建構雲端互動式健康管理平台其照護服務模式之初探

A Pilot Study on Constructing A Cloud Health Management Platform to Develop A Home Telehealth System

目的：銀髮族健康管理需求與日遽增，健康照護產業朝遠距醫療服務發展，台灣政府積極推動養生照護產業創新服務政策，鼓勵企業和醫療機構參與照顧服務。
方法：建構雲端互動式健康管理平台（e-VIP健康生活會員），追蹤免費使用系統6個月以上個案，資料收集從2013年1-12月共收案310位。研究工具採半結構式問卷有三大面向十項指標，從技術面-系統品質；人性面-隱私風險、功能風險、體制信任、醫病信任；服務管理面－服務品質、成本效益、滿意程度、健康影響、使用意向等。探討民眾使用遠距照護其滿意程度及未來建立商業化營運體系參考。
研究結果：民眾對醫病信任滿意度最高（平均3.93），隱私風險滿意度最低（平均2.65）。未來使用意向-民眾使用意願高（74.8%）但付費意願低（27.4%），96.1%可接受費用一年500-1000元，59.4%民眾對於遠距健康照護費用納入健保有較高的期待。
結論：遠距照護能提供個人化、在地化、便捷的健康服務，「費用」仍是台灣目前推展遠距健康照護最大的困難。

Background: A personalized telemedical care platform (e-VIP) was developed and offered for free use at a regional teaching hospital in Southern Taiwan. The purpose of this study was to explore the satisfaction with,and establishment of, the business model for telemedical care.
Methods: The 310 volunteers were recruited from Jan-Dec 2013. Data from a semi-structured questionnaire including system quality, privacy policy, functional risk, systemic trust, mutual trust, service quality,cost-effective, satisfaction, health influence and apply intention were collected and analyzed.
Results: Mutual trust (mean=3.93) had the highest satisfaction score, and privacy policy (mean=2.65) had the lowest. 74.8% of subjects had a high willingness to use the system and 27.4% had a willingness to pay for it. In regard to the charge, 96.1% of subjects could accept 16-32 USD (500-1,000 TWD) for e-VIP services. In addition, 59.4% of subjects believed the Taiwan Generation NHI would pay for it.
Conclusion: People had a high willingness to use e-VIP services, but it was difficult to reduce the price.