本文擬由英國的經驗來探討台灣的醫療資源配給問題,期能藉此對台灣現階段的資源配給議題提出具體的建議。本文所指的英國經驗,包括英國政府或民間所實施的實務經驗,以及英國本土學者所進行的理念論戰,因為實務與理論對於台灣的具體政策建議具有同等重要性。 本文分為四個段落,第一個段落先就名詞作界定,並陳述資源配給的層級與型式,以作為討論的基礎。第二段探討資源配給的若干原則,包括以需要為基礎的效率、公平和可行性三個原則的取捨,區分決策層級的配給原則,以及說明配給過程中應由資訊亦或機構取得優先地位..
This article aims to explore the experience of rationing of healthcare resources in the UK, and its implications for the healthcare system reform in Taiwan. The UK experience of rationing mentioned in this article includes the practical policy or clinical issues faced by the UK government, as well as the theoretical or conceptual debates among researchers in the UK. It is revealed that the practical and theoretical issues have equivalent impact on the policy implications for healthcare rationing in Taiwan. Four sections are presented. T..
冷戰的結束為全球國際情勢創造了新的現況,「安全」的意義不再只是狹義的以「國家」為「安全」的唯一適用單位,「人類安全」概念在這樣的背景下出現。唯「人類安全」指的是「誰的」安全? 針對此一問題,本文從移民議題與人類安全概念的相容性切入,探討人類安全概念在移民議題上之適用性。文章進而專注於歐盟對人類安全概念之論述,並以近年非洲企圖渡海抵達歐洲之移民情況為個案來評估歐盟將人類安全付諸實踐之情況。結論指出,「人類安全」之思維既已得到歐盟支持認同,則那些鋌而走險企圖尋求較好生活環境的非法移民在跨海過..
The new international status quo resulted from the end og the Cold War has broadened tthe definition of "security". No longer does "security" pertian only to "nations", a theme best epitomized by the concept of "human security". The concept of human security, however, has been under attack for its lack of clarity regarding "whose" security it aims to analyze. This article tackles this problem by probing into the applicability of the concept on the migration issue. It focuses on the ..
歐洲統合於過去半個世紀的發展,為政策實踐與學術研究提供建構歐洲特殊身份認同的機會。在尋求一個適合其身份認同的全球性角色的過程當中,歐體/歐盟已在對外政策的合作進程中,展現與傳統強權不同的特質,並呈現出具關鍵影響力的規範性力量。隨著在政策領域當中歐洲國家逐漸發展出對外與安全政策整合的機制,學界也提出「公民強權」的概念,藉以指稱在聯盟的層次上,以集體性的非軍事措施解決國際衝突的方式,在經過不斷實踐形成行為體間互動慣例模式後,所建構出具特殊性的歐盟國際身份認同。 然而,當歐盟開始試探軍..
A half century of European intergration has had a profound effect on both policy practice and academic research in pursuing the distinctiveness of Europe's identity as a whole. In the process of finding an appropriate role based on its constructing identity, the EC/EU has shaped a distinct foreign policy and developed decisive normative power in world affairs. Along with the formation of foreign and security policy cooperation among EU member states, the academic circle has proposed the “civilian power” concept, referring to..
經濟學界基於 1990 年代歐洲匯率機制危機的歷史教訓,與新近發展的內生整合理論,多認為即使無法擺脫馬斯垂克條約整合門檻的法規束縛,歐洲貨幣同盟至少應儘快邀請有意加入歐元區的歐盟東歐成員國,在此一過渡階段進行密切的經濟貨幣政策協調合作,以免再度發生匯率與金融危機。本文首先對經濟學界就歐洲貨幣同盟擴張議題,所發表的重要文獻進行評述。其次根據既有論點,以東歐經濟規模最大的捷克、匈牙利、波蘭作為研究對象,結合簡單的總體經濟模型與賽局分析概念,探討三國已為歐盟成員,..
Some economists believe that even if the Maastricht convergence criteria is indispensable, the European Monetary Union should at least invite Central and Eastern European countries to participate in economic policy coordination as soon as possible, on the basis of the theory of endogeneity and the experience of the ERM crisis in the 1990s. The purposes of this research are 1)to provide an economic literature review about the issue of EMU enlargement and 2)to determine whether a bilateral coalition of an accession country and ..
歐洲統合的進程在經濟、文化與推動西方普世價值方面已使得歐洲聯盟成為一個全球「公民強權」的角色,但是是否藉此轉化成為一個「軍事強權」,仍然是歐盟各會員國爭論的焦點。從馬斯垂克條約將「共同外交與安全政策」納入歐盟決策的三大支柱之一後,歐盟在外交與安全政策的合作才開始具備法律的基礎。但是一九九0年代發生於歐洲本身的區域衝突,凸顯歐盟在解決歐洲本身軍事爭端時的無力感。在一九九0年代末期發展出的「歐洲安全與防衛政策」即著眼於歐盟自主軍事力量的整合與強化,以期因應未來可能發生的區域與國際衝突。 ..
The process of the European integration in economic, cultural and universalising Western values in the past half century has reinforced EU's role as a global “civilian power”. The 1992 Maastricht Treaty founded a “Common Foreign and Security Policy ”, as one of the three pillars of EU, providing c0operation of foreign and security policies among member states with a legal basis. Nevertheless, regional conflicts in Europe of hte 90s only demonstrated that EU was not yet capable of solving military conflicts in its..
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