全民健康保險的實施，對我國醫療環境造成極大的衝擊，由於醫療服務的同質性高，使得醫療市場競爭更加激烈，醫療院所無不加強醫院管理的功能及經營成本的掌控，希望使醫院的營運成本降低、獲利增加。同時近年來健保局所支出藥價成本不斷的提高，為了節省經費而實施藥價基準與總額限制等措施，使得醫療院所之購藥成本因而提高。為了降低購藥成本並能維持其醫療品質，從先前文獻中可知醫療院所可以從採購、倉儲、配送、存貨等各方面分別來考量如何降低開支。本研究目的在以個案研究法，探討醫療機構因應產業變化而形成採購策略，及其採購策略的執行方式、執行問題、執行成效與未來規劃，冀藉由個案公司之訪談，彙整出本土之個案研究。
經由對敏盛醫控執行採購策略過程的探討，本研究提出下列研究結論：
1.採購策略需因應產業環境而規劃與調整。
2.藥品採購可根據藥品特性或供應商型態發展出不同採購策略。
3.採購策略需考量企業內外部影響因素。
4.採購策略的成功有多個關鍵因素。
5.採購策略要有前瞻性的未來規劃。
6.採購策略需組織內部跨部門多功能團隊來增進內部協商。
7.採購人員需不斷提升專業來規劃及執行採購策略。

Since the inception of the National Health Insurance Program in March 1995 in Taiwan, lots of new hospitals have been constructed and are operating around the nation. To compete with other hospitals, hospital administration should find a way to improve productivity or to reduce operating costs. Pharmaceutical (drug) inventories constitute an important hospital investment. If too many drugs are kept in stock, lots of opportunity cost will be found in the yearly balance sheet. However, if too little stock is kept, there is a chance of drug shortage. In such case, the hospital not only loses money, but its reputation as well. Ordering and transportation costs will also increase at the same time. Because the medicine expenses of the Bureau of National Health Insurance are continuously rising, some measures such as standardizing the price of medicine and limiting quotas, have been adopted to save expenses. Due to the measures of the Bureau of National Health Insurance, the cost of purchasing medicine has risen for most hospitals. In order to reduce the cost for most hospitals and maintain the quality of medical treatment, some aspects such as purchasing, storage, delivering and reserving are considered separately in most previous research.
This research employs the case study method to explore the how hospitals can adapt to a rapidly changing industry by developing and launching purchasing strategies. This research also emphasizes the problems and outcomes of the purchasing strategies executed, as well as the company’s future plan. Through the data collection and interviewing process, this paper could be a representative local case.
Based on the intensive examination of the pharmaceutical procurement process, this paper concludes the following:
1.Purchasing strategy should be planned and adjusted to adapt to the industrial environment.
2.Pharmaceutical procurement could develop different purchasing strategies based on drug properties or supplier types.
3.Purchasing strategy should consider factors which are inside and outside of the firm.
4.Purchasing strategy has several key successful factors.
5.Purchasing strategy should be planned with a view towards the future.
6.Purchasing strategy needs multi-function and multi-professional teams to improve internal negotiation.
7.Purchasing staff should improve their professional qualifications to plan and execute purchasing strategy.

一、中文部份
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二、英文部分
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12.Johnson, James, Wood, Donald, ''Contemporary Logistics,'' 1996.
13.Lambert, D.M., and Cooper, M.C, ''Issue in Supply Chain Management,'' Industrial Marketing Management, Vol.29, Iss.1, 1996, pp.65-83.
14.Leenders, Michiel R. and Harold E. Fearson , ''Purchasing and Materials Management,'' 10th edition, IRWIN, 1993, pp.610-618.
15.Matthyssens, Paul and Christophe Van Den Bulte , ''Getting Closer and Nicer：Partnerships in the Supply Chain,'' Long Range Planning, Vol. 127, No.1, 1994, pp.74- 81.
16.Metz, Peter J., ''Demystifying Supply Chain Management,'' Supply Chain Management Review, Winter 1998.
17.Spekman, Robert E. and R. P. Hill, ''Strategy for Effective Procurement in 1980s,'' Journal of Purchasing and Material Management, Vol.16, No.4, 1980, pp.2-7.
18.Stuart, F., and D. McCutcheon, "Problem Sources in Establishing Strategic Supplier Alliances,'' International Journal of Purchasing and Materials Management, Winter 1995.
19.Tan, K., V. Kannan, and R. Handfield, "Supply Chain Management: Supplier Performance and Firm Performance,'' International Journal of Purchasing and Materials Management, summer 1998.
20.Watts, Charles A., Kee Young Kim, and Chan K. Hahn, ''Linking Purchasing to Corporate Competitive Strategy,'' International Journal of Purchasing and Materials management, Fall 1992, pp.2-8.
21.Zaheer, A., B. McEvily, and V. Perrone, "The Strategic Value of Buyer-Supplier Relationships,'' International Journal of Purchasing and Materials Management, Summer1998.
三、網站部分
1.中華採購與供應管理協會網站，http://www.capm.org.tw。
2.美國供應鏈協會(Supply Chain Council, SCC) ，http://www.supply-chain.org。
3.敏盛醫療體系網站，http://www.e-ms.com.tw。
4.衛生署網站，http://www.doh.gov.tw。