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..

歷史制度論是一問題意識、方法立場與理論建構三者緊密結合的學派。研究者始自經驗的問題意識，欲解答大問題與真實世界的難題，並由此引導出特定的方法立場與理論建構模式。在方法立場上，歷史制度論者同意質化研究的「因果過程模式」，並運用比較方法進行系統性、脈絡性的歷史過程分析。但歷史制度論者並未拘泥於質化方法的基本教義，面對量化陣營的質疑，反而持開放的立場並提出多元的回應方式。在理論建構上，歷史制度論者具有「中程理論」的共識，並從整體觀點和權力途徑探討制度運作，能結合不..

As a school, historical institutionalism integrates research agenda, theory and method as a whole. Researchers in this field intend to answer “big questions” and to solve real-world puzzles, inducing specific characteristics in their theory and method. In aspect of method, historical institutionalists agree on “causal process model” in the qualitative researches and analyze historical process systematically with the comparative method. Facing the challenge from quantitative researchers, historical inst..