a neutral attitude to describe diverse sources and make balanced reports; elevate the ethical requirements and professional training for personnel in the business; strengthen the ability in selecting, treating, and tracking issues, and have adequate control in organizational change. Not only content diversity is necessary, but also the information source should be given and confirmed. Finally, perception of social responsibility and production of quality programming is a direction financial channels should develop in the future. It is expected the results of this study can provide a framework for financial channel business in operation and management, and also an evaluative indicator for members in public who choose to watch financial channels.

由於醫療服務具高度專業性，故醫療照護市場長期存在資訊不對等的問題。隨著消費者利益保護及病人權利運動的興起、民眾被要求在自己的健康上承擔更多的責任，積極參與健康決策、新資訊科技的發明，使得醫院醫療與服務品質資訊的收集更容易且成本更低廉，因此，歐美各國近年來積極建立健康照護市場的品質資訊，發展醫院品質報告卡，提供民眾就醫選擇所需的資訊，期望能達成保障民眾的醫療權益，同時促使醫院提升醫療與服務品質，及增進醫療照護市場運作效率的目標。 台灣自1995年起實施全民健康保險制度，醫院與中央健康保險局的特約率達90%以上，民眾享有極大的自由選擇就醫地點及醫院，然而到目前為止，仍然欠缺足夠的醫院醫療與服務品質資訊提供給民眾做為選擇醫院的參考。其次，相關研究的結果顯示，台灣民眾對於就醫選擇資訊的提供有高度的興趣，且對民眾就醫選擇決策亦有重大的影響。 目標：本研究旨在由民眾觀點篩選醫院醫療與服務品質報告卡的指標項目，及採用創新擴散理論(innovation diffusion theory)，以結構方程模式(structural equation model)探討住院病人對醫院醫療與服務品質報告卡創新特性的知覺、態度及使用意願。 方法：本研究首先以推動社會福利、關心民眾健康權益及病人團體的30位專家為研究對象，進行二回合的德菲法(Delphi method )問卷調查篩選醫院醫療與服務品質報告卡的指標項目。其次以台北縣市不同層級及權屬別的八家醫院內、外科共500位住院病人為研究對象進行面訪問卷調查，探討住院病人創新接受度、對醫院醫療與服務品質報告卡創新特性的認知、態度及使用意願，並以結構方程模式進行研究假說與架構的驗證。 結果：1.由民眾觀點所選出屬於高適用性且高重視度的指標項目計有院內感染率、手術傷口感染率、住院病人對醫師病情解說內容的滿意度、門診病人對醫師服務態度的滿意度等九項；2.只有17.2%的住院病人在填問卷前有聽過醫院醫療與服務品質報告卡這個名詞；3.有80.2%的住院病人認為醫院醫療與服務品質報告卡對選擇醫院是非常有價值或有價值的；4.住院病人對服務品質指標的瞭解程度相對地高於對醫療品質指標的瞭解程度；5.對呈現方式的瞭解程度由高至而低排序，依序為星號、百分比、長條圖；6.影響「住院病人是否看懂醫院醫療與服務品質資訊」的因素，在控制其他變項的影響後發現，教育程度愈高者、年齡愈輕者、個人平均月收入較高者，較看懂醫院醫療與服務品質報告卡範例中指標資訊；7.創新特性中，「相容性」及「結果展示性」對「對醫院醫療與服務品質報告卡的態度」具有正向的顯著影響；8.「知覺有用性」、「對醫院醫療與服務品質報告卡的態度」及「創新接受度」對「使用醫院醫療與服務品質報告卡的意願」具有正向的顯著影響；9.影響住院病人「對醫院醫療與服務品質報告卡的態度」最主要因素為「相容性」，且達到統計上的顯著水準；10.影響住院病人「使用醫院醫療與服務品質報告卡的意願」的最主要因素為「對醫院醫療與服務品質報告卡的態度」，且達到統計上的顯著水準；11.最後要特別強調的是，本研究的新發現為「知覺有用性」、「知覺易用性」、「相容性」、「結果展示性」、「創新接受度」，兩兩之間具有統計上之顯著相關，這是本研究與以往相關研究結果的最大不同發現。 結論：住院病人認為醫院醫療與服務品質報告卡對選擇醫院是有價值的，因此，建議行政院衛生署可考慮主導，整合醫院評鑑、全民健康保險申報及病人滿意度調查的資料，分區分醫院等級，評比其在高適用性且高重視度的九項指標項目之表現，以星號及百分比的形式呈現，再以小手冊及網際網路查詢的方式對外公佈，並加強對民眾的宣導教育，讓民眾可以將品質資訊運用在就醫選擇決策上，使民眾成為明智的醫療服務消費者及醫療與服務品質的共同監督者，以提升醫療體系的運作效能。 / There exists information asymmetry between providers and consumers in healthcare market due to the highly specialized knowledge in this market. Consumers were asked to bear more responsibility on their own health and to participate in the formulation of healthcare strategies and the inventions of new technology as the uprising in the movement of consumer right protection. These would result in the reduction in costs related to the medical services and information collection. Therefore, western countries have aggressively established the medical information system and developed hospital report cards in order to protect consumers’ right, to improve quality of medical services, and to increase the efficiency of healthcare market by providing service information to consumers. Taiwan initiated the National Health