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..

選舉制度影響政黨體系，是廣為人知的因果推論。依此邏輯，若以政黨體系為因，以選舉制度的變化為果，即產生內生性的選制變遷理論。然而，某些研究者仍認為選制變革起於和政黨體系無關的外生因素。本文主張，選制變遷是否受到政黨體系的影響，取決於選制的種類。第一，有利大黨的多數決選制如果始終未出現一黨過半，則國會屬於多黨制，有可能因為小黨組成多數聯盟而改採比例性選制。尤其當現狀為並立式單一選區兩票制時，可能因為小黨的議席多來自政黨名單，而比代表區域主義的多數決選制更容易導致..

It is well known that electoral system shapes party system. By this logic, an endogenous explanation for changes in electoral systems should treat party system as the cause and changes as the consequence, in sharp contrast with theories attributing changes to exogenous factors that are irrelevant to party system. This paper argues that whether changes in electoral system are caused by party system depend on the type of the electoral system. First, if a majority party never emerges from a majoritarian electoral system, minor p..