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博碩士論文 etd-0618120-110649 詳細資訊
Title page for etd-0618120-110649
論文名稱
Title
設計創新連續處方箋服務模式之研究
An Innovative Design of Refillable Prescriptions System for Patients with Chronic Illnesses
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
89
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
2020-05-22
繳交日期
Date of Submission
2020-07-18
關鍵字
Keywords
智慧醫療、人工智慧、藥局、處方、平台、藥師
pharmacy, pharmacist, prescription, AI, platform
統計
Statistics
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中文摘要
台灣65歲以上老年人口比率於2020年已達到 15.4%。國家發展委員會推估2026年可達20%,進入超高齡社會。人口老化為台灣生技醫療產業帶來新的商機。平均每人 NHE 為 51,186 元,較 上年增加 4.9%。因此,醫療照護產業將會隨著這波人口改變而變得更加競爭劇烈。而社區藥局過去被視為是社區敦親睦鄰的角色,可以照護起社區居民的健康。便利商店的崛起,配合一些醫療健康自主檢測的服務,也分食了社區藥局在社區的重要性。但藥局不是一個有賣藥的便利商店,因此藥師的功能和角色非常重要。同時,隨著國家發展與人口結構,連鎖化會越來越主流。大型連鎖藥局不斷透過併購擴展業務,到了近幾年出現財團型連鎖藥局。財團最大的優勢隨著資訊科技的進步不斷擴大,促使連鎖藥局展店速度加快,因此壓縮目前獨立藥局經營的空間。
為了提升獨立藥局的競爭能力,我們正嘗試解決過去領藥的流程造成民眾領藥時產生很多痛點。我們新型態的服務是一種結合資訊的流程,不但利用現在智慧醫療同時我們結合於領藥時與藥師互動體驗的過程,其目的是更在效率的提高民眾用藥的安全和維持身體健康,更可以節省醫療資源的浪費。我們運用設計科學方法進行連續處方用藥在藥局領藥的流程,找出痛點並且給予相對應的解決方案。根據民眾問卷調查民住幾乎所有服務設計的滿意度達到80%以上,且也有70%以上的民眾願意使它。對於延伸預防醫學的健康保健服務也有六成以上民眾感到滿意及願意使用。最後,67.5%民眾設計新的服務模式可以提供用藥正確性及領藥便利性。
Abstract
The ratio of Taiwan’s elderly population over 65 years of age has reached 15.4% in 2020. The National Development Committee estimates that it will reach 20% by 2026 and enter the ultra-old age society. The aging population brings new business opportunities to Taiwan's biotech medical industry. The average NHE per person was RMB 51,186, an increase of 4.9% over the previous year. Therefore, the medical care industry will become more competitive with this wave of population changes. In the past, the community pharmacy was regarded as the role of community neighborhood and good neighborliness, which can take care of the health of community residents. The rise of convenience stores, combined with some medical and health self-testing services, has also divided the importance of community pharmacies in the community. But the pharmacy is not a convenience store that sells medicines, so the functions and roles of pharmacists are very important. At the same time, with the development of the country and the population structure, chaining will become more and more mainstream. Large chain pharmacies continue to expand their businesses through mergers and acquisitions, and in recent years there have been consortium-type chain pharmacies. The consortium's greatest advantage is carried by the revolution in access brought about by information technology, prompting chain pharmacies to speed up exhibitions and compress the operating space of traditional independent pharmacies.
In order to improve the competitiveness of independent pharmacies, we are trying to solve the past process of receiving that medicines caused many pain points when people purchased the medicines in the pharmacy store. Our new type of service was a process of combining information. Not only did it use the current smart medical treatment, but we also combined it with the process of interacting with pharmacists when receiving medicines. Moreover, it could save the waste of medical resources. We used the design scientific method to carry out the process of continuously prescribing medication in the pharmacy, find out the pain points, and give corresponding solutions. According to the public questionnaire survey, the satisfaction of almost all service design in residential houses reached more than 80%, and more than 70% of the people were willing to make it. More than 60% of the people are also satisfied and willing to use health care services for extended preventive medicine. Finally, 67.5% of the people design new service models that could provide the correctness of medication and the convenience of receiving medication.
目次 Table of Contents
目錄
學位論文審訂書 i
誌 謝 ii
中文摘要 iii
ABSTRACT v
1. 緒論 1
1.1 研究背景 1
1.1.1 人口老化、藥品零售業績持續成長 1
1.1.2 國內藥局發展現況 2
1.1.3 連鎖藥局的興起 4
1.2 研究動機 6
1.2.1 獨立藥局經營困難:連鎖藥局財團化 6
1.2.2 藥局發展智慧醫療的現況與轉機 6
2. 研究目的 8
2.1 目的一 8
2.2 目的二 8
3. 文獻探討 9
3.1醫藥分業尚未完全實施,處方式釋出比例偏低 9
3.2 醫藥分業需強化專業與配套方法提升處方釋出率-以日本東京為例 11
3.3 民眾願意至社區藥局領藥是關鍵 12
3.3 人工智慧 14
3.4 智慧醫療商機潛力無窮、廣泛應用 16
4. 研究方法:設計科學 18
4.1研究範圍 21
4.2探索問題 22
4.2.1目前執行模式分析 22
4.2.2價主張分析 24
4.3解決方案生成:服務設計 25
4.3.1服務藍圖 25
4.3.2品質機能展開(Quality Function Deployment, QFD) 32
4.3.3商模分析 35
4.3.4行動策略 42
4.4成效評估:研究驗證與討論 51
4.4.1統計方法 51
5. 總結 63
6. 研究限制 66
7. 參考文獻 67
附錄一 71
附錄二 74
參考文獻 References
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