Insurance since 1995 with the facility contract rate reaching over 90%. This provides consumers great access to healthcare institutions. However, few service data have been provided to consumers as a reference for the choice of providers to date. In addition, previous studies showed that consumers were interested in obtaining available service information and these information have a great influence on consumers’ decision of providers. Objectives: The purposes of this study were to select indicators of hospital report cards from public’s perspective and to adopt the innovation diffusion theory and structural equation modeling to explore inpatients’ perception characteristics of innovation, attitudes toward, and willingness to use hospital report card. Materials and Methods: Firstly, we selected 30 subjects who were experts in social welfare or consumer right to participate in two rounds of Delphi investigation to select appropriate indicators of hospital report card. Secondly, we purposely ask for the permission from eight hospitals representing different accreditation levels and ownerships to allow us to select 500 medical and surgical inpatients to conduct a face-to-face interview regarding their innovativeness, perception characteristics of innovation, attitudes toward, and willingness to use hospital report cards. Finally, we used structural equation modeling (SEM) to test research hypotheses by way of. Results: We found that (1) from publics’ perspective the most applicable and important indicators include nosocomial infection rate, postoperative infection rate, inpatient’s satisfaction toward physician’s explanation, and outpatient’s satisfaction toward physician’s service attitudes; (2) only 17.2% of surveyed sample heard the term “hospital report card” before; (3) a total of 80.2% of inpatients considered hospital report cards to be very valuable or valuable for the selection of providers; (4) inpatients understood more in service indicators than clinic indicators; (5) the order of inpatients’ preference in presentation of hospital report cards was to use stars, percentages, and bar charts; (6) those who had higher education and higher monthly incomes, and were younger were more likely to understand the information provided by hospital report cards after adjusting for other factors; (7) among inpatients’ characteristics of innovation toward hospital report card, ”compatibility” and “result demonstrability” had significant positive influence on ”inpatients’ attitude toward hospital report card”; (8)”perceived usefulness”, “inpatients’ attitude toward hospital report card”, and “inpatients’ innovativeness” had significant positive influence on ”inpatients’ willingness to use hospital report card”；(9)”compatibility” had significant positive influence on “inpatients’ attitude toward hospital report card”；(10)“inpatients’ attitude toward hospital report card” had significant positive influence on ”inpatients’ willingness to use hospital report card”；(11)finally it is worth emphasize that this study had a new finding that ”perceived usefulness”, “perceived ease to use ”, “compatibility”, “result demonstrability ”,and “inpatients’ innovativeness” had significant positive correlation between each other. Conclusions: We concluded that inpatients considered hospital report cards to be valuable for the selection of hospitals. Therefore, it is recommended that hospital report cards be initiated by the Department of Health by integrating the information from hospital accreditation, medical claims data from the National Health Insurance, and survey of patient satisfactions. The rankings of hospital shown on report cards can be presented in stars or percentages, and these pieces of information can be released through booklet or Internet. In addition, consumers should be educated to use hospital information in order to monitor hospital performance and improve the efficiency of healthcare delivery system. / 目 錄 誌謝……………………………………………………………… Ⅰ 摘要……………………………………………………………… Ⅲ Abstract………………………………………………………… Ⅴ 目錄……………………………………………………………… Ⅶ 表目錄……………………………………………………………… Ⅹ 圖目錄……………………………………………………………… Ⅻ 第一章 前言……………………………………………………… 1 第一節 研究背景與動機………………………………… 1 第二節 研究目的與研究問題…………………………… 5 第三節 研究的重要性與預期貢獻……………………… 6 第二章 文獻探討………………………………………………… 8 第一節 醫院品質報告卡的沿革……………………………… 8 第二節 醫院品質報告卡的指標項目………………………… 15 第三節 醫院品質報告卡的影響與推行障礙………………… 27 第四節 醫療品質指標系統及品質報告卡的發展步驟……… 32 第五節 創新擴散理論………………………………………… 37 第六節 結構方程模式………………………………………… 43 第七節 國內外相關實證研究之結果………………………… 48 第八節 綜合討論……………………………………………… 76 第三章 以德菲法篩選醫院醫療與服務品質報告卡之指標項目. 79 壹、研究方法……………………………………………………… 79 第一節 研究設計與流程………………………………………… 79 第二節 研究對象………………………………………………… 79 第三節 研究工具………………………………………………… 81 第四節 資料處理與分析………………………………………… 95 貳、研究結果……………………………………………………… 95 第一節 問卷回收情形…………………………………………… 95 第二節 描述性統計分析………………………………………… 96 第三節 第一回合與第二回合問卷調查結果差異分析…………105 參、討論……………………………………………………………106 第一節 重要研究結果討論………………………………………106 第二節 研究限制…………………………………………………108 第四章 住院病人對醫院醫療與服務品質報告卡的認知、態度 與使用意願……………………………………………… 110 壹、研究方法………………………………………………………110 第一節 研究架構、目的與假說…………………………………110 第二節 研究對象…………………………………………………118 第三節 研究變項之操作型定義…………………………………121 第四節 研究工具…………………………………………………124 第五節 資料處理與分析…………………………………………126 貳、研究結果………………………………………………………128 第一節 問卷信度及效度的檢定…………………………………129 第二節 樣本基本特質與研究變項的統計分析…………………130 第三節 研究假說與架構的驗證…………………………………170 參、討論……………………………………………………………178 第一節 重要研究結果討論………………………………………178 第二節 研究限制…………………………………………………187 第五章 結論與建議………………………………………………188 第一節 結論………………………………………………………188 第二節 建議………………………………………………………191 參考文獻……………………………………………………………194 附錄…………………………………………………………………209 附錄一、德菲法問卷專家效度名單………………………………209 附錄二、德菲法問卷專家名單……………………………………210 附錄三、醫院品質報告卡指標項目適用性及重要性評分問卷 212 附錄四、醫院品質報告卡指標項目適用性及重要性評分問卷 (第二回合) ………………………………………………224 附錄五、住院病人對「醫院醫療與服務品質報告卡」的認知、 態度與使用意願之研究問卷專家效度名單……………246 附錄六、住院病人對「醫院醫療與服務品質報告卡」的認知、 態度與使用意願之研究…………………………………247 附錄七、醫院醫療與服務品質報告卡的範例……………………254 表目錄 表2-1品質報告卡的種類及指標項目…………………………… 20 表2-2台灣有關醫療品質指標的實證研究……………………… 50 表2-3台灣用來評估醫院醫療品質的指標彙總表……………… 56 表2-4有關民眾(病人)選擇醫院(醫師)考量因素的實證研究… 58 表2-5台灣有關醫院品質報告卡及民眾就醫選擇資訊需求的相 關研究 ……………………………………………………… 66 表3-1本研究初步選取醫院醫療與服務品質指標的來源或依據…84 表3-2本研究所採用醫院醫療與服務品質指標的操作型定義……87 表3-3問卷發放及回收情形…………………………………………96 表3-4德菲法專家問卷分析結果……………………………………99 表3-5適用性前十名指標項目及其平均值 ………………………103 表3-6重視度前十名指標項目及其平均值 ………………………104 表3-7適用性與重視度交叉分析矩陣表 …………………………104 表3-8高適用性且高重視度指標項目 ……………………………105 表3-9Wilcoxon Signed Ranks Test 