國立臺灣大學政治學系暨研究所蘇彩足2006-08-232018-06-282006-08-232018-06-282005-02-28http://ntur.lib.ntu.edu.tw//handle/246246/29675行政治理模式有三大類型：科層體制、市場競爭與社群組織模式，三者之間 並不必然產生衝突，得視政策領域及國家整體發展情況，而有不同的比例配置。 本文觀察2003 年政府因應SARS 疫情之治理模式，發現我國層級節制的科層體系 雖呈現體系性的缺失，但因應SARS 危機之組織與法令大致完備；而衛生醫療體 系則是過度傾向於市場競爭之模式，暴露出「輕預防、重治療」以及種種輕忽院 內感染管控的疏失與防疫監測問題；至於社區防疫網和非營利組織之運作，由於 公民意識和社會信任仍有不足，故社群組織的治理勢力仍待加強。 為因應未來類似SARS 疫情之突發性危機，政府除改善現有科層體制與市場 主義之缺失外，應以社群主義之治理模式為目標，具體建議包括：(一)危機發生 時，立即建立統一明確的行政指揮體系；(二)調整公衛醫療體系過度傾向市場治 理模式之趨勢；(三)疫情監控系統之串聯與整合；(四)協助大眾傳播媒體之改革 轉型；(五)積極整合民間防疫力量；與(六)落實後SARS 時期之心靈撫慰重建。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.application/pdf1221656 bytesapplication/pdfzh-TW國立臺灣大學政治學系暨研究所SARS科層治理市場治理社群治理社會信任SARS outbreakbureaucratic governancemarket governance community governancepublic trust[SDGs]SDG3reporthttp://ntur.lib.ntu.edu.tw/bitstream/246246/29675/1/922420H002018KC.pdf