摘要
近年因應國內人口的老化，爲避免醫療資源不足的困境發生，因此政府鼓勵醫療機構與相關業者規劃或建置遠距醫療業務。惟現階段遠距醫療的許多推動方案，均獲得政府機構不少的補助，當後續經費不再挹注時，能否持續推動，實值得加以探討。本研究依據服務流程觀點將遠距醫療價值鏈區分爲：生理訊息量測、量測資料傳遞，健康管理平台及服務傳遞等四大階段，並採用多個案研究方式，就國內目前已進入營運階段的六家遠距醫療業者進行分析。研究發現遠距醫療價值鏈用戶端的生理訊息量測儀器的功能與價格，平台／系統的功能設計取捨，與照護服務中心是否能善用原有醫療人力資源，均影響服務成本，進而影響民眾對遠距醫療的接受。
並列摘要
To prevent the medical resource shortage when the population gradually older, the government has encouraged the hospital and related organization to plan or build up the telemedicine. A lot of telemedicine projects got the subsidy from government in the current stage. It is need to pay attention that does those projects can sustain without the government support. According to the view of service process, the value chain activities of telemedicine are vital signs measurement, data transmit, health care platform, and care center. This study applied multiple cases study to analysis 6 projects under operation stage. We found out which the function and cost of vital signs measurement device, capability of health care platform, and the usage of human resource in care center would influence the service cost, and further, impact the acceptance of telemedicine.