近年來，健康意識的提高與科技的進步對健康照護領域產生重大的影響，除了民眾開始維護自身健康，政府也透過推出諸多計畫來完善健康照護體系。然而，這些政策的效率並不理想，原因在於受照護者的社會能力大不相同，其與醫護人員互動的成功與否，將影響到其參與價值共創活動(Effort in Value Cocreation Activities, EVCA)的程度，進而影響到生活品質。此外，機構的制度環境對於受照護者參與價值共創活動的程度也有所影響，因此，本研究以制度安排為調節因子，探討其對於不同社會能力之受照護者影響為何。
本研究以問卷調查之方式，探討受照護者之社會能力、機構的制度安排、健康照護價值共創活動與生活品質之間的關聯性。本研究問卷以受過健康照護服務之受照護者為對象，有效問卷為306份。研究結果指出，受照護者對於社會能力、健康照護價值共創活動與生活品質有正向影響，並且，制度安排在社會能力與健康照護價值共創活動之間存在調節效果。最後根據研究結論，提出理論意涵與實務意涵，以提供給健康照護相關機構與醫療機構管理者管理策略上之建議。

Recently, the improvement of health awareness and the advancement of technology have had a significant impact on the field of health care. In addition to people starting to maintain their own health, the government has also launched many programs to improve the health care system. However, the efficiency of these policies is not ideal, because the social competence of care recipients is different, and the success of their interactions with medical staff will affect their participation in value cocreation activities and the quality of life. In addition, the institutional environment also has an impact on the care recipients’ participation in value co-creation activities. Therefore, this study uses institutional arrangements as moderator to explore its impact on care recipients with different social competence.
In this study, a questionnaire survey was used to explore the relationship between the social competence, institutional arrangements, value co-creation activities, and quality of life. The questionnaires in this study are based on the care recipients who have received health care services, and there are 306 valid questionnaires. The results of the study pointed out that care recipients have a positive impact on social competence, value co-creation activities and quality of life, and institutional arrangements have a moderating effect between social competence and value co-creation activities. Finally, based on the results, theoretical and practical implications are put forward to provide suggestions for the management strategies of health care-related institutions.

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