國際醫療健檢與醫美關鍵成功因素與困境之探討

Critical success factors and difficulties of physical checkup and medical cosmetology of international medical care services

陳禹帆(Yu-Fan Chen)

指導教授 ： 林能白

國立臺灣大學/公共衛生學院/健康政策與管理研究所/碩士(2016年)

https://doi.org/10.6342/NTU201610267

摘要

背景與動機：推動國際醫療服務為世界各國發展趨勢，國際醫療所包含醫療服務項目包括健檢、醫學美容、重症醫療等，其中健檢與醫美可讓國際旅客來台觀光旅遊的同時接受侵入性較低的醫療服務，進而創造更高的經濟產值；再加上目前針對國際醫療之研究多偏重在政策與發展策略，較少對於醫院發展國際醫療的關鍵成功因素加以探討，由於醫療產業在推廣國際醫療所牽涉層面相當廣，如能掌握國際醫療關鍵成功因素，將有助於醫療產業取得發展國際醫療的優勢；因此本研究針對目前醫院發展國際醫療健檢與醫美現況加以了解，藉此找出影響國際醫療健檢與醫美發展的相關因素，再進一步找出關鍵成功因素及發展困境加以探討，以提供醫療產業界推展國際醫療健檢與醫美的參考。
研究目的：本研究針對台灣醫界進入國際醫療健檢與醫美之關鍵成功因素加以探討，主要目的：(1)了解台灣醫界發展國際醫療健檢醫美之現況，並歸納出發展國際醫療相關因素與現行困境；(2)歸納整理國際醫療健檢與醫美關鍵成功因素；(3)藉由探討之結果與推論，提供台灣醫界發展國際醫療健檢與醫美之參考。
研究方法：本研究主要透過國內外相關文獻，列出影響“國際醫療健檢與醫美”之相關因素；採質性研究方法，以半結構式訪談大綱對醫院國際醫療部門主管進行深度訪談，深入受訪者認為重要的議題中，以取得國際醫療健檢與醫美之關鍵成功因素及發展困境等資料。
結果與預期貢獻：本研究針對台灣國際醫療健檢與醫美的關鍵成功因素與發展困境加以探討。關鍵成功因素主要來自部門、院方與環境，與部門相關的關鍵成功因素有競爭策略、醫療品質、服務品質、語言，與院方相關的有醫院政策、人力/場地/醫療設備、醫療品質、醫療保險機制，與環境相關的有政府政策、環境語言、國際地位、醫療法規、教育制度。發展困境主要有政府政策、醫療法規、教育制度、民眾認知、語言、競爭策略、醫療品質。藉由探討之結果與推論，學術上期望能為國際醫療提供不同角度之思考方向與論點；實務上則期望能提供日後台灣發展國際醫療之參考，進而達成台灣國際醫療服務業之競爭優勢與國際化。

關鍵字

國際醫療 ； 觀光醫療 ； 健檢 ； 醫美 ； 關鍵成功因素 ； 困境

並列摘要

Research Background: To promote the international medical care service is a global trend. The international medical care service is consisted of physical checkup, medical cosmetology, critical care medicine and other types of medical service. Among these services, since physical checkup and medical cosmetology are favored by international tourists who can both enjoy travelling and low-invasive medical services, they are believed to create more economic benefits. On the other hand, the majority of the current studies on the topic of international medical care service were either policy research or develop strategy research, only a few studies explored critical success factors for hospitals to promote the international medical care service. Since many factors may influence how hospitals and medical institutions promote the international health care service, to identify the critical success factors in this process is vital for the medical service sector to gain the advantage of development in the international medical care service. Therefore, the current study will investigate how local hospitals provide the international medical care services, i.e., the physical checkup and medical cosmetology for international tourists and search for factors that affect the development of this particular field. It is hoped that through further exploration, the current study will identify some critical success factors in this sector as well as potential difficulties, so that the results of this study can provide valuable information for the medical sector in terms of how to promote the international medical care service.
Aim: The current study aims to investigate the critical success factors that help medical sector in Taiwan to provide international medical care services, especially physical checkup and medical cosmetology. The main goals for the study are: 1) to explore the current situation of the international medical care service of physical checkup and medical cosmetology in Taiwan and to search for the related factors as well as difficulties in providing these services; 2) to identify some critical success factors for providing international medical care services in the field of physical checkup and medical cosmetology; (3) to discuss the implication and application of the results.
Methods: A literature review is conducted to find out related factors that affect the international medical care service of physical checkup and medical cosmetology. The qualitative research method of semi-structure interview is used to identify critical success factors and difficulties in the sector. Participants are chief directors in departments of the international medical care services in hospitals.
Results and Contributions: The current study aims to identify and discuss the critical success factors of international medical care service of physical checkup and medical cosmetology in Taiwan as well as difficulties in this sector. It is found that, critical success factors may be divided into three categories: the department-level, the hospital-level and the environment-level. The department-level elements include competition strategies, the quality of medical service and the language. The hospital-level elements include hospital policies, the quality of staff members/spaces/equipment, the quality of service and the medical insurance system. The environment-level elements include government policies, languages used in the environment, the international status, laws and regulations related to medical services, and the education system. Difficulties in these fields include obstacles in government policies as well as laws and regulations related to medical services, education system, the low public awareness and recognition, languages, competition strategies and the quality of medical service. It is hoped that, through discussion of these findings, the current study may provide a different theoretical perspective in understanding the current situation of the international health care service, as well as some valuable insights for promoting the development of this field in Taiwan.

並列關鍵字

International medical care service ； Medical tourism ； Physical checkup ； Medical cosmetology ； Critical success factor ； Difficulties

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