A Business Model for Telehomecare Service

未來數十年，我國將面臨人口老化所帶來的嚴重問題，更多人需要健康照護服務，卻無足夠人力提供這些服務。遠距居家照護是運用諸如遠距監測等技術，藉由測量遠端使用者身體功能狀態，來提供具成本效益的服務，以撙節照護服務時間與成本。而，由於遠距居家照護才剛起步，領導團隊多由醫護或技術背景人員所組成，缺乏管理經驗，公司制度良窳不齊，也因此本文利用FBBM商業模式解析已商業遠距居家照護公司在服務領域、技術領域、價值鏈領域及財務領域等四大構面之執行狀況，藉由這個研究，我們可以發現運用適當的經營模式，遠距居家照護服務產業能夠透過價值網絡與居家照護機構、遠測居家照護中心、醫療儀器供應商、行動通訊業者等業者建立緊密的合作關係，產出更具效益的服務模式。外，研究也發現無論是在行銷領域、技術領域、價值鏈領域及財務領域，皆需平衡展開，才能創造出適當的經濟力與顧客價值。因遠距居家照護服務要能廣泛的應用有三個關鍵成功因素：具備高可信賴度、付費機制與成本效益，根據研究結果，吾人建議導入此經營模式，才能將遠距居家服務照護全面推進商業化，且政府應盡快明定法規，以獲得醫療機構、廠商及民眾支持，方能蓬勃產業發展。In the next few decades, the aging of the population will be one of the main problems to deal with in Taiwan. More people will need healthcare services, while there is insufficient skilled manpower to provide these services. Telehomecare services, such as telemonitoring, may provide a cost-effective means of monitoring body functions from a distance while saving time and money. he telehomecare industry, however, is at the initial stage, and most of the companies are lack of implementing and managing experience. The purpose of this study was to analyze the telehomecare industry and its business model. This paper used Freeband Business Blueprint Method(FBBM) to present and analyze telehomecare industry. This FBBM business model consists of four domains, including service domain, technical domain, value-chain domain and finance domain. From this business model, we found that by using one flexible infrastructure of multiple telemonitoring services, infrastructure costs could be shared among multiple services. A partnership between homecare organization, telemonitor center, supplier of monitoring devices and informative communication technical providers is required for efficient telemonitoring provisioning. Furthermore, the analysis showed that these domains need to be balanced to create sufficient economic and customer value.he three key factors to spread telehomecare include high reliability, payment mechanism and cost-effectiveness. Based on our analyses, we suggest the telehomecare industry use FBBM model. Also, the government should set up regulations as soon as possible. Only by gaining the support from the hospitals, companies and the public, will the telehomcare industry have a prosperous future.口試委員會審定書……………………………………………………………… i謝………………………………………………………………………………. ii文摘要………………………………………………………………………… iii文摘要…………………………………………………………………………. iv一章 緒論 1一節 研究背景與動機 1二節 研究目的 2三節 研究重要性 2二章 文獻探討 4一節 居家照護 4二節 遠距醫療 5三節 遠距居家照護 8四節 經營模式 27三章 研究方法 29一節 研究設計 29二節 遠距居家照護經營模式架構 30三節 研究流程 32四章 研究結果 33一節 個案公司描述 33二節 個案公司經營模式 43三節 個案公司與美日兩國已商業化遠距居家照護公司之比較 54五章 結論與建議 67一節結論與建議 67二節 研究限制 79三節 後續研究建議 80amp;#63851;考文獻 81錄 86錄1：個案公司訪談對象表 86錄2：訪談大綱 87錄3：個案公司與美日兩國已商業化遠距居家照護公司之比較 8