從SARS 的因應檢討台灣的行政治理模式(子計畫七)

The bureaucratic governance, market governance and community
governance are the three primary administrative governance models which
may coexist in a society, and, depending on the specific policy areas and
the situations of social and economic developments in the nation,
different weights can be assigned to these three governance models. In
review of the governance model of Taiwan government in coping with the
SARS outbreak in 2003, this research finds that the bureaucratic model
displayed some systemic deficiencies, nevertheless, the overall
organizational structure and legislations were adequate. On the other
hand, the public health system, leaning towards market mechanism,
revealed shortcomings such as insufficient attention paid to disease
prevention and infection controls. Also the effectiveness of community
surveillance system and the support from non-profit organizations were
limited.
To improve the future preparedness, suggestions are made to remedy
systemic deficiencies of bureaucratic and market governance structures.
Additionally, this research concludes that the power of communitarianism
and public trust need to be enhanced. Specific policy recommendations
include: (1) Move promptly to establish a clear chain of command when
emergency occurs. (2) Correct the bias of leaning too much towards market
mechanism in public health system. (3)Integrate and better coordinate the
existing different surveillance systems. (4) More efforts to facilitate
mass media reform. (5) Strengthening the role of community and non-profit
organizations in infection control and crisis management. (6) Assess the
psycho-social needs of recovered SARS patients/families of the deceased
and offer follow-up support as appropriate.