臺灣的國際醫療援助歷史悠久，其中一九七九年至一九九〇年間的「中沙醫療合作計畫」是中華民國醫療衛生史的外交里程碑。本研究以「中沙醫療團」為核心，探討其在冷戰後期地緣政治變動下，如何作為臺灣突破外交孤立、實踐國家意志的制度化媒介，並剖析其在具體執行中所面臨的跨文化困境與制度轉化。 本論文主要分為三個層面進行考察：首先，探討官方動員的合作機制，分析在「全面外交」思維下，國家體制如何透過高薪重賞與官方號召，動員國內頂尖醫療機構（如臺大醫院）之核心骨幹赴沙國吉達（Jeddah）與霍埠醫院（Hofuf）。其次，著眼於微觀的執行實況與跨文化連結，再現臺灣醫護人員初抵異鄉時，在語言、宗教，以及「阿拉掌管的醫療節奏」下所經歷的文化衝擊與日常生活調適。最後，剖析制度的裂縫與轉化，揭示隨著兩國政治誘因與經濟差距的消長，官方動員模式如何面臨極限，進而轉化為沙國當地社會對臺灣醫療的深層依賴。 中沙醫療團不僅是一場單向的技術輸出，更是臺灣醫衛人員集體在異文化體制下的外交實踐。儘管最終面臨一九九〇年中沙斷交的政治困境，其運作經驗仍成功化為當代臺灣醫衛外交（如Taiwan IHA）的建制化養分，展現了「Taiwan Can Help」的早期外交韌性。;Diplomatic Practice and Institutional Dilemmas of the Sino-Saudi Medical Team， 1979–1990 ABSTRACT Taiwan has a long history of international medical assistance， among which the "Sino-Saudi Medical Cooperation Program" from 1979 to 1990 stands out as a monumental milestone in the nation′s diplomatic and public health history. Focusing on the "Sino-Saudi Medical Team，" this study explores how it served as an institutionalized vehicle for Taiwan to break through diplomatic isolation and implement state will amidst geopolitical shifts in the late Cold War， while analyzing the cross-cultural dilemmas and institutional transformations encountered during its execution. The thesis investigates this historical phenomenon from three dimensions. First， it examines the official mobilization mechanism， analyzing how the state mobilized core medical personnel from top-tier institutions like National Taiwan University Hospital to operate King Fahad Hospital in Hofuf and the general hospital in Jeddah through substantial financial incentives and administrative appeals under the strategy of "Total Diplomacy." Second， from a micro-perspective， it reconstructs the practical execution and cross-cultural connections， capturing the cultural shocks and daily life adaptations experienced by Taiwanese medical workers regarding language barriers， religious observance， and the "medical rhythm governed by Allah." Lastly， it dissects the structural fractures and transformations， revealing how the official mobilization model reached its limits as political incentives diminished and domestic wage conditions improved， which subsequently evolved into a deep societal reliance on Taiwanese medical services within Saudi Arabia. The findings indicate that the Sino-Saudi Medical Team was not merely a unidirectional transfer of technology， but a collective diplomatic practice of Taiwanese medical personnel within a foreign cultural system. Despite the diplomatic setback of the 1990 severance of ties， its operational experience and accumulated human capital successfully paved the way for the institutionalization of contemporary Taiwanese medical diplomacy， such as Taiwan IHA， demonstrating the early historical roots of "Taiwan Can Help."
