「高齡基層醫療」是由於社會結構變遷,為顧及高齡者醫療便利性與在地化並配合政府相關社區醫療結合概念,考慮整合基層診所單位群聚服務分散大型醫療院所輕症患者數量負擔,復以活化閒置土地或公共設施用以結合醫療產業開發,皆是現階段逐漸邁入高齡化社會不可或缺之一環。 因此本研究針對高齡基層醫療整合服務建構其擇點評估模式,經由相關文獻分析及簡單訪談,搭以德爾菲法一致性預測問卷調查及AHP層級分析篩選出四項構面「高齡醫療因素」、「土地開發因素」、「整合服務因素」、「交通影響因素」及21項評估因子,於求得各構面及評估因子權重,復施以實例論證配合簡單加權法獲得三處個案優劣次序。而研究過程中發現,基層醫療整合服務開發於台灣社會尚未普及是項差異化醫療發展趨勢,因而開發業者或非營利組織若欲掌握先機除須具備上述擇點評估模式外,尚須發展明確經營管理及差異化策略,以利於產業開發過程中達到獲利及利益社區之目標,從而建立起一項兼具醫療整合服務與土地開發之產業新趨勢。
Elderly primary care is due to the change of social structure. For the convenience of elderly primary care and localization to match the combined concept of medical treatment for government related communities, and for integrating primary clinics’ unit grouping patients with mild illness or injury, coupled with enlivening useless land or public facilities to develop with medical industries, this is the stage not to be without of gradually stepping into elderly society. Thus this research addresses elderly primary care with integration service to construct its selection point evaluation mode through analysis of related literature and simple interview, along with Delphi method and unified prediction questionnaire investigation and AHP level analysis and through sifting out 4 items of construction side, “elderly medical treatment factor”, “land development factor”, “integration service factor”, “transportation influence factor”, and 21 items of evaluation factor. When obtaining various construction sides and evaluation factor weighting, then use practical example evidence in line with simple weighting method to get 3 –site individual case priority or less order. n the process of search, it is discovered that the primary medical treatment and integration service development are not yet common in Taiwan society and it is a trend of differentiated medical treatment. Therefore they not only need to have above mentioned selection point evaluation mode, but to develop clear-cut management and differentiated strategies to achieve benefit and benefit community goals.