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題名 健康管理商業模式規劃-以癌症照護為例
A Proposal for Health Management Business Model - From the Prospect of Cancer Care作者 王秋雯
Wang, Chiu-Wen貢獻者 馮震宇
王秋雯
Wang, Chiu-Wen關鍵詞 健康管理
健康照護平台
照護模式創新
癌症照護
Health management
Health care platform
Care model innovation
Cancer care日期 2021 上傳時間 4-Aug-2021 15:03:15 (UTC+8) 摘要 現今對健康已有不同定義，由消極的沒有疾病，轉為積極的身心、社會安適狀態，而健康照護產業也擴展至所有照護身心、活化機能等作為目標的產品或服務，而人口老化及醫療費用高漲也驅使健康服務結合科技與智能以提供更有效益的照護。癌症高居台灣死因首位近四十年，健保雖已提供了多數疾病的診斷與治療，然而完整癌症健康管理應包含預防、診斷、治療、照護，現有醫療體系仍有許多缺口，癌症病人及家屬必須透過不同管道取得所需要的照護資源，造成困擾與負擔。國內外都已開始出現平台模式的健康照護服務，國外主要以遠距看診與醫療諮詢為主，台灣則受限於法規限制，以醫療諮詢、健檢方案媒合、線上課程等為主要服務項目，目前台灣尚未有針對癌症的健康照護平台。本研究藉由文獻探討整理癌症照護需求與目前缺口，並透過國內外現有健康照護平台案例分析，提出以平台模式提供癌症全期照護的規劃建議，應用健康管理的概念，建立用戶個人健康履歷，針對不同風險給予個別性的健檢方案與生活調整建議。除了現有平台常見服務項目外，將增加醫療諮詢專業人員的職類，例如護理師、營養師、藥師、心理師、復健師等，並納入疾病時的生活照顧服務及資源，例如輔具、照護用品、人力、飲食。此外癌症的經濟負擔相當沈重，也有許多的治療項目健保並不支付，相關健康保險為財務規劃中的重要一環，因此也納入健康保險方案，期待透過此癌症健康管理平台原型，提供完整的全期照護架構，作為未來癌症照護商業模式參考。
Definitions of health change from the negative statement of being disease-free to a positive statement on physical, mental and social well-being. The health care industry has expanded to match a more comprehensive understanding of wellness to include products and services targeted at caring for the body and mind. Aging populations are driving rising medical costs, causing health services to utilize technology and artificial intelligence to provide effective care.Cancer has been Taiwan’s leading cause of death for nearly 40 years. National Health Insurance covers diagnosis and treatment of most diseases in Taiwan. However, comprehensive cancer health management should include proactive care, prevention, diagnosis, and treatment. The existing medical system still has many gaps. Cancer patients and their families must independently seek these care resources, causing great distress.Platform-based health care services have begun to appear in Taiwan and the world. Telemedicine has reached mainstream status in other countries. Remote medical services in Taiwan are regulatorily restricted to medical consultations, health check-up program matching, and online courses. There is currently no health care platform for cancer in Taiwan.After a literature review and studying existing health care platform case studies, a dedicated cancer care platform business model applying the concept of health management is proposed in this study. The platform will provide a personal health history record, individual health check plans, and lifestyle adjustment suggestions based on risk factors. In addition to existing services, extending access to medical consulting professionals, such as nurses, dieticians, pharmacists, psychologists, rehabilitation therapists is suggested. The platform includes supportive care services and resources such as care aids, supplies, and diets for active stages of the disease.Cancer’s financial burden is heavy. National Health Insurance is an important part of patient financial planning, but many cancer expenses are not covered. Therefore, private health insurance plans will also be provided. This cancer health management platform will provide a comprehensive cancer care framework and business model.