Responsive image
博碩士論文 etd-0605122-212727 詳細資訊
Title page for etd-0605122-212727
論文名稱
Title
醫療⽣態系策略發展與規劃:以威⼒德為例
Medical ecosystem strategy development and planning: A Case Study of WELEADER
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
74
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2022-05-13
繳交日期
Date of Submission
2022-07-05
關鍵字
Keywords
生態系、數位轉型、一站式服務、以病人為中心、醫療網、虛實整合
Ecosystem, Digital Transformation, One-Stop Service, Patient-Centered, Medical Network, Virtual Physical Integration
統計
Statistics
本論文已被瀏覽 507 次,被下載 192
The thesis/dissertation has been browsed 507 times, has been downloaded 192 times.
中文摘要
台灣2021年上半季健康醫療資通訊的投資金額比前一季成長92%,可知健康產業的數位轉型醫療生態系是重要趨勢,從科技發展來看,雲端平台可以滿足顧客對健康管理的需求,並發現政府在醫療政策施行重視以病人為中心思維,因此發展雲端藥局並建立虛實整合醫療網,滿足人民例行醫療的需求對醫療生態系的形成是一個機會。
數位轉型有三個階段,針對流程數位化階段轉型到創新商業邏輯階段的過程中,發現由於平台各自獨立而產生碎片化的問題,因此提出一站式的整合服務串聯各個環節,透過數位共享、遠距諮詢可以幫助提升流程的智慧化,引導協調可提升可用性。另外發現健康護理是復雜、分散的服務,因此提出使用科技、網絡來加強以病人為中心的服務,透過Stanford Health Care價值活動設計和個性化推薦,去提升顧客的參與感和個性化。
綜合上述,本研究所設計醫療生態系創新整合流程,是以病人為中心的一站式整合服務為核心發展,導入Stanford Health Care價值活動設計方法,配合遠距醫療系統、聊天機器人、個人化推薦系統、引導介面設計、視覺化工具,提升平台可用性和智慧化,使顧客有參與感、個人化、完成任務,提供產業往創新商業邏輯發展的方法論,並提供學術界依據理論所設計醫療生態系之研究與評估衡量的指標。
Abstract
In the first quarter of 2021, health care information communication investments in Taiwan grew by 92 percent. It reveals that digital transformation is an important trend in medical ecosystem. Therefore, in order to meet the needs of people's routine medical care, it is an important opportunity to develop cloud pharmacy and virtual physical integration medical network to form a medical ecosystem.
There are three stages of digital transformation. From the Digitalization stage to the Digital transformation stage, it caused fragmented service due to the independence of the platforms. However, one-stop integrated service connects each service ,through distance consulting make processes intellectual, and coordination can improve usability. In addition, health care is a complex and decentralized service. With Stanford Health Care value activity design and personalized recommendation to strengthen patient-centered services, enhance customer participation and personalization.
As discussed above, this paper aims to design an innovative integration process for the medical ecosystem. With telemedicine systems, chatbots, personalized recommendation systems, guidance interface design, and visual tools, develop one-stop integrated services centered on the patient and implement the design methodology of Stanford Health Care value activities. Improve the usability and intelligence of the platform, enable customers have a sense of participation, personalization, and get the job done. Provide a methodology for the industry to develop innovative business logic, and a medical ecosystem designed by academia based on theoretical indicators for research and evaluation.
