台灣醫療旅遊群聚 / Medical Tourism is an emerging phenomenon wherein patients travel across national borders to receive medical treatment. The medical tourism is recently one of the fastest-growing industries around the world, with healthcare tourism in Asia rising at more than 20% per year. It is estimated that this industry’s revenue will rise from about US$60 billion in 2006 to about US$100 billion worldwide by 2012. For the benefit of economic growth and the development of the medical industry, Taiwan where medical care can be delivered with high medical quality and technology at reasonable cost, wants a slice of this pie and endeavors to become a global medical tourism hub. .Aim of this thesis is to provide a descriptive and analytical overview of Taiwan medical tourism cluster and its potential for growth in the global medical tourism. The cluster and Porter’s diamond analysis of Taiwan medical tourism clarifies that successful development of healthcare and tourism clusters, individually and jointly, is crucial to gain competitive advantage in Asia.

臺灣醫療旅遊主要著重於中國大陸。本論文在於分析台灣政府對中國大陸的醫療旅遊產業之醫療旅遊的政策，其優、缺點的調查。 / Medical tourism in Taiwan is manly focus on Mainland China. This study aims to analyze the government polices for managing medical tourism through the Mainland China medical tourists. Its strengths and weaknesses investigation in regards to Taiwan’s governance. The conclusions come out that medical tourism creates a surplus of doctors which benefits healthcare in Taiwan; it benefits the private run hospitals or medical centers; it strives the preexisting tourism infrastructures’ improvement and help to deal with those ill-equipped hospitals to make better condition; moreover, it shows a friendly country to share their high quality medical service to other counties; and it also improves the relations across the Taiwan Strait. The result of this paper gives an overall suggestions to Taiwan’s government that the government should emphasize real gains and benefits (both economic and political) from the development of the domestic medical tourism industry; the government should relax restrictions about surgery staying days and restrict the hospital’s investment from Taiwan to Mainland China; the government should abolish the provision medical tourism fee and do more involvement to promote the especially lesser-known hospitals; the government should integration of efforts to market medical tourism; the government should do its best to manage the development of medical tourism and the domestic healthcare system; the government should encourage the public hospitals’ participation in medical tourism industry and negotiate with Mainland China for medical tourism issues. Thus, the integration and investment are the most important priority for Taiwan’s medical tourism development.

台灣發展醫療旅遊／國際醫療服務一直備受爭議。本研究主要以意見場域為基礎，深度訪談與次級資料的論述分析為方法，探看台灣發展醫療旅遊的過程中，相關行動者以何種論述策略正當化自身持具之立場、其中又反映了何種為行動者視為當然之預設；進而找尋各方溝通之可能性。 依照「與國際醫療服務有關的政府主要推動計畫時程」和「論辯的主要議題」兩者，本研究將所探看的發展時間分為三時期，分別為：（1）關於醫療服務國際化是否應該發展以及如何發展的討論；（2）行政院核定以公司化、專區化作為主要發展方向所引發的論辯；（3）國際醫療納入自由經濟示範區之後的實體專區發展模式所引發的論述競逐；進而歸納並分析共23種論述策略。進一步從存續的策略和消失的策略提出以下幾點命題：存續的策略彰顯出行動者在意見場域中爭奪正統地位的原則，分有「存在非營利本質的醫療」和「全民照護優先」兩者；消失的策略則意味著從意見推進至俗見的面向，分有「失敗案例不具評判國際醫療成效之效力」及「配套一次到位的不可能及其必要性」。 綜觀整體發展過程發現，國際醫療服務似仍深陷論述的泥淖中：在蘊含著各式各樣論述策略的整體發展過程中，各方雖有「存在非營利本質的醫療」和「全民照護優先」兩個共同的論辯原則，但仍存在不可達致共識的鴻溝；其中，反對發展者論述的「策略性」似不如支持發展者要多元。這樣的態勢究竟將走向收斂或發散，值得持續觀察；然而，持著「有自己的想法並尊重他人想法，同時適度修正自己的想法」此心態，當是在這「亂中有序」的態勢中達致溝通的有效前提。 / The development of medical tourism in Taiwan has been a controversial issue in recent years. Based on the concept of “field of opinion,” the thesis uses discourse analysis and interview as methods to analyze: (1) how the related actors justify themselves with diverse discourse strategies; (2) the presumptions which are underlying those justifications and taken for granted by the actors; (3) the possibility for those actors with different opinions to reach the stage of consensus.The thesis follows two principles to analyze the collected data. One is the time schedule of the related government projects; the other is the main foci in the whole development process. With the two principles, the whole development process is split into three periods: (1) the debate upon whether medical tourism should be promoted and how to promote it; (2) the debate upon the possibility of organizing hospitals in corporate form within a specific bounded area; (3) the debate upon if it is right to set up international medical centers in the “free economic pilot zones.” The thesis founds 23 discourse strategies that actors used to justify themselves in the whole development process. Furthermore, the author argues that the subsisting strategies represent the principles actors hold to compete for the orthodoxy in the field of opinion. In the thesis, the principles refer to “medical affairs as nonprofit” and “citizen first.” The disappearance of strategies then represents the doxa which used to be opinions. In this regard, the thesis founds that those failing government projects become unrelated to the effectiveness of medical tourism which is being promoted. While everyone knows that to have all supporting projects settled is impossible, forming the supporting projects once and for all is still necessary. All in all, the author argues that although “medical affairs as nonprofit” and “citizen first” are the two common principles between the supporters of medical tourism and their counterpart, to reach the stage of consensus, there is still a long way to go; the supporters seem to have more diverse strategies to confront their counterpart. After all, respecting each other and modifying one’s own opinion in progress might be the effective presumption to get settled in such a full-of-chaos-but-ordered condition.