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    題名: 智慧醫療趨勢下電子聽診器產品商業模式之研究
    Research on Business Model of Electronic Stethoscope Products Under the Trend of eHealth
    作者: 陳育暄
    Chen, Yu-Hsuan
    貢獻者: 詹文男
    Tsan, Wen-Nan
    陳育暄
    Chen, Yu-Hsuan
    關鍵詞: 智慧醫療
    數位電子聽診器
    eHealth
    Electronic Stethoscope
    日期: 2019
    上傳時間: 2019-09-05 15:53:28 (UTC+8)
    摘要: 人口老化是全球性的問題，高齡化社會造成老年人醫療需求增加及醫療產業(healthcare industry)也隨之蓬勃發展，因而改進各種流程和技術方面是相當重要的，醫療服務提高可改善醫療照護的複雜度及方便性。醫療保健的趨勢，主要還是在追求較佳的醫療照護下仍能降低醫療照護服務的成本。發展智慧醫療系統可以利用醫療大數據及演算法，幫助醫生順利釐清病情及縮短疾病確診時間，進而更加有效且合理的運用醫療資源。
    聽診器是醫師最佳的夥伴，伴隨醫師走過學醫、實習及住院醫師階段，甚至伴隨大部分醫師行醫的一生。傳統聽診器可攜帶性佳，但缺點是:聽診是一門需要長期訓練與經驗累積的學問，使用者必須有足夠的臨床經驗，才能夠準確的辨識病患的各種健康狀況。而數位電子聽診器，可以記錄與播放更高品質的人體生理音，還能將聲音數據化，作量化的分析或提供臨床醫師做反覆的聽取，甚至將聲音分享給其他醫師做協同診斷。
    本研究藉由個案分析與深度訪談法，探討與蒐集個案資料，並參考現行市場狀況產出本研究之結論，與對個案公司之建議:開發低階的電子聽診器，使之成為公司或家中必備之醫療器材、積極尋找合夥代理或通路商、將生理音納入各大醫院於雲端電子病歷，推動生理音聲紋圖報告納入各國保險給付範圍、加速臨床收案，開發各種疾病生理音的AI判讀軟件系統、先幫美國、日本等知名大廠代工電子聽診器，先讓公司現金流轉正、建立大量資料庫，甚至可與大公司洽談被高價收購之可能性。
    The ageing of the population is a global problem. The aging society has increased the medical needs of the elderly. It is therefore important to improve various processes and technologies that can improve medical care of complexity and convenience. The trend in healthcare is still to reduce the cost of medical care services while pursuing better medical care. The development of smart medical systems can use medical big data and algorithms to help doctors clarify the condition and shorten the time of diagnosis.
    Stethoscopes are the physician`s best partner, accompanying physicians through the stages of study, internships, and residency, and even with the life of most physicians. Traditional stethoscopes are portable, but the disadvantage is that auscultation is a long-term training and experience accumulation. The digital electronic stethoscope can record and play higher quality human physiological sounds, and can also digitize the sound, make quantitative analysis or provide clinicians to listen repeatedly, and even share the sound to other physicians for collaborative diagnosis.
    This study explores and collects case data by case analysis and in-depth interviews, and draws on the conclusions of this study with reference to current market conditions, and recommendations for case companies: developing low-level electronic stethoscopes to make them a must in the company or at home. Seeking partnership agents, incorporating physiological sounds into the electronic medical records of major hospitals in the cloud, accelerating clinical acceptance, and developing AI interpretation of various disease physiology Software system, help the United States, Japan and other well-known large manufacturers ODM electronic stethoscope.
    參考文獻: 中文文獻
    1. 台灣經濟研究院，國內總體經濟預測暨景氣動向調查新聞稿2019年四月,摘自: http://www.tier.org.tw/forecast/macro_trends.aspx
    2. 民國104年門、住診合計(包括急診)患者總人數、內政部、台灣肺阻塞指引。
    3. 陳沛勳(2013)。LabVIEW應用於電子聽診器之研究。碩士論文，正修科技大學，資訊工程系，高雄市
    4. 楊家琳(2019)，工研院產業科技國際策略發展所，生醫應用點亮健康生活無限可能，2019/01/18
    5. 衛生福利部國民健康署，(2017)， 台灣肺阻塞臨床照護指引
    6. 獲利時代，早安財經文化，2013
    7. Alexander Osterwalder，(2010)，獲利世代