目次 Table of Contents
論文審定書 i
致謝 ii
摘要 iii
Abstract iv
目錄 v
圖次 vi
表次 viii
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 3
第一節 理論概念與新興科技 3
第二節 產業背景 11
第三章 研究方法論 20
第一節 設計科學研究法 20
第二節 研究流程與步驟 21
第四章 設計與發展解決方案 24
第一節 缺口分析 24
第二節 發展方案 31
第三節 創新商業模式 35
第五章 展示與評估解決方案 44
第一節 案例展示 44
第二節 案例評估 52
第六章 討論與結論 55
第一節 研究成果 55
第二節 研究貢獻 57
第三節 研究限制 59
參考文獻 61

參考文獻 References
中文文獻
聯合新聞網,醫療產業專題報導/台灣科技醫療投資發展與趨勢, 2021,https://udn.com/news/story/6871/5951798, [Retrieved 2021/04]。
衛生福利部,健保推行整合門診照護計畫,2017,https://www.mohw.gov.tw/cp-16-12872-1.html, [Retrieved 2021/04]。
衛生福利部,以病人為焦點的查證方式,2016,https://www.mohw.gov.tw/cp-16-12872-1.html, [Retrieved 2021/04]。
全國法規資料庫,生技醫藥產業發展條例, 2016,https://www.mohw.gov.tw/cp-16-12872-1.html, [Retrieved 2021/04]。
衛生福利部,全民健康保險遠距醫療給付計劃,2020,
https://www.tma.tw/files/meeting/N202117153930_001.pdf,[Retrieved 2021/11]。
KPMG,全球醫療照護和生技投資前景調查,2021,https://home.kpmg/tw/zh/home/insights/2021/03/healthcare-and-life-sciences-investment-outlook-2021.html, [Retrieved 2021/04]。
衛生福利部,推動分級醫療,落實雙向轉診,2017,
https://www.nhi.gov.tw/News_Content.aspx?n=FC05EB85BD57C709&s=1AB48E2FDC1545B6,[Retrieved 2021/04]。
衛生福利部,社區藥局以專業關懷提供全方位照護,2013,
https://www.mohw.gov.tw/cp-3219-22665-1.html,[Retrieved 2021/04]。
行政院,台灣5G行動計畫,2010,https://www.ey.gov.tw/Page/5A8A0CB5B41DA11E/087b4ed8-8c79-49f2-90c3-6fb22d740488,[Retrieved 2021/04]。
東森財經新聞,藥局老闆不能說的秘密,2019,https://tw.stock.yahoo.com/news/%E8%97%A5%E5%B1%80%E8%80%81%E9%97%86%E4%B8%8D%E8%83%BD%E8%AA%AA%E7%9A%84%E7%A7%98%E5%AF%86-%E8%97%A5%E6%AF%94%E6%88%90%E6%9C%AC%E5%83%B9%E4%BD%8E%E8%B3%BA%E4%BB%80%E9%BA%BC-122400018.html,[Retrieved 2021/04]。
國際醫療商情新聞,印度遠距醫療現況與法規,2021,https://www.taiwanservices.com.tw/internet/cn/procurementInfoDetail.aspx?item=23668&cat=1,[Retrieved 2021/04]。
資訊工業策進會,遠距醫療的法規現狀與未來挑戰,2010,http://www.tpa.org.tw/Downs/DO00000263/%E9%81%A0%E8%B7%9D%E9%86%AB%E7%99%82%E7%9A%84%E6%B3%95%E8%A6%8F%E7%8F%BE%E7%8B%80%E8%88%87%E6%9C%AA%E4%BE%86%E6%8C%91%E6%88%B0-%E5%91%A8%E6%99%A8%E8%95%99%E8%AC%9B%E5%B8%AB.pdf,[Retrieved 2021/04]。
醫聯網,醫聯網「疫後健康行為調查」結果公開,2020,https://med-net.com/News/More/8f18b04a-3fc0-4c94-8400-24d42a8d5c3b, [Retrieved 2021/11]。
衛生福利部統計處,醫療院所現況統計資料集,2020,https://dep.mohw.gov.tw/dos/cp-2519-3485-113.html, [Retrieved 2021/11]。
衛生福利部,推動分級醫療、落實雙向轉診,2017,https://webcache.googleusercontent.com/search?q=cache:9f0acrR9A2kJ:https://www.mohw.gov.tw/dl-65277-0574a345-a614-42a3-b175-7207ce0a0f31.html+&cd=3&hl=zh-TW&ct=clnk&gl=tw, [Retrieved 2021/11]。
主計處,108 年家庭收支調查報告,2019,
https://win.dgbas.gov.tw/fies/doc/result/108.pdf ,[Retrieved 2021/11]。
經濟日報,安麗Amway委託加國市調顯示 8成台灣人保健意識抬頭,2021,https://money.udn.com/money/story/11800/5841446 ,[Retrieved 2021/11]
衛生福利部,衛生福利部委託研究計畫期末報告,2019,https://webcache.googleusercontent.com/search?q=cache:PBaPBTLnDcgJ:https://www.mohw.gov.tw/dl-58785-88b669c9-b1c5-4ff4-8239-36cb92cfe8b5.html+&cd=3&hl=zh-TW&ct=clnk&gl=tw, [Retrieved 2021/11]。
行政院,台灣5G行動計畫,2019,https://www.ey.gov.tw/Page/5A8A0CB5B41DA11E/087b4ed8-8c79-49f2-90c3-6fb22d740488 , [Retrieved 2021/11]。
