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    题名: 台灣遠端醫療的商機之研究 – 遠端藥事為例
    The business opportunities of telepharmacy in taiwan
    作者: 賴宗佑
    Lai, Tsung Yu
    贡献者: 陳桂恒
    賴宗佑
    Lai, Tsung Yu
    关键词: 遠端醫療
    遠距醫療
    遠端藥事
    遠距藥事
    連續處方箋
    慢性病
    藥事照護
    社區藥局
    Telemedicine
    Telephmarcy
    Chronic continuous prescription
    Chronic disease
    Pharmaceutical care
    Community pharmacy
    日期: 2017
    上传时间: 2017-10-02 10:21:52 (UTC+8)
    摘要: 全球遠端醫療產業蓬勃發展，各國家的法規也越來越明朗化，未來醫療需求將隨人口老化而大幅上升，如何利用新型態的醫療方式來解決醫療問題，便成為國際上討論的趨勢。本文以遠端藥事做為研究目標，透過「iHealth政昇處方宅配藥局」服務全台的經營模式，以及「春森藥局」服務社區式的經營模式，比較兩家藥局的施行歷程，如何以不同的形態達成遠端藥事。

    本研究以Osterwalder提出之經營模式圖(Business Model Canvas)做為基礎，論文以商業畫布、市場機會的發掘與辨識、興業的商業概念、興業的執行、興業的成果呈現，探討機構的獲利方式、民眾的營收方式、藥事服務的形式、慢性病照護，以及政策性的醫療網絡建構等…議題，皆可做為政府規劃醫療政策之參考，本研究有別於其他遠端醫療研究多半選擇科技之論述，以藥局經營做為研究對象，探討產業商機所在。

    研究結果顯示，台灣遠端藥事可以符合在現有的法規之上，藥局經由的通訊科技聯繫到病患，提供連續處方箋獲利，不需要依靠業外收入，達成藥事服務營利。比較特別的事，不同藥局要施行遠端藥事的動機不同，分別有企業藥局的經營導向，協助機構評鑑、提供民眾的宅配，此模式下的遠端藥事僅為企業願景的一部分，最終以平台建製作為目標；另一種模式為個人藥局的經營導向，藥師透過政策接觸到社區病患，提供居家服務、甚至安寧服務，實現全人照護之目標。

    本研究認為，台灣的遠端藥事尚有發展之潛能。企業經營的方向，需要以機構做為穩定現金流的基礎；個人經營的方向，依然以自身的使命感為主，然而配合「遠端醫療法案」鬆綁、「居家照護政策」的補助，建製完善的社區醫療網絡，將有助於提升社區藥局參與遠端藥事服務之意願，形成新型的產業模式。
    As the telemedicine industry flourishing, the regulations became clear among the countries, the medical needs will also increase in the future. As the goal of the research, this dissertation focused on telepharmacy, the research compared two pharmacies with two different models: serves-the-entire-Taiwan bussiness model from 「iHealth政昇處方宅配藥局」, and serves-the-community bussiness model from 「春森藥局」, hoping to be able to present the telepharmacy with different forms and conditions.

    This research used the Business Model Canvas which was presented by Osterwalder as the foundation, Unlike other telemedicine researches, this research explored the industry opportunities, and focused on the pharmacy management perspective, instead of the science perspective.

    The result shows that the telepharmacy in Taiwan can be consistent with the existing regulations. What is more special is that, different pharmacies have different motivations for telepharmacy, and the telepharmacy under this model is only part of the enterprise vision, and creates Platform as the final goal; another model is the business directoin of personal pharmacy, pharmacist contacts patients in the communities through policies, provide home services, and hospice home care to achieve the goal of holistic care.

