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。

This paper aims to analyze the influence of urban politics on public-privatecollaboration in local public hospital contracting-out carried out by the Tainan Municipal Hospital. The case study is adopted as the method to collect empirical data for this study. Based on the in-depth interviews, interpellation documents from the Tainan Municipal Council and related news reports, this study provides the opportunity to look at the characteristics of local public hospital contracting-out to consider a solution to the problems urban governance. The findings of this study are as follows: contracting-out is part of a wider political process; hospital leadership exerts an important influence in this case of local public hospital contracting-out;hospital contracting-out supports the urban health network and helps supply better and accessible medical services for the community; and public-private collaboration has transformed from its original partnership relationship to a model based on performance measurement and contracting-out.