高齡者就醫交通資訊整合平台需求研究

A Study on Hospital Transportation Integrated Platforms for the Elderly

陳明石(Ming-Shih Chen) ； 柯耀宗(Yao-Tsung Ko) ； 陳毓婷(Yu-Ting Chen)

《福祉科技與服務管理學刊》 8卷1期 (2020/03) Pp. 1-19

https://doi.org/10.6283/JOCSG.202003_8(1).1

摘要

臺灣目前多種醫療運輸工具中，因高齡者需求性及資訊不充足，使得高齡者在就醫過程中感到困擾，運輸工具雖多樣化但往往錯失使用的機會，而造成資源的浪費，而為了能讓交通工具資源能整合並妥善運用，也能減輕高齡者就醫之困擾，故本研究以整合高齡者就醫交通工具為目標，探討高齡者與交通運輸之間的需求與困擾，並提出整合交通工具之研究建議。本研究首先針對高齡者就醫交通工具進行探討，掌握復康巴士、無障礙計程車、醫療接駁車與公車之服務概況，再者，藉由高齡者旅運需求之文獻，探討高齡於就醫運輸過程中之生理與心理需求層面。而為了解高齡者就醫交通運輸之問題與困擾，本研究先以深度訪談駕駛、行政人員與高齡使用者，以瞭解雙方觀點並擷取出具有指標性之關鍵因子；再以焦點團體訪談交通服務專家團體與高齡使用者團體，透過服務方式與使用方立場觀點的差異，來深入探討高齡者就醫之交通問題，最終將問題面向歸納為六項：「預約」、「路徑」、「時間」、「車體設備」、「心理感受」與「期待建議」，並依此結論提出整合高齡就醫交通工具之規劃建議，希望藉由使用者與行動裝置之間的依附性，建立高齡就醫之交通運輸平台，以改善高齡者就醫之品質。

關鍵字

高齡者 ； 就醫行為 ； 復康巴士 ； 無障礙計程車 ； 交通工具 ； 資訊整合平台

並列摘要

Among the various medical transportation vehicles in Taiwan, the older adults experience difficulty when seeking medical treatment due to insufficient information on older adults' demand. While the transportation vehicles are diversified, the older adults often miss the opportunity to use them. This leads to the waste of resources. In order to alleviate difficulty that older adults face in seeking medical treatment, integrated transportation resources are needed. This goal of this study is to integrate medical vehicles targeted at the older adults, and to explore the needs and issues related to the older adults and transport, in order to put forward integration of transport research recommendations. First we provided an overview of existing medical transport methods for the older adults, including the rehabilitation bus, barrier-free taxi, medical shuttle bus and bus services, all of which use different modes of transport with differently structured vehicles. In order to understand travel demand, we observed the older adults in the process of seeking medical treatment and assessed physiological needs and took into consideration the associated psychological aspects of the older adults. Interviews were conducted with drivers, administrative staff and the older adults to understand the views of both sides and extract the key factors. After the individual interviews, the study looked at transport service expert organizations and the senior organizations. It was evident that there was diversity of views in terms of service providers and service users. The problems were organized into six factors: Appointment, path, time, vehicle equipment, psychological state, and expectations. To conclude the study, a design for the integration of medical vehicles for older adults was proposed. The hope is that through user utilization of mobile devices, transportation for the older adults may be improved, thus also improving the outcomes of older adults' medical treatment-seeking behavior.

並列關鍵字

older adults ； medical treatment-seeking behavior ； rehabilitation bus ； barrier-free taxi ； transportation integrated platform