論文使用權限 Thesis access permission:自定論文開放時間 user define
開放時間 Available:
校內 Campus:開放下載的時間 available 2025-07-18
校外 Off-campus:開放下載的時間 available 2025-07-18
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 |
本論文已被瀏覽 5949 次,被下載 0 次 The thesis/dissertation has been browsed 5949 times, has been downloaded 0 times. |
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 |
1. 周佩錦,醫藥分業。行政院衛生署食品藥物管理局,藥政簡史。頁8-35 2011年11月 2. 藥師法 (民國 102年12月11日修訂),全國法規資料庫 入口網站,http://law.moj.gov.tw/Index.aspx 3. 蕭美玲,醫藥分業當前之規劃及展望-當前醫藥分業 概況。藥學雜誌第28冊,頁3-6,1991年3月 4. 林麗真、連瑞猛,他山之石 - 台日醫藥分業圓桌論 壇日本經驗,藥學雜誌第82冊,頁155-8,2005年3月 5. 黃文鴻,醫藥分業之社會觀察。藥學雜誌第28冊,頁 7-6,1991年3月 6. 蔡昭華,從醫藥分業探討基層醫療診所藥師之角色。 博碩士論文,2002年 7. 許芳瑾、鄭萬祥,台灣省醫藥分業推動之研究。藥學 雜誌 第58冊,頁151-6,1999年3月 8. 王惠珀,醫藥分業軟著陸落實藥事服務的普世價值。 一週全球藥聞,第1621期,2009年5月 9.王惠珀、李志 恆、鄭慧文、林振順、黃莉蓉、林麗真、梁亦松、邱 琬淑,藥事人員合理調劑量及民眾用藥合理性之藥事 經濟學研究成果報告。行政院衛生署食品藥物管理局 委託99年度計劃99TFDA-P-065-20100423,2010。 10. Chen TJ, Chou LF, Hwang SJ: Application of concentration ratios to analyze the phenomenon of “next-door” pharmacy in Taiwan. 11.龔佩珍、呂嘉欣、蔡文正,2007,『基層醫師釋出慢性病連續處方箋之意願及相關因素』,臺灣公共衛生雜誌,第二十六卷·第一期:26~37頁。 12.人口年齡分配. 內政統計年報. 內政部戶政司. [2017-07-30]. 13.台灣人口 維基百科https://zh.wikipedia.org/wiki/%E8%87%BA%E7%81%A3%E4%BA%BA%E5%8F%A3#cite_note-6 14. 藥品、醫療及化妝品零售業銷售穩健 產業經濟統計簡訊 2019-01-15 https://www.moea.gov.tw/Mns/dos/bulletin/Bulletin.aspx?kind=9&html=1&menu_id=18808&bull_id=5661 15.US FDA (Retrieved December 2018) Digital Health. From https://www.fda.gov/medicaldevices/digitalhealth/ 16.WHO (Retrieved December 2018) The health data ecosystem and big data. From https://www.who.int/ehealth/resources/ ecosystem/en/. 17.許瑛玿、莊福泰、林祖強 教育科學研究期刊 第五十七卷第一期 2012 年,57(1),1-27 18.Jones, J C and D G Thornley (eds) (1963) Conference on Design Methods, Oxford, UK: Pergamon Press 19.Archer, Leonard Bruce. Systematic Method for Designers. London: Council of Industrial Design. 1965. OCLC 2108433. 20.Investigating Design: A Review of Forty Years of Design Research Nigan Bayazit 21.赤尾洋二與水野滋 1972 年, Standardization and Quality Control 期刊。 22.赤尾洋二與水野滋 1978 年,Quality Function Deployment: A Company-wide Quality Approach。 23. ADHERENCE TO LONG-TERM THERAPIES: EVIDENCE FOR ACTION 2003 W.H.O. https://www.who.int/chp/knowledge/publications/adherence_report/en/ 24. 黃毓瑩 2015年,全球及主要醫藥流通市場概況簡報(財團法人商業發展研究院經營模式創新研究所。 25. 姚國中1999年,藥局經營型態、資訊科技運用與競爭優勢之研究」。 26. 人工智慧如何變革 2020 年影像醫學、臨床照護與新藥開發 https://medium.com/hspectrum/%E4%BA%BA%E5%B7%A5%E6%99%BA%E6%85%A7%E5%A6%82%E4%BD%95%E8%AE%8A%E9%9D%A9-2020-%E5%B9%B4%E5%BD%B1%E5%83%8F%E9%86%AB%E5%AD%B8-%E8%87%A8%E5%BA%8A%E7%85%A7%E8%AD%B7%E8%88%87%E6%96%B0%E8%97%A5%E9%96%8B%E7%99%BC-808706b1c093 27. Vaishnavi, V., Kuechler, W., and Petter, S. (2004/19). “Design Science Research in Information Systems” January 20, 2004; last updated June 30, 2019. URL: http://desrist.org/design-research-in-information-systems 28. Kuechler B, Vaishnavi V (2008). "On theory development in design science research: Anatomy of a research project". European Journal of Information Systems. 17 (5): 489–504. 29. Dresch, Aline; Lacerda, Daniel Pacheco; Jr, José Antônio Valle Antunes (2015). Design Science Research: A Method for Science and Technology Advancement. Cham: Springer. pp. i. 30. Jump up to:a b c Van Aken JE (2005). "Management research as a design science: Articulating the research products of mode 2 knowledge production in management". Br J Manag. 16 (1): 19–36. |
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:自定論文開放時間 user define 開放時間 Available: 校內 Campus:開放下載的時間 available 2025-07-18 校外 Off-campus:開放下載的時間 available 2025-07-18 您的 IP(校外) 位址是 18.116.86.160 現在時間是 2024-11-21 論文校外開放下載的時間是 2025-07-18 Your IP address is 18.116.86.160 The current date is 2024-11-21 This thesis will be available to you on 2025-07-18. |
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 2025-07-18 |
QR Code |