參考文獻 中華民國癌症醫學會 (2021). "腫瘤專科醫師名單." Retrieved 4/24, 2021, from http://www.taiwanoncologysociety.org.tw/ehc-tos/s/index.htm.王正旭 (2020). "健康名人堂／面對巨變 癌症資源「一網打盡」."Retrieved 4/18, 2021, from https://udn.com/news/story/7266/4858050.台灣安寧緩和醫學學會 (2021). "安寧緩和資源查詢." Retrieved 4/25, 2021, from https://www.hospicemed.org.tw/ehctahpm/s/w/WEmptyBedMst/WEmptyBedMst#.行政院 (2021). "長照2.0，照顧的長路上更安心." Retrieved 4/18, 2021, from https://www.ey.gov.tw/Page/5A8A0CB5B41DA11E/dd4675bb-b78d-4bd8-8be5-e3d6a6558d8d.吳佳勳 (2010). "醫療服務創新模式啟動未來國際化之契機." Retrieved 4/18, 2021, fromhttps://web.wtocenter.org.tw/file/newsletter/OrderNewsletter/wtoepaper/article237.htm.巫芝岳 (2020). "「WaCare」全臺首款預防醫學互聯社群APP." Retrieved 5/1, 2021, from https://www.gbimonthly.com/2020/04/66056/.李杏宜 (2016). 健康新思維 產業新契機, 智慧健康國際論壇.京東健康 (2021). "京東健康2020年度報告." Retrieved 4/27, 2021, from https://www1.hkexnews.hk/listedco/listconews/sehk/2021/0423/2021042300526_c.pdf.林為森, 胡. 林. 林. 董. 陳. (2014). "建構雲端互動式健康管理平台其照護服務模式之初探." 秀傳醫學雜誌 13(3,4).陳敏鋑、黃采薇、趙子傑、簡淑慧、陳秋慧、陳瑞儀、胡文郁、鄭春秋、周繡玲、許麗珠、楊克平、顧乃平 (2017). 癌症護理學. 台北, 華杏.陳銘樹、郭恒宏 (2018). 醫療行銷管理-圖解大健康產業商業模式. 台北, 全華圖書.湖南太醫堂健康科技 (2016). "什麼是健康管理？為什麼要健康管理？." Retrieved 4/12, 2021, from https://kknews.cc/health/8egmm8e.html.黃毓瑩 (2019). "從全球健康產業趨勢看未來 新科技重塑未來健康照護." Retrieved 4/23, 2021, from https://www.aurora.com.tw/aurora-monthly/576/0j176339199451397076.葉文義 (2020). "醫家醫共享平台 守護華人健康." Retrieved 4/24, 2021, from https://www.chinatimes.com/newspapers/20200615000129-260303?chdtv.億歐網 (2019). "我國健康管理產業的發展模式與商業模式研究." Retrieved 4/24, 2021, from https://www.mdeditor.tw/pl/2iAm/zh-tw.蔡金坤 (2020). "全球智慧健康照護產業發展與台灣機會." Retrieved 4/15, 2021, from https://view.ctee.com.tw/technology/23174.html.衛福部健保署 (2020). "癌症費用排行." Retrieved 4/18, 2021, from https://www.nhi.gov.tw/Content_List.aspx?n=AE8F3C1B6EC35217&topn=CDA985A80C0DE710.衛福部國民健康署 (2019). "癌症資源中心十年有成 ~服務突破百萬人次 照護網絡覆蓋全台." Retrieved 4/18, 2021, from https://www.mohw.gov.tw/cp-4253-49285-1.html.衛福部國民健康署 (2020). "癌症登記報告." Retrieved 4/18, 2021, from https://www.hpa.gov.tw/Pages/List.aspx?nodeid=119.衛福部國民健康署 (2020). "癌症篩檢介紹." Retrieved 4/18, 2021, fromhttps://www.hpa.gov.tw/Pages/List.aspx?nodeid=211.衛福部國民健康署 (2020). "癌症醫療品質." Retrieved 4/18, 2021, from https://www.hpa.gov.tw/Pages/List.aspx?nodeid=208.醫聯網 (2021). Retrieved 4/27, 2021, from https://med-net.com/Product/Hot.Geoffrey Parker, M. V. A., Sangeet P. Choudary (2016). 平台經濟模式：從啟動、獲利到成長的全方位攻略. 台北, 天下雜誌.Julia R. Trosman, R. C. C., Melissa A. Simon, Debra L. Madden, William J. Gradishar, Al B. Benson III, Bruce D. Rapkin, Elisa S. Weiss,Ilana F. Gareen, Lynne I. Wagner, Seema A. Khan, Mikele M. Bunce, Art Small,Christine B. Weldon (2016). "Care for a Patient With Cancer As a Project: Management of Complex Task Interdependence in Cancer Care Delivery." Journal of Oncology Practice 12(11).Michael A. Cusumano , A. G., David B. Yoffie (2019). The Business of Platforms: Strategy in the Age of Digital Competition, Innovation, and Power. New York, Harper Business.Rob Sanson-Fisher, et al. (2000). "The Unmet Supportive Care Needs of Patients withCancer." cancer 88(1).TelaDoc Health (2019). Annual reports. Retrieved 4/27, 2021, from https://s21.q4cdn.com/672268105/files/doc_financials/2019/2019-Annual-Report-(2).pdfThomas Eisenmann, G. P., Marshall W. Van Alstynen (2016). "打造雙邊市場策略." 哈佛商業評論 2016(March).WHO (1948). "Constitution." Retrieved 4/17, 2021, from https://www.who.int/about/who-we-are/constitution#. 描述 碩士
國立政治大學
經營管理碩士學程(EMBA)
108932173資料來源 http://thesis.lib.nccu.edu.tw/record/#G0108932173 資料類型 thesis dc.contributor.advisor 馮震宇 zh_TW dc.contributor.author (Authors) 王秋雯 zh_TW dc.contributor.author (Authors) Wang, Chiu-Wen en_US dc.creator (作者) 王秋雯 zh_TW dc.creator (作者) Wang, Chiu-Wen en_US dc.date (日期) 2021 en_US dc.date.accessioned 4-Aug-2021 15:03:15 (UTC+8) - dc.date.available 4-Aug-2021 15:03:15 (UTC+8) - dc.date.issued (上傳時間) 4-Aug-2021 15:03:15 (UTC+8) - dc.identifier (Other Identifiers) G0108932173 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/136418 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 經營管理碩士學程(EMBA) zh_TW dc.description (描述) 108932173 zh_TW dc.description.abstract (摘要) 現今對健康已有不同定義，由消極的沒有疾病，轉為積極的身心、社會安適狀態，而健康照護產業也擴展至所有照護身心、活化機能等作為目標的產品或服務，而人口老化及醫療費用高漲也驅使健康服務結合科技與智能以提供更有效益的照護。癌症高居台灣死因首位近四十年，健保雖已提供了多數疾病的診斷與治療，然而完整癌症健康管理應包含預防、診斷、治療、照護，現有醫療體系仍有許多缺口，癌症病人及家屬必須透過不同管道取得所需要的照護資源，造成困擾與負擔。國內外都已開始出現平台模式的健康照護服務，國外主要以遠距看診與醫療諮詢為主，台灣則受限於法規限制，以醫療諮詢、健檢方案媒合、線上課程等為主要服務項目，目前台灣尚未有針對癌症的健康照護平台。本研究藉由文獻探討整理癌症照護需求與目前缺口，並透過國內外現有健康照護平台案例分析，提出以平台模式提供癌症全期照護的規劃建議，應用健康管理的概念，建立用戶個人健康履歷，針對不同風險給予個別性的健檢方案與生活調整建議。除了現有平台常見服務項目外，將增加醫療諮詢專業人員的職類，例如護理師、營養師、藥師、心理師、復健師等，並納入疾病時的生活照顧服務及資源，例如輔具、照護用品、人力、飲食。此外癌症的經濟負擔相當沈重，也有許多的治療項目健保並不支付，相關健康保險為財務規劃中的重要一環，因此也納入健康保險方案，期待透過此癌症健康管理平台原型，提供完整的全期照護架構，作為未來癌症照護商業模式參考。 zh_TW dc.description.abstract (摘要) Definitions of health change from the negative statement of being disease-free to a positive statement on physical, mental and social well-being. The health care industry has expanded to match a more comprehensive understanding of wellness to include products and services targeted at caring for the body and mind. Aging populations are driving rising medical costs, causing health services to utilize technology and artificial intelligence to provide effective care.Cancer has been Taiwan’s leading cause of death for nearly 40 years. National Health Insurance covers diagnosis and treatment of most diseases in Taiwan. However, comprehensive cancer health management should include proactive care, prevention, diagnosis, and treatment. The existing medical system still has many gaps. Cancer patients and their families must independently seek these care resources, causing great distress.Platform-based health care services have begun to appear in Taiwan and the world. Telemedicine has reached mainstream status in other countries. Remote medical services in Taiwan are regulatorily restricted to medical consultations, health check-up program matching, and online