發展國際醫療的策略導入分析

Abstract

隨著醫療服務全球化的時代潮流，目前台灣的醫療服務產業，勢必要在原本僵化的組織、流程等方面，進行創新、發展系統化與差異化的國際醫療，進而實現醫療服務專精化與多角化。此外，發展國際醫療已成為突破現階段有限的健保醫療給付資源下，所必走的途徑，而其潛在利益，亦包括有助於醫療科技產能之充分運用，促進醫療新科技之引進與發展，以及合乎經濟效益之使用醫療儀器，補貼健保醫療給付之不足，間接帶動國內整體醫療服務水準與品質的提升。 因應醫療服務全球化、醫療服務專精化、與醫療服務的多角化的趨勢，如何架構現階段台灣醫院發展國際醫療服務與價值鍊，同時建構國際化策略地圖與決策行為的模式，已至為重要。國際醫療服務，主要可分為以專門而具差異化醫療為主的『專業特殊醫療』，以及以旅遊為主，醫療為輔的『保健旅遊醫療』兩大類。然而我國醫療服務國際化的能力，目前尚在萌芽階段，應依據目前台灣醫療機構獨特的價值目標與市場定位區隔，並考量醫學中心的國際醫療服務價值鏈規劃，著重於個別醫學中心的專長科別，俾能找出最具競爭優勢的主要醫療服務項目的『專業特殊醫療』。而『保健旅遊醫療』則因進入門檻較低，不具差異化競爭優勢。 因此，本文以探討醫學中心發展『特殊醫療』領域的競爭優勢策略與價值鍊分析為主軸，同時架構可能的國際醫療流程管理模式，以合理的會計財務計算，來分析並模擬在醫學中心進行專業國際醫療投資的效益及其可行性，同時結合作業成本會計制度分析，來架構醫學中心可行的國際專業醫療發展模式。

Along with the trend of globalization in medical service, Taiwan's medical service industry, in view of its bureaucratic and rigid organization and work process, is faced with a need to innovate and develop systