攝護腺也稱前列腺，是男性專有的器官，其角色可對比卵巢及子宮為女性特有的器官一般，攝護腺在男性的生殖功能及泌尿系統中佔有相當重要的角色。在年輕男性，攝護腺是男性生殖系統中的一個腺體，比較少出現問題，攝護腺大小如核桃一般，位置在骨盆腔中，攝護腺連接在膀胱和外括約肌之間，攝護腺環繞尿道，此部分的尿道協助身體將尿液和精液排出體外，並且攝護腺所分泌攝護腺液的某種成分可活化精蟲，攝護腺液體為精子提供營養和保護；另外攝護腺的功能為協助尿液控制，攝護腺通過收縮和放鬆尿道周圍的肌肉來控制禁尿液及有效排尿。攝護腺腺體對男性荷爾蒙，尤其是睾固酮，非常敏感。隨著男性年齡的增長，攝護腺腺體會變大，這種情況稱為良性攝護腺增生。在某些情況下，攝護腺可能也會發展成癌症，這是男性最常見的癌症類型。攝護腺疾病佔中老年男性很大的比率，但其症狀卻常常不明顯，因此容易延誤就醫時機。雖然攝護腺疾病之防治對中老年男性健康極其重要，然而在台灣目前卻罕有專屬的「攝護腺疾病中心」之建立，隨著目前尖端醫療日新月異地發展，從精準診斷、精準醫療，乃至精準手術，例如攝護腺雷射手術、海福刀及機械手臂手術(達文西手術)等等，因此在治療項目相當繁瑣及多樣的泌尿專科中，容易使民眾混淆及失焦，因此若能建構一個整合性攝護腺疾病中心，相信國人可藉此中心更專注於攝護腺疾病之預防及早期診斷之外，期許能更增加成功治療的機會。並且此中心有許多益處，除了有效利用資源，透過集結資源及最佳化設備，減少醫療成本。另外攝護腺疾病中心可以促進醫師，研究人員和其他醫療專業人員之間的協同合作，這可以促進創新治療方法和改善患者結果。最後透過中心可來提高群眾對攝護腺相關疾病的認識，鼓勵男性尋求早期治療和預防，本中心更提供以病患為中心的體驗，包括個人化的診療計劃，情感支持和相關教育，為日後攝護腺疾病之照護提供新的黃金標準。綜言之，建立攝護腺疾病中心為病患作整合照護，可以改善患者照護品質，提高公眾意識，促進協作和研究，以及最佳化資源的使用。
綜觀國內泌尿專科之營運，對於攝護腺疾病之照護，大部分以先進的醫療設備或技術為招牌，例如微創手術的攝護腺雷射手術、達文西手術等等，相對地攝護腺疾病仍只是在泌尿部或泌尿科的一項次專科範疇，很少以「攝護腺疾病中心」作為攝護腺疾病整合照護之完整的運作模式來執行，但是這個架構在西方先進國家早已行之有年，這個現象表示這個的構想在台灣仍屬於嬰兒期。因此本研究論文以探討未來義大醫療集團「攝護腺疾病中心」之規劃，試圖整合目前之先進的影像診斷技術，完整的手術或治療前、中、後的計畫與評估方式，不同介面之精準微創手術，個人化的藥物及手術之選擇，並融入放射診斷科、病理科及泌尿科跨專科與跨領域的專科醫師群，進而成立「義大醫療攝護腺疾病中心」並提供全方位專業的醫療照護團隊之經營策略。過去以來，商業模式九宮格為運用於創新的商業模式之分析與評估之顯學，但據吾人所知，在醫療系統之專業上，商業模式九宮格尚未運用於創新醫療整合中心之分析上，因此在本研究中吾人嘗試以商業模式九宮格來檢視義大醫療集團「攝護腺疾病中心」之經營效益，並輔以SWOT分析來預測此中心成立之後對諸多挑戰之競爭力，作為未來藍圖改進之基礎，希望對台灣甚至全世界類似中心之建構與評估有所貢獻。

The prostate is a male-only organ. Its role is comparable to that of the ovary and uterus, which are female-specific organs. The prostate plays a very important role in male reproductive function and the urinary system. In young men, the prostate is a gland in the male reproductive system that is less prone to problems. The prostate is the size of a walnut and is located deeply in the pelvic cavity. The prostate is connected between the bladder and the external sphincter. The gland surrounds the urethra, and this part of the urethra assists the body to excrete urine and semen, and a certain component of the prostate fluid secreted by the prostate activates the sperm, and the prostate fluid provides nutrition and protection for the sperm. The function of the prostate gland is to assist in urine control. The prostate gland controls the inhibition of urine leak and effective urination by contracting and relaxing the muscles around the urethra. The prostate gland is very sensitive to male hormones, especially testosterone.
As men age, the prostate gland becomes enlarged, a condition called benign prostatic hyperplasia. In some cases, cancer of the prostate may also develop, which is the most common type of cancer in men. Prostate disease accounts for a large proportion of middle-aged and elderly men, but its symptoms are often not obvious, so it is easy to delay the time to seek medical treatment. Although the prevention and treatment of prostate diseases is extremely important to the health of middle-aged and elderly men, there is currently no exclusive "prostate disease center" established in Taiwan. With the improvement of modern technology, precision surgery, such as prostate laser surgery, HIFU surgery and robotic assisted surgery (Da Vinci surgery) developed in urology and made the people recover quicker than before. However, the subspeciality in urology are quite cumbersome and diverse, it is easy to confuse and lose focus for the public. Thereby if a prostate disease center can be established, we believe that people in the country can use this center to focus more on the prevention and early diagnosis of prostate disease, and expect to increase the chance of successful treatment. And this center has many benefits, besides the effective use of resources, it can reduce medical costs by pooling resources and optimizing equipment. Additionally, the Prostate Disease Center fosters collaboration among physicians, researchers, and other medical professionals, which can lead to innovative treatments and improved patient outcomes. Finally, through the center, the public can raise awareness of prostate-related diseases and encourage men to seek early treatment and prevention. The center also provides a patient-centered experience, including personalized diagnosis and treatment plans, emotional support and patient education. In conclusion, establishing a prostate disease center to provide integrated care for patients can improve the quality of patient care, increase public awareness, facilitate collaboration and research, and optimize the use of resources.
When we look through the current operation in the department of urology in Taiwan, they usually focus on the new advanced medical facility or new surgery such as prostate laser surgery, robotic surgery etc. and use them as the benchmark of the hospital. Although prostate disease is a very common and important business in urology, it has never been independent and operated as a special center. Bases on this observation through the world, we try to investigate competitive advantages and business strategies of the comprehensive care of prostate disease center in Eda healthcare group. In this center, we try to integrate the advanced image technology, cutting-edge surgical modalities and different medical subspecialities including radiology, pathology and urology. In the past, the Business Model Canvas has been a prominent tool for analyzing and evaluating innovative business models. However, to our knowledge, it has not yet been applied to the analysis of innovative medical integration centers in the healthcare system. Therefore, in this study, we attempted to use the Business Model Canvas to examine the operational efficiency of the "Prostate Disease Center" of the Eda Healthcare Group, and supplemented it with SWOT analysis to predict the competitiveness of the center against many challenges after its establishment. This may serve as a basis for future blueprint improvements and hopes to contribute to the construction and evaluation of similar centers in Taiwan and even around the world.

論文審定書 i
誌謝 ii
摘要 iv
Abstract vi
目錄 ix
圖目錄 xi
表目錄 xii
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與範圍 2
第二章 文獻探討 4
第一節 常見的攝護腺疾病及及治療方式 4
第二節 國內外攝護腺疾病中心現況 7
第三節 經營策略 12
第四節 商業模式九宮格及SWOT分析法 16
第三章 研究方法 20
第一節 研究方法 20
第二節 研究流程 25
第四章 設計與發展 30
第一節 義大醫療攝護腺疾病中心之商業模式九宮格 30
第二節 義大醫療簡介 34
第三節 義大醫療攝護腺疾病中心特色 35
第四節 義大醫療攝護腺疾病中心與SWOT分析 46
第五節 義大醫療攝護腺疾病中心經營策略說明 51
第五章 展示與評估解決方案 53
第一節 義大醫療攝護腺疾病中心經營成果 53
第二節 評估解決方案 60
第六章 結論與建議 63
第一節 研究成果 63
第二節 研究貢獻 65
第三節 建議 67
參考文獻 68

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