衛生福利部,家庭醫師整合照護計畫,2021,https://www.nhi.gov.tw/OnlineQuery/FamilyDrSearch.aspx, [Retrieved 2021/11]。Oliver,市場分析,https://oliver88.com/%E6%95%B8%E4%BD%8D%E8%A1%8C%E9%8A%B7/target-audience/,[Retrieved 2021/11]。
謝碧容,門診病患之就醫流程等候時間調查分析-以雲林某地區醫院為例,2013,http://www.healthup.org.tw/irs/pdf/pdf2/A-5_%E9%96%80%E8%A8%BA%E7%97%85%E6%82%A3%E4%B9%8B%E5%B0%B1%E9%86%AB%E6%B5%81%E7%A8%8B%E7%AD%89%E5%80%99%E6%99%82%E9%96%93%E8%AA%BF%E6%9F%A5%E5%88%86%E6%9E%90-%E4%BB%A5%E9%9B%B2%E6%9E%97%E6%9F%90%E5%9C%B0%E5%8D%80%E9%86%AB%E9%99%A2%E7%82%BA%E4%BE%8B.pdf,[Retrieved 2021/11]。
陳羿廷,藥師專業對民眾滿意度之研究-以臺北市傳統藥局與連鎖藥局為例,2016,[Retrieved 2021/04]。
吳仁和,資訊管理企業創新與價值創造,8th Edition,元照出版有限公司, 2020,[Retrieved 2021/04]。

英文文獻
Agency for Healthcare Research and Quality,Care Coordination,2016,https://www.ahrq.gov/ncepcr/care/coordination.html ,[Retrieved 2021/11]。
LA Care,Routine Care, https://www.lacare.org/members/getting-care/routine-exams,,[Retrieved 2021/11]。
Medstar Health,Routine Care, Urgent Care and Emergency Care,2014,https://ct1.medstarhealth.org/content/uploads/sites/43/2014/11/MFC-Healthcare-Alliance-Routine-Care-Urgent-Care-and-Emergency-Care.pdf,[Retrieved 2021/11]。
Al Brashdi, Z. b. S., Hussain, S. M., Yosof, K. M., Hussain, S. A., and Singh, A. V. 2018. "Iot Based Health Monitoring System for Critical Patients and Communication through Think Speak Cloud Platform," 2018 7th International Conference on Reliability, Infocom Technologies and Optimization (Trends and Future Directions)(ICRITO): IEEE, pp. 652-658.
Bevan, N., Carter, J., Earthy, J., Geis, T., and Harker, S. 2016. "New Iso Standards for Usability, Usability Reports and Usability Measures," International conference on human-computer interaction: Springer, pp. 268-278.
Brenk-Franz, K., Strauss, B., Tiesler, F., Fleischhauer, C., Ciechanowski, P., Schneider, N., and Gensichen, J. 2015. "The Influence of Adult Attachment on Patient Self-Management in Primary Care-the Need for a Personalized Approach and Patient-Centred Care," PloS one (10:9), p. e0136723.
Cantador, I., Bellogín, A., Cortés-Cediel, M. E., and Gil, O. 2017. "Personalized Recommendations in E-Participation: Offline Experiments for The'decide Madrid'platform," proceedings of the international workshop on recommender systems for citizens, pp. 1-6.
Dash, S., Shakyawar, S. K., Sharma, M., and Kaushik, S. 2019. "Big Data in Healthcare: Management, Analysis and Future Prospects," Journal of Big Data (6:1), pp. 1-25.
Dedding, C., Van Doorn, R., Winkler, L., and Reis, R. 2011. "How Will E-Health Affect Patient Participation in the Clinic? A Review of E-Health Studies and the Current Evidence for Changes in the Relationship between Medical Professionals and Patients," Social science & medicine (72:1), pp. 49-53.
Dhruva, S. S., Ross, J. S., Akar, J. G., Caldwell, B., Childers, K., Chow, W., Ciaccio, L., Coplan, P., Dong, J., and Dykhoff, H. J. 2020. "Aggregating Multiple Real-World Data Sources Using a Patient-Centered Health-Data-Sharing Platform," NPJ digital medicine (3:1), pp. 1-9.
