英文摘要 |
Due to the continuous improvement of technology industry in recent years, medical care services have extended their pathways from face-to-face to virtual approaches. To cope with the serious issues of aging population in Taiwan, the development of telecare services, which imported information technology as the service platform, have become a new trend of health care industry. Telecare service requires the participation of many relevant stakeholders in the field. However, the current telecare services research rarely explores the viewpoints of the various stakeholders and construct an integrated model. Therefore, this study aims to introduce telecare services and explore the positioning of the stakeholders using power-interest grid as well as the interaction, and conflicts solutions among them. There are two phases in the study. In Phase one study, thirteen institutions, including seven hospitals from northern, middle, southern, and eastern areas in Taiwan, three nursing homes, and three long-term care institutions which have been implementing telecare services participated the study. A total of 73 questionnaires were mailed, and a total of 66 questionnaires returned, with the effective response rate of 90.4%. Scattering diagrams using EXCEL were employed to construct a power-interest grid of the stakeholders in telecare services. Phase two study used purposive sampling and conducted ten in-depth interviews with chief conductors of telecare divisions in various organizations. Grounded theory was used to analyze the qualitative data and explore the perceptions and suggestions of participants. The results showed that physicians, government agencies; the caregivers, nurses, caretakers, the operating units, case managers, pharmacists and family members are positioned as the primary key players. Medical devices and equipment industry, system management corporations, information systems engineering personnel, medical staff and care attendants are secondary key players. This study suggests that caregivers, the operating units and the government agencies should strengthen the promotion and advocacy of telecare services to enable people to better understanding of this mode of service. Deregulations are requisite for the market expansions. Lastly, more stakeholder participation in strategic planning should be encouraged upon appropriate incentives and subsidies. This study expects to manage telecare services stakeholders in a most efficient way in order to obtain their maximum benefits. |