探討台灣區域教學醫院發展國際醫療之可行性：以新加坡百彙康護集團為鑑

The Feasibility of Development International Medicine for a Regional Teaching Hospital in Taiwan：A Case Study of Parkway Holdings Limited in Singapore.

羅琦(Chi Lo)

指導教授 ： 陳家祥

元智大學/管理學院/管理研究所/碩士(2007年)

摘要

在全球人口老化及醫療費用日趨高漲的驅勢下，西方實施社會保險的先進國家如英國及加拿大，病人需耗費在等候手術的時間過長；在美國亦有4300萬人口沒有醫療保險、120萬人口沒有牙科保險（UDdaily,2005）；加上近來亞洲及中東部分經濟發展較佳的地區，對於高品質醫療服務的需求也越來越高下，醫療旅遊產業正蓬勃發展。
本研究採個案研究法，運用Afuah營運模式為主要研究架構，以新加坡Parkway Holdings Limited 為研究對象；並訪談台灣某區域教學醫院，論述其發展國際醫療之可行性。
深入研究Parkway推動國際醫療成功的營運模式後，歸納出其產業關鍵驅動價值為：卓越的人力資源、先進的醫療技術和設備及以顧客為中心的整合性醫療照護服務。
台灣與新加坡之醫療機構同樣面臨內需市場小、保險給付對醫療費用的限制、醫院市場競爭程度高及其他國家競爭的外部威脅；但在亞太地區醫療旅遊發展潛力雄厚及政府政策鼓勵的機會下，相較於Parkway藉由重症醫療的核心能力建構起其整合性醫療照護服務的價值鏈，並藉由策略聯盟的方式快速的將其整合性照護服務的能力延伸至海外下，建議個案機構應改變按照專科別的分工方式，由病人於各醫療專科間遊走的情況，提供以病人為中心的整合性醫療照護服務。利用整合性醫療照護服務的能力，在以市場為導向的考量下，將醫療服務延伸到海外，不飭為對於擁有高品質低價格醫療服務的機構，於醫院經營策略的另一選項。

關鍵字

醫療旅遊 ； 營運模式 ； 顧客經驗管理

並列摘要

The aging of population accelerated rapidly worldwide. Patients in Britain, Canada and other countries with long waiting lists for major surgery will be just as eager to take advantage of foreign healthcare options. In the United States, where an estimated 43 million people are without health insurance and 120 million without dental coverage (Udaily, 2005) .The growing demand for high quality medical care in Middle East and Asia, where economic develop well-off. This represents a significant market for inexpensive, high-quality medical care.
In a case study of Parkway Holding Limited in Singapore apply Afuah’s business model theory.And then, a interview for a regional teaching hospital in Taiwan that discussed the feasibility of development international medicine.
Parkway’s critcal industy drives values are excellent manpower; the art-of-state technology and equipment; and the intergrate healthcare service.
Medical organizations in Taiwan and Singapore face problems in terms of limited domestic markets, healthcare insurance limits and competitive threats from other hospitals both at home and abroad.
However, with the growth in medical tourism industry and government strategic support in APAC area, and in view of how Parkway’s integrated medical service value chain built by the core competence of the tertiary care has allowed it to expand its business rapidly overseas through strategic alliances, the suggestion to the case would be: to change the current job allocation by medical subject, which makes patients walk around betweens different medical units, to an integrated medical service which puts the patient at the centre of the service.
Given the efficiency and capability of a fully integrated medical service, and considering the desire to expand the business, and especially overseas, this approach would be a recommended business strategy for hospitals to offer inexpensive and high-quality medical care.

並列關鍵字

Medical Tourism ； Business Model ； Customer Relationships Management

參考文獻

4. Philip Kotler，謝文雀譯（2005）；行銷管理 亞洲觀點，第三版，臺北，華泰文化事業股份有限公司。

10. 陳澤義、張宏生（2006）；服務業行銷，臺北，華泰文化事業股份有限公司。

14. 榮泰生（1997）；策略管理，五版，臺北，華泰文化事業股份有限公司。

16. 盧瑞芬、謝啟瑞(2003)；台灣醫院產業的市場結構與發展趨勢分析，經濟論文叢刊，31(1)，107-153。

6. OECD (2005). HEALTH: SPENDING AND RESOURCES , Paris :OECD.