檢定結果………………… 109 表4-1研究對象分配表—依層級別、權屬別及性別分 …………120 表4-2預試問卷各成份信度結果 …………………………………125 表4-3有效樣本分佈情形—依醫院別 ……………………………131 表4-4樣本個人基本特質與就醫選擇資訊搜尋及需求狀況 ……133 表4-5對醫院醫療與服務品質報告卡的認知 ……………………137 表4-6對醫院醫療與服務品質報告卡之指標及呈現方式的瞭解 程度…… ……………………………………………………139 表4-7醫院醫療與服務品質報告卡創新特性之描述性分析 ……140 表4-8醫院醫療與服務品質報告卡的態度及使用意願之描述性 分析………………………………………………………… 144 表4-9創新接受度量表之描述性分析 ……………………………145 表4-10住院病人自覺醫院醫療與服務品質報告卡對選擇醫院有 無價值影響因素的雙變項分析……………………………147 表4-11病人自覺品質報告卡對選擇醫院有無價值影響因素之複 迴歸分析……………………………………………………149 表4-12住院前有無先探聽醫院醫療與服務品質資訊影響因素的 雙變項分析…………………………………………………151 表4-13住院前有無探聽醫院醫療與服務品質資訊影響因素之複 迴歸分析……………………………………………………153 表4-14住院病人是否看懂醫院醫療與服務品質資訊影響因素的 雙變項分析…………………………………………………155 表4-15住院病人是否看懂品質資訊影響因素之複迴歸分析……157 表4-16住院病人是否需要醫院醫療與服務品質報告卡影響因素 的雙變項分析………………………………………………159 表4-17住院病人是否需要醫院品質報告卡影響因素之複迴歸分 析……………………………………………………………161 表4-18住院病人會不會參考醫院醫療與服務品質報告卡影響因 素的雙變項分析 …………………………………………163 表4-19住院病人會不會參考醫院品質報告卡影響因素之複迴歸 分析…………………………………………………………165 表4-20住院病人是否會更換就醫醫院影響因素的雙變項分析…167 表4-21住院病人會不會更換到其他的醫院看病影響因素之複迴 歸分析…… ………………………………………………169 表4-22住院病人創新接受度、對醫院醫療與服務品質報告卡創 新特性之知覺、態度與使用意願理論架構因果模式之配 適度檢定結果………………………………………………171 表4-23整體模式之多元相關平方(SMC) …………………………171 表4-24外因潛在變項與其測量變項關係之標準化係數之檢定…173 表4-25內因潛在變項與其測量變項關係之標準化係數之檢定…174 表4-26潛在變項間之因果關係的標準化係數之檢定……………174 表4-27外因潛在變項間相關係數之檢定…………………………175 表4-28研究模式的間接、直接與整體效果………………………175 表4-29研究假說檢定結果…………………………………………176 圖目錄 圖2-1Rogers的創新--決策過程典範………………………………41 圖3-1德菲法研究流程………………………………………………80 圖4-1研究架構 ……………………………………………………111 圖4-2本研究之結構方程模式關係路徑圖 ………………………177

本研究旨在導入總整課程概念於臺灣中小學師資職前教育，探討國外總整課程之內涵與功能，初步建構臺灣中小學師資職前教育之總整課程，並提出結論與建議，以供未來師資培育大學發展總整課程之參考。 研究方法上，先以文件分析出可行之臺灣中小學職前教育總整課程，接著以專家問卷進行課程的刪修，再利用模糊德菲法探究專家學者對課程具備整合、反思與銜接功能之看法，最後根據專家學者們之共識，完成我國中小學師資職前教育總整課程。根據研究之結果與分析，歸納主要結論如下： 一、中小學師資職前教育總整課程形式包含「實地教學經驗」、「研究計畫」、「專題討論」、「歷程檔案」、「綜合表現與評量」五大類。 二、以實地教學經驗，如「半年教育實習」、「分科／分領域教學實習」、「實踐史懷哲精神教育服務計畫」等，在中小學師資職前教育總整課程之各功能認同度最高。 三、臺灣中小學師資職前教育總整課程依據類型不同，具備總整性存在差異。 最後，本研究根據研究結果，提出相關建議，俾供各師資培育之大學以及後續研究之參考。 / The purpose of this study is to integrate the concept of capstone course to pre-service primary and secondary teacher education in Taiwan. This paper not only explores the connotation and function of the capstone course in pre-service teacher education, but also constructs the capstone course in pre-service teacher education for Taiwan. It also provides conclusions and suggestions for universities that offers teacher training programs to develop their capstone course in the future. The main conclusions follow: 1.The capstone courses of pre-service teacher education include five categories: "field experience", "research project", "seminar", "portfolio", "comprehensive performance and evaluation". 2.The field experience, such as " student teaching", " teaching practicum ", " Schweitzer program " and so on, has the highest capstone function in Taiwan’s pre-service primary and secondary teacher education. 3.The function of capstone course is much different in Taiwan according to varietal types of professional courses and activities of pre-service primary and secondary teacher education. In conclusion, the findings and results in the hope of providing suggestion for the universities that offers teacher training programs and more studies in the future.

