本硏究旨在探討地方公立醫院委外過程中，都市政治對公私協力個 案所造成的影響爲何。在個案選擇上，以台南市立醫院第3期委外經營 案爲分析單位，透過深度訪談、地方議會議事錄、媒體新聞報導等資料 收集方式，將硏究聚焦於台南市立醫院第3期委外經營過程之分析，探 討政治因素對醫院以契約委外決策的影響，並兼及都市治理的探討。本 硏究發現契約委外策略屬於政治過程的一環；其決策過程深受領導人因 素所影響；地方公立醫院委外經營，除有利於經營績效的提升外，對於 建構完整的都市醫療網絡也扮演重要的角色；另公私協力關係從原來的 關係伙伴轉爲績效評量的契約委外模式。

The history of thought in the Song Dynasty is strongly associated with the development of neo-Confucianism. However, when we examine the development of thought between the Song and Tang dynasties, we also need to consider the roles of Daoism, and Buddhism.At the same time, the Song Dynasty is divided into two periods, with Song Confucianism especially developed during the Southern Song Dynasty while the Northern Song period acted as a mediator between the Song and Tang dynasties, with a period of contention between different schools of thought.When we examine discourses from the Song Dynasty in detail, when find that following struggles between the three schools, although doctrinal judgment still existed, there was an effort to create dialogue and produce a system that integrated the three schools in the private and public realm. However, differences in methods and perspectives lead to distinctions between the New School, Su School, Shu School, and Luo School. In this atmosphere, the different schools applied their own interpretations to the classics, including the Dao De Jing.Emperor Huizong’s Imperial Commentary on the Dao De Jing set the tone for the renewed focus on Laozi in the Northern Song. On the one hand, Emperor Huizong raised the status of the Dao De Jing to a classic above criticism. On the other hand, Emperor Huizong used his official authority to determine how the Dao De Jingwas interpreted. Emperor Huizong’s commentary, aside from its analysis of the moral principles of the Dao De Jing, also reflects the intellectual interests and atmosphere of its time, including spiritual problems and how rulers met the challenges of contending thoughts. In this, Emperor Huizong describes the “figure of the saint” under heaven who cultivates his own moral character and rules the country. However, due to Emperor Huizong’s indulgences in arts and religion and the eventual end of the Song Dynasty shortly after his death, recent research have seen the Imperial Commentary on the Dao De Jing as a symbol of imperial inaction.This view is now worth reassessing.