Gu, D., Li, T., Wang, X., Yang, X., and Yu, Z. 2019. "Visualizing the Intellectual Structure and Evolution of Electronic Health and Telemedicine Research," International journal of medical informatics (130), p. 103947.
Hendrick, E., Schooley, B., and Gao, C. 2013. "Cloudhealth: Developing a Reliable Cloud Platform for Healthcare Applications," 2013 IEEE 10th Consumer Communications and Networking Conference (CCNC): IEEE, pp. 887-891.
Humphrey, A. 2005. "Swot Analysis for Management Consulting," SRI alumni Newsletter (1), pp. 7-8.
Kadel, R., Evans-Lacko, S., Tramarin, A., and Stopazzolo, G. 2018a. "Cost-Effectiveness of Tele-Video-Consultation for the Neuro-Surgical Emergency Management at the General Hospitals in Italy," Frontiers in neuroscience (12), p. 908.
Kadel, R., Evans-Lacko, S., Tramarin, A., and Stopazzolo, G. 2018b. "Cost-Effectiveness of Tele-Video-Consultation for the Neuro-Surgical Emergency Management at the General Hospitals in Italy," Frontiers in Neuroscience), p. 908.
Laranjo, L., Dunn, A. G., Tong, H. L., Kocaballi, A. B., Chen, J., Bashir, R., Surian, D., Gallego, B., Magrabi, F., and Lau, A. Y. 2018. "Conversational Agents in Healthcare: A Systematic Review," Journal of the American Medical Informatics Association (25:9), pp. 1248-1258.
Lemon, K. N., and Verhoef, P. C. 2016. "Understanding Customer Experience Throughout the Customer Journey," Journal of marketing (80:6), pp. 69-96.
Luo, Q., and Song, W. 2017. "Research on One-Stop and Full-Support Mode of Intellectual Property Transaction," Open Journal of Social Sciences (5:06), p. 163.
Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., Amenta, F., and Ricci, G. 2020. "Telemedicine Practice: Review of the Current Ethical and Legal Challenges," Telemedicine and e-Health (26:12), pp. 1427-1437.
Osterwalder, A., Pigneur, Y., and Tucci, C. L. 2005. "Clarifying Business Models: Origins, Present, and Future of the Concept," Communications of the association for Information Systems (16:1), p. 1.
Penedo, F. J., Oswald, L. B., Kronenfeld, J. P., Garcia, S. F., Cella, D., and Yanez, B. 2020. "The Increasing Value of Ehealth in the Delivery of Patient-Centred Cancer Care," The Lancet Oncology (21:5), pp. e240-e251.
Porter, M. E. 1980. "Competitive Strategy: Techniques for Analyzing Industries and Competitors." New York: Free Press.
Scholes, K., Johnson, G., and Whittington, R. 2002. Exploring Corporate Strategy. Financial Times Prentice Hall.
Teevan, J., Dumais, S. T., and Liebling, D. J. 2008. "To Personalize or Not to Personalize: Modeling Queries with Variation in User Intent," Proceedings of the 31st annual international ACM SIGIR conference on Research and development in information retrieval, pp. 163-170.
Verhoef, P. C., Broekhuizen, T., Bart, Y., Bhattacharya, A., Dong, J. Q., Fabian, N., and Haenlein, M. 2021. "Digital Transformation: A Multidisciplinary Reflection and Research Agenda," Journal of Business Research (122), pp. 889-901.
Wong, A., Bhyat, R., Srivastava, S., Lomax, L. B., and Appireddy, R. 2021. "Patient Care During the Covid-19 Pandemic: Use of Virtual Care," Journal of Medical Internet Research (23:1), p. e20621.

電子全文 Fulltext
本電子全文僅授權使用者為學術研究之目的,進行個人非營利性質之檢索、閱讀、列印。請遵守中華民國著作權法之相關規定,切勿任意重製、散佈、改作、轉貼、播送,以免觸法。
論文使用權限 Thesis access permission:校內校外完全公開 unrestricted
開放時間 Available:
校內 Campus: 已公開 available
校外 Off-campus: 已公開 available


紙本論文 Printed copies
紙本論文的公開資訊在102學年度以後相對較為完整。如果需要查詢101學年度以前的紙本論文公開資訊,請聯繫圖資處紙本論文服務櫃台。如有不便之處敬請見諒。
開放時間 available 已公開 available

QR Code