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    Title: 導入以” W.E.C.A.R.E.” 為價值核心的泌尿科全方位即時服務 ~以Z醫院的泌尿科為分析個案~
    Apply “W.E.C.A.R.E.” Value-Based Health Care to the Comprehensive and Extended Service of Urology ~ The Case of Urology Department in Z Hospital~
    Authors: 邱逸淳
    Chiu, Yi-Chun
    Contributors: 李易諭
    Lee, Yih-Yuh
    邱逸淳
    Chiu, Yi-Chun
    Keywords: 價值醫療
    泌尿科
    W.E.C.A.R.E.全方位即時服務
    Value-base health care
    Urological center
    W.E.C.A.R.E.Comprehensive and Extended Service
    Date: 2017
    Issue Date: 2018-03-02 14:04:24 (UTC+8)
    Abstract: 醫療照護的產品不只是照護,而是健康;醫療照護最終的目的是要讓病人得到更好的健康,更多的醫療照護並不一定等於更好的健康。如何讓病人在醫療過程中得到最高的『價值』,是目前醫療照護的主流。個案研究中,T聯醫Z院區導入『泌尿科W.E.C.A.R.E.全方位即時服務』,結合暖實力的十全價值核心『W.E.C.A.R.E.』,提供來院就診民眾門診、檢查、治療、手術、諮詢之全方位醫療服務的完美結合,以病人為中心,免除門診後需四處排檢、多次看診、等候檢查結果及手術之舟車勞頓,當日門診即時服務,對於必要之檢查當日即可完成,一日手術之服務觀念亦然,擁有最優質專業醫護人員提供諮詢及醫療服務,避免低價值醫療,明顯提升醫療溫度,在質性訪談及個案醫院資料分析中,發現造訪Z院區泌尿科接受醫療的民眾增加,也獲得國家品質標章的肯定,而W.E.C.A.R.E.的暖實力植入也讓全方位即時服務發揮更大的效益;另一方面也結合翻轉醫療,以藍鵲計畫讓醫師走入居家,持續社區領航的高價值模式醫療服務,擴散泌尿科全方位即時服務於行動不便的弱勢居民,T聯醫Z院區成功地以『泌尿科W.E.C.A.R.E.全方位即時服務』作為體系內其他院區的典範。
    High value health care is the core part of the urological practice in the Z branch of T City Hospital. There are outstanding professionals to provide exceptional comprehensive medical and surgical services for diagnostic examinations, treatments, minimal invasive surgeries, laparoscopic surgeries,  and consultations for the populations. The compassionate experienced surgeons and nurses utilize the state-of-the-art urological techniques with the best evidence to treat patients with various urological conditions, including urinary stones, voiding problems, male reproductive problems, sexual dysfunction, female and pediatric urological problems, and urologic oncology.  They provide one-stop multidisciplinary services in order to deliver the most efficient care with high quality.  They have built the core value, “W.E.C.A.R.E.”, into the services spanning from outpatient, hospital, and community in Taipei City to everyone, especially the ones with special needs. More and more patients benefit from their “W.E.C.A.R.E.” centered running model in urological daily practice. Urology Department in the Z branch of T City Hospital successfully established the role-model and influenced the other hospital.
    Reference: 一、中文文獻(按筆畫順序排列)

    1. 李振昌、羅耀宗(譯)(2014)。醫療革命:善用競爭策略,創造醫病雙贏的
    療護體制(原Porter, M.E. & Teisberg, E.T.著,)。台北市:天下文化出版社。
    2. 邱逸淳(2017)。藍鵲到我家,醫師歡迎光臨。全民健康保險季刊,122 (1), 26-
    29。
    3. 林皇甫、邱逸淳(2014)。淺談男性結紮。台北市醫師公會會刊,58(12),38-
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    4. 許恬寧(譯)(2016)。跟TED 學說故事,感動全世界:賈伯斯會蓋的醫院
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    5. 程威銘、邱逸淳、林登龍(2016)。慢性攝護腺發炎慢性骨盆腔疼痛症候群的
    診斷與治療。臨床醫學月刊,77(1),42-49。
    6. 黃柏仁、邱逸淳(2017)。淺談膀胱過動症。台北市社區泌尿學會雜誌,2(1),
    6-9。
    7. 黃柏仁、邱逸淳(2015)。攝護腺癌早期診斷指引:摘譯2014年美國泌尿科醫
    學會評論。北市醫誌,12(3),1-7。
    8. 衛生福利部統計處(2017)。 國民醫療保健支出(NHE)。台北市:衛生福利
    部。

    二、英文文獻(按字母順序排列)

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    三、網路資訊:
    1. 衛生福利部國民健康署。老化海嘯襲臺灣,23鄉鎮超高齡,89%老人有慢性病!健康局成立10週年,公佈台灣老化地圖。[ 下載日期:2017年7月18日] 。
    網站: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1131&pid=2276
    2. 周弘恬。Michael Porter 對美國醫療制度的診斷與處方,2008 年8 月, [下載日期:2017 年12 月3 日]。
    網站:  http://thchou.blogspot.tw/2008/08/michael-porter.html
    3. Armstrong Institute for Patient Safety and Quality, High-Value Health Care, [下載日期:2017/12/2]。網站: https://www.hopkinsmedicine.org/armstrong_institute/improvement_projects/high-value-health-care/choosing-wisely-initiatives.html
    4. AUA 2017 Choosing Wisely, [下載日期:2017/12/3]。網站: https://www.auanet.org/practice-resources/patient-safety-and-quality-of-care/choosing-wisely
    5. Better Value Healthcare Ltd (BVHC), [下載日期:2017/12/3] 。網站: https://www.bettervaluehealthcare.net/
    6. Cheng, T.M.. Taiwan’s health care system: The next 20 years - Brookings Institution., [下載日期:2017年12月2日]。 網站: https://www.brookings.edu/opinions/taiwans-health-care-system-the-next-20-years/
    7. Hunter, S. Medicine is for the people., [下載日期:2017年12月3日]。 網站: http://shawnhunter.com/medicine-is-for-the-people-only-after-will-profits-follow/
    Description: 碩士
    國立政治大學
    經營管理碩士學程(EMBA)
    104932180
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0104932180
    Data Type: thesis
    Appears in Collections:[經營管理碩士學程EMBA] 學位論文

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