    This study considers that telepharmacy still has the potential for development. The direction of enterprise management needs to be based on institutions as the basis of stable cash flow; the direction of personal management sill based on their sense of mission. However, with the help of telepharmacy laws and home care policies, through building the well rounded community medical network, can help increasing the wills of the community pharmacies to participate in telepharmacy.
    參考文獻: ㄧ、中文部份
    論文、期刊與書籍
    1.周佩錦. (2011). 藥政簡史：行政院衛生署食品藥物管理局.
    2.林芝安. (2009). 讓社區藥師成為你的好鄰居. 康健雜誌, 第123期, 154.
    3.林振順. (2012). 迎接署立醫院慢連箋釋出-藥局準備好了嗎？. 藥學雜誌, 第28期, 6-7.
    4.邱曉彥, 陳靜敏. (2010). 資訊科技與社區護理之結合：遠距護理的興起. 源遠護理, 第4期, 5-10.
    5.姜郁美, 吳立雅, 林昌誠, 李慧芝, & 邱怡玲. (2006). 臺北市推動醫藥分業處方釋出送藥到宅服務歷史紀實. 臺灣臨床藥學雜誌, 第14期(2), 51-79.
    6.姜郁美, 陳立奇, & 楊瑛碧. (2008). 臺北市社區藥事照護服務滿意度調查計畫. 藥學雜誌, 第96期, 5-12.
    7.張曉婷. (2008). 淺談台灣之遠距照護. 台灣老年學論壇, 4-7.
    8.陸哲駒, 陳恆順, 鄭伯壎, 賴金鑫. (2004). 遠距醫療的發展與落實. 台灣醫學, 第8期, 826-831.
    9.曾文宏. (2017). 人口老化下的居家醫療照護整合網絡-以嘉義地區為例. 國立台灣大學公共衛生研究所 碩士論文.
    10.黃秀梨. (2004). 遠距居家照護產業發展趨勢及競爭策略之研究. 國立政治大學科技管理研究所 碩士論文.
    11.黃援傑, 陳福基, 吳麗萍. (01/06/2002). 三軍總醫院遠距醫療先導計劃成效分析.
    12.黃鴻茗, 宋鎮照. (2013). 台灣地區醫院的消逝對社區醫療安全網絡的影響. 台灣社區工作與社區研究學刊, 第3期, 1-22.
    13.楊心怡. (2009). 聰明使用厝邊藥師 全國社區藥局大調查. 康健雜誌, 第123期, 164-173.
    14.劉士永. (2004). 醫療、疾病與台灣社會的近代性格. 歷史月刊, 第101期, 92-100.
    15.劉孟基, 張翌君, 謝永宏. (2010). 遠距藥事照護應用在長照機構的契機與挑戰. 藥學雜誌, 第26期, 144-149.
    16.林麗真, 連瑞猛.(2005). 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, 155-8.
    17.陳敏郎(2011). 醫藥分業社會實踐之限制及其可能性的探討, 人文及社會科學集刊, 第二十三卷第四期, 531– 566.
    18.陳昭元. (2016). 從美國經驗看台灣藥師環境的轉型, 藥學雜誌. 第128冊, 9-15.

    網站與其他
    1.行政院經濟建設委員會人力規劃處. 2010年至2060年臺灣人口推計. From http://cdnet.stpi.narl.org.tw/techroom/policy/pdf/policy_12_017_a.pdf (最後瀏覽日05/27/2017)
    2.國家發展委員會. 中華民國人口推估簡報 From http://www.ndc.gov.tw/Content_List.aspx?n=81ECE65E0F82773F (最後瀏覽日06/20/2017)
    3.衛生福利部中央健康保險署, (2016)全民健康保險居家醫療照護之發展與展望, From https://goo.gl/VvGmpQ (最後瀏覽日：06/27/2017)