    英文文獻
    1. Dusser D,(2007), Mild asthma: an expert review on epidemiology, clinical characteristics and treatment recommendations. Allergy; 62:591-604.
    2. Julien ie Hoffman(2013), The global burden of congenital heart disease., CVJ Africa, Vol 24, No. 4, May
    3. MEI Jin (2010) Prevalence of perinatal congenital heart disease and its influencing factors： a case-control study, Chinese Journal of Public Health, 26(9): 1181-1182.
    4. Meberg, A (1994). "Increasing incidence of ventricular septal defects caused by improved detection rate". Acta Paediatrica. 83 (6): 653–657.
    5. Ndidiamaka L. Musa (2017) The global burden of paediatric heart disease., Cardiology in the Young, 27(Suppl. 6), S3-S8.
    6. Shu-yi H, (2013), The Impact Of COPD-Related Medication On COPD Medical Cost - A Rational Survey In Taiwan. COPD CLASSIFICATION AND COURSE. American Thoracic Society,
    7. Wu MH1 (2010), Prevalence of congenital heart disease at live birth in Taiwan., J Pediatr.;156:782-5.
    8. Xie D (2017) Perinatal outcomes and congenital heart defect prognosis in 53313 non-selected perinatal infants. PLoS ONE 12(6): e0177229

    網際網路
    1. 國家發展委員會(2019)，2019年5月15日最新經濟預測，
    https://ws.ndc.gov.tw/Download.ashx?u=LzAwMS9hZG1pbmlzdHJhdG9yLzEwL3JlbGZpbGUvMC8yNjIzL2RkZGMwNTg0LWFjZDEtNDlmMi05Y2JjLTAwOWQwNTU5NWIyZi5wZGY%3d&n=MjAxOeW5tDXmnIgxNeaXpeacgOaWsOe2k%2ba%2fn%2bmgkOa4rC5wZGY%3d&icon=..pdf
    2.國外產品(2019)，J公司，摘自:
    https://www.jedmed.com/products/digital-stethoscope
    3.維基百科(2019)，人口高齡化，摘自:
    https://zh.wikipedia.org/zh-tw/人口老龄化
    4.維基百科(2019)，中華人民共和國，摘自
    https://zh.wikipedia.org/zh-tw/中华人民共和国
    5.勤業眾信(2017)，智慧醫療跨界整合時代來臨-跨產業整合及營運模式將成為重要關鍵，摘自:
    https://www2.deloitte.com/tw/tc/pages/life-sciences-and-healthcare/articles/cross-integrated-lshc.html
    6. 106年國人死因統計結果務生福利部統計處20180615 摘自:
    https://www.mohw.gov.tw/cp-3795-41794-1.html
    7.A+醫學百科(2019)， 摘自:
    http://cht.a-hospital.com/w/听诊器
    8.StockQ.org(2019)，摘自:
    http://www.stockq.org/economy/reserve.php
    9.Stock-ai(2019)，台灣消費者物價指數，摘自:
    https://stock-ai.com/eom-1-twCPI.php
    10.MBA智庫百科(2019)，摘自:
    https://wiki.mbalib.com/wiki/PEST
    11.MBA智庫百科(2019)，摘自:
    https://wiki.mbalib.com/wiki/波特五力分析模型
    12.MBA智庫百科(2019)，摘自:
    https://wiki.mbalib.com/zh-tw/SWOT分析模型
    13. Asthma and Chronic Obstructive Pulmonary Disease (COPD) in Canada, 2018;
    Report from the Canadian Chronic Disease Surveillance System from https://www.canada.ca/en/public-health/services/publications/diseases-conditions/asthma-chronic-obstructive-pulmonary-disease-canada-2018.html
    14. Stethoscopes - A Global strategic business report, Global Industry Analysis,Inc.
    from https://www.strategyr.com/Stethoscopes_Market_Report.asp
    15. United States Census Bureau(2019)，U.S. and World Population Clock，
    20190527，from: https://www.census.gov/popclock/
    16. Wikipedia, from https://en.wikipedia.org/wiki/Epidemiology_of_asthma
    描述: 碩士
    國立政治大學
    經營管理碩士學程(EMBA)
    105932179
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0105932179
    資料類型: thesis
    DOI: 10.6814/NCCU201901015
    顯示於類別:[經營管理碩士學程EMBA] 學位論文

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