本研究旨在建構國民小學教育空間品質評鑑指標。研究方法部分，先以文獻分析歸納出國民小學教育空間品質評鑑之初擬指標，再以專家問卷以及模糊德菲術問卷進行調查。模糊德菲術調查樣本為22位對國民小學的校園規劃、空間環境相當了解的校長、學者及教育行政機關主管為對象，透過三角模糊數整合專家對指標重要性之看法並篩選指標項目，最後以歸一化之方式求得各構面以及各項指標權重，完成國民小學教育空間品質評鑑指標體系。根據研究之結果與分析，歸納主要結論如下： 一、本研究建構之國民小學教育空間品質評鑑指標，含兩層指標，第一層指標有 6項，第二層指標有35項。 二、本研究建構之國民小學教育空間品質評鑑之第一層指標，依權重排序分別為「安全與管護」（18.41％）、「舒適與健康」（17.51％）、「特色與美感」（16.59％）、「節能與永續」（16.40%）、「充足與彈性」（16.28%）及「社交與休憩」（14.80%）。 三、本研究建構之國民小學教育空間品質評鑑之第二層指標依權重排序，在安全與管護方面，應特別重視校舍建築耐震防災、避難空間與動線的規劃，以及校園死角的監控管護；在舒適與健康方面，應特別重視校園環境的乾淨與整潔，且教室應有良好的照度以及通風；在特色與美感方面，應特別重視教育空間應富有寓教於境的教育情境、具有美感，以及能展現學校重要精神；在節能與永續方面，應特別重視教育空間能維持生態多樣性以及節水減碳的規畫與設計；在充足與彈性方面，應特別重視特殊需求的學生使用，並有足夠的各式教學與活動及多目的使用的空間；在社交與休憩方面，應特別重視學生交流互動、師生對話，以及與社區資源共享的空間。 最後，本研究依研究結果分別就對教育主管機關、對學校及對後續研究提出建議。 / The purpose of this study is to construct the evaluation indicators for quality of educational space in elementary schools. As for research methods, by means of literature review, and then 35 indicators within 6 main dimensions had been organized as a raw model of quality of educational space in elementary schools indicators based on which the Fuzzy Delphi questionnaire was developed and the survey was conducted with the sample size of 22 experts. Symmetric triangular fuzzy number then was used to analyze experts’ opinion on the importance of each indicator and to help indicator selection. At last stage, normalization of fuzzy number’s total score determined the weight of each dimensions and indicators; accordingly, the quality of educational space in elementary schools indicator system was constructed. The main conclusions are as follows： 1. The quality of educational space in elementary schools indicator system consists with 6 dimensions and 35 indicators in total. 2. The 6 dimensions are:safety and security（18.41％）, comfort and health（17.51％）, characteristics and aesthetic（16.59％）, energy efficiency and sustainability（16.40%）, adequate and flexible（16.28%）,social and leisure（14.80%）. 3. The second layer indactors for the quality of educational space in elementarty school are : in “safety and security”, should be the building seismic disaster, asylum space and the route planning, and monitoring of management and protection of the campus corner ; in the “comfort and health”, with special attention to the campus environment clean and tidy, and the classroom should have good illumination and ventilation; in the “characteristics and aesthetic” context, special attention should be full of educational space education through environmental education context, the aesthetic , as well as important to show school spirit; in “energy efficiency and sustainability”, and the particular importance of education to maintain the ecological diversity and space saving and carbon reduction planning and design; in “adequate and flexible” in regard, special attention to students with special needs, and there is enough variety of teaching and activities and multi-purpose use of space; in “social and leisure” aspects, special attention should be student interaction, teacher-student dialogue and resource sharing with the community space. According to the conclusions, some suggestions had been proposed : 1..suggestions for education administrators,2.suggestions for schools, and 3.suggestions for further study.