    二、英文部份
    論文、期刊與書籍
    1.Alexander, E., Butler, C. D., Darr, A., Jenkins, M. T., Long, R. D., Shipman, C. J., & Stratton, T. P. (2017). ASHP Statement on Telepharmacy. Am J Health Syst Pharm, 74(9), 236-241.
    2.Angaran, D. M. (1999). Telemedicine and telepharmacy: current status and future implications. Am J Health Syst Pharm, 56(14), 1405-1426.
    3.Bynum, A., Hopkins, D., Thomas, A., Copeland, N., & Irwin, C. (2001). The effect of telepharmacy counseling on metered-dose inhaler technique among adolescents with asthma in rural Arkansas. Telemed J E Health, 7(3), 207-217.
    4.Charles D Peterson, H. C. A. (2004). The North Dakota Telepharmacy Project: Restoring and Retaining Pharmacy Services in Rural Communities. Journal of Pharmacy Technology, 20(1), 28-39.
    5.Chen, H. S., Guo, F. R., Chen, C. Y., Chen, J. H., & Kuo, T. S. (2001). Review of telemedicine projects in Taiwan. Int J Med Inform, 61(2-3), 117-129.
    6.Clifton, G. D., Byer, H., Heaton, K., Haberman, D. J., & Gill, H. (2003). Provision of pharmacy services to underserved populations via remote dispensing and two-way videoconferencing. Am J Health Syst Pharm, 60(24), 2577-2582.
    7.Coggins, M. D. (2017). Telepharmacy`s Clinical Benefits. Today`s Geriatric Medicine, 10(1), 8.
    8.Davies, N. J. (2010). Improving self-management for patients with long-term conditions. Nurs Stand, 24(25), 49-56.
    9.Esteva, A., Kuprel, B., Novoa, R. A., Ko, J., Swetter, S. M., Blau, H. M., & Thrun, S. (2017). Dermatologist-level classification of skin cancer with deep neural networks. Nature, 542(7639), 115-118.
    10.Hepler, C. D., & Strand, L. M. (1990). Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm, 47(3), 533-543.
    11.Klepser, D., Xu, L., Ullrich, F., & Mueller, K. (2008). Independently owned pharmacy closures in rural America. Rural Policy Brief(2008 2), 1-4.
    12.Lawrence, S. A., & Lawrence, R. M. (1979). A model of adaptation to the stress of chronic illness. Nurs Forum, 18(1), 33-42.
    13.Magretta, J. (2002). Why business models matter. Harv Bus Rev, 80(5), 86-92, 133.
    14.Meydani, M. (2001). Nutrition interventions in aging and age-associated disease. Ann N Y Acad Sci, 928, 226-235.
    15.National Association of Boards of Pharmacy. (08/2016). The model state pharmacy act and model rules of the National Association of Boards of Pharmacy (pp. v.). Park Ridge, Ill.: National Association of Boards of Pharmacy.
    16.Omodei, D., & Fontana, L. (2011). Calorie restriction and prevention of age-associated chronic disease. FEBS Lett, 585(11), 1537-1542.
    17.Osterwalder, A., Pigneur, Y., & Clark, T. (2010). Business model generation : a handbook for visionaries, game changers, and challengers. Hoboken, NJ: Wiley.
    18.Parks, L. (2004). Telepharmacy making headway in remote states. Retail Pharmacy Management, 12-13.
    19.Raskino, J. F. M. ( 2011). Understanding Gartner`s Hype Cycles, 2011.
    20.Sarkar, D., & Fisher, P. B. (2006). Molecular mechanisms of aging-associated inflammation. Cancer Lett, 236(1), 13-23.
    21.Shamima Khan, H. W. S., M. Rathke, David M. Scott, Charles D. Peterson. (2007). Is there a successful business case for telepharmacy? Telemedicine Journal and e-Health, 14(3).
    22.Thome, B., Dykes, A. K., & Hallberg, I. R. (2003). Home care with regard to definition, care recipients, content and outcome: systematic literature review. J Clin Nurs, 12(6), 860-872.
    23.Traynor, K. (2010). Navy takes telepharmacy worldwide. Am J Health Syst Pharm, 67(14), 1134-1136.
    24.Wiedenmayer, K., Summers, R. S., Mackie, C. A., Gous, A. G. S., Everard, M., Tromp, D., . . . Federation, I. P. (2006). Developing pharmacy practice - A focus on patient care: World Health Organization.
    25.Williamson, J. W., German, P. S., Weiss, R., Skinner, E. A., & Bowes, F., 3rd. (1989). Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders. Ann Intern Med, 110(2), 151-160.
    26.World Health Organization. (2010). Telemedicine : opportunities and developments in member states : report on the second Global survey on eHealth. Geneva, Switzerland: World Health Organization.
    27.Zott, C., & Amit, R. (2010). Business Model Design: An Activity System Perspective. Long Range Planning, 43(2-3), 216-226.

    網站與其他
    1.George Tzanetakos, F. U., Keith Mueller. (30/07/2015 ) Telepharmacy Rules and Statutes: A 50-State Survey. Retrieved fromHandler, From https://goo.gl/1TrXJo (最後瀏覽日：04/29/2017).
    2.Administration, H. R. A. S. Telehealth Use in Rural Healthcare. From https://www.ruralhealthinfo.org/topics/telehealth (最後瀏覽日：05/23/2017)
    3.Kolpack, D. Telepharmacy project expands across country. From https://goo.gl/6T68mF (最後瀏覽日：05/30/2017)
    4.Wikipedia. Hype cycle. From https://en.wikipedia.org/w/index.php?title=Hype_cycle&oldid=777773501 (最後瀏覽日：04/29/2017).
    5.Wikipedia.Telepharmacy.From https://en.wikipedia.org/w/index.php?title=Telepharmacy&oldid=748445861 (最後瀏覽日：05/23/2017).
    6.Wikipedia. Medicare_Part_D. From https://en.wikipedia.org/w/index.php?title=Medicare_Part_D&oldid=781686097 (最後瀏覽日：05/28/2017).
    描述: 碩士
    國立政治大學
    科技管理與智慧財產研究所
    102364117
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G1023641171
    数据类型: thesis
    显示于类别:[科技管理與智慧財產研究所] 學位論文

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