中國大陸「十三五」規劃綱要提及「全面開放養老服務市場」,大陸長期照顧處於發展早期階段,目前尚未形成清晰的產品品項或商業模式。台灣比大陸早進入高齡社會,長期照顧機構擁有豐富的經驗,運作上有不同服務體系的分類與日趨完善的制度,是台灣長照機構的優勢。隨著老齡化趨勢的加劇及相關政策的開放,選擇進入大陸市場,目前是最好的時機。本研究透過文獻探討及專家訪談,發展出台灣長期照顧機構進入大陸市場決策之關鍵因素準則體系,根據雛型研究架構,以德爾菲法確立正式研究架構,運用決策實驗室法與網路分析程序法確定台灣長期照顧機構進入大陸市場決策之關鍵因素,而後根據關鍵因素之間的因果關係,結合重要性-績效分析的結果來探討關鍵績效的改善措施。實證研究的結果顯示,「市場規模」、「市場成長」、「人才的提供」、「政策/法令」與「不確定性」為關鍵因素,其中「不確定性」為台灣長期照顧機構進入大陸市場決策的源頭,可以有效帶動其他關鍵因素的改善。
The fully opening of the elder care service market is mentioned in the 13th Five-Year Plan of China. The long-term care industry in China is still at the early development stage, and it has not formed any specific product item or business model. In contrast, the society in Taiwan becomes an aging one earlier than that in China, so Taiwan’s long-term care institutions own rich experiences now. They have various types of service operations and maturing systems, which are great advantages of long-term care institutions in Taiwan. As the trend of population aging is intensifying and related policies are changed to be opened, now it is the best time to enter the long-term care market in China. Through the methods of literature review and expert interview, the system of decision-making principles for key factors about the long-term care institutions in Taiwan entering the market in China was developed in the study. On the basis of the prototype, the research framework was constructed with Delphi method. Then key factors related to the decision-making about the long-term care institutions in Taiwan entering the China market were confirmed with the use of Decision Making Trial and Evaluation Laboratory (DEMATEL) and the Analytic Network Process (ANP) methods. According to the causal relationships among the key factors, the results of importance-performance analysis were used to investigate the improvement measures for performance. The results of empirical study shows that the "market scale", "market growth", "talent supply", "policy/regulation" and "uncertainty" are the key factors. Among them, "uncertainty" is the source of the decision for the long-term care institutions in Taiwan to enter the China market, and it also drives the improvement of the other key factors.