courses. There is currently no health care platform for cancer in Taiwan.After a literature review and studying existing health care platform case studies, a dedicated cancer care platform business model applying the concept of health management is proposed in this study. The platform will provide a personal health history record, individual health check plans, and lifestyle adjustment suggestions based on risk factors. In addition to existing services, extending access to medical consulting professionals, such as nurses, dieticians, pharmacists, psychologists, rehabilitation therapists is suggested. The platform includes supportive care services and resources such as care aids, supplies, and diets for active stages of the disease.Cancer’s financial burden is heavy. National Health Insurance is an important part of patient financial planning, but many cancer expenses are not covered. Therefore, private health insurance plans will also be provided. This cancer health management platform will provide a comprehensive cancer care framework and business model. en_US dc.description.tableofcontents 謝辭 i中文摘要 iiABSTRACT iii目次 iv表次 vi圖次 vii第一章 緒論 1第一節 研究背景與動機 1第二節 研究範圍與方法 2第三節 研究限制 3第四節 研究架構 3第二章 文獻探討 5第一節 健康照護趨勢 5第二節 健康管理概念 6第三節 健康管理/照護平台 7第三章 台灣現行癌症照護模式的問題與缺口 8第一節 台灣現行癌症照護模式與制度 8第二節 台灣現行癌症照護制度之問題與缺口 11第四章 國內外健康管理模式及平台案例探討 15第一節 健康照護平台產業概況 15第二節 健康照護平台案例分析 16第五章 癌症健康管理平台商業模式規劃 29第一節 癌症健康管理平台服務模式設計 29第二節 市場定位與發展策略 34第六章 結論與建議 37第一節 結論 37第二節 建議 38第三節 未來研究方向 39參考文獻 40 zh_TW dc.format.extent 2055227 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0108932173 en_US dc.subject (關鍵詞) 健康管理 zh_TW dc.subject (關鍵詞) 健康照護平台 zh_TW dc.subject (關鍵詞) 照護模式創新 zh_TW dc.subject (關鍵詞) 癌症照護 zh_TW dc.subject (關鍵詞) Health management en_US dc.subject (關鍵詞) Health care platform en_US dc.subject (關鍵詞) Care model innovation en_US dc.subject (關鍵詞) Cancer care en_US dc.title (題名) 健康管理商業模式規劃-以癌症照護為例 zh_TW dc.title (題名) A Proposal for Health Management Business Model - From the Prospect of Cancer Care en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 中華民國癌症醫學會 (2021). "腫瘤專科醫師名單." Retrieved 4/24, 2021, from http://www.taiwanoncologysociety.org.tw/ehc-tos/s/index.htm.王正旭 (2020). "健康名人堂／面對巨變 癌症資源「一網打盡」."Retrieved 4/18, 2021, from https://udn.com/news/story/7266/4858050.台灣安寧緩和醫學學會 (2021). "安寧緩和資源查詢." Retrieved 4/25, 2021, from https://www.hospicemed.org.tw/ehctahpm/s/w/WEmptyBedMst/WEmptyBedMst#.行政院 (2021). "長照2.0，照顧的長路上更安心." Retrieved 4/18, 2021, from https://www.ey.gov.tw/Page/5A8A0CB5B41DA11E/dd4675bb-b78d-4bd8-8be5-e3d6a6558d8d.吳佳勳 (2010). "醫療服務創新模式啟動未來國際化之契機." Retrieved 4/18, 2021, fromhttps://web.wtocenter.org.tw/file/newsletter/OrderNewsletter/wtoepaper/article237.htm.巫芝岳 (2020). "「WaCare」全臺首款預防醫學互聯社群APP." Retrieved 5/1, 2021, from https://www.gbimonthly.com/2020/04/66056/.李杏宜 (2016). 健康新思維 產業新契機, 智慧健康國際論壇.京東健康 (2021). "京東健康2020年度報告." Retrieved 4/27, 2021, from https://www1.hkexnews.hk/listedco/listconews/sehk/2021/0423/2021042300526_c.pdf.林為森, 胡. 林. 林. 董. 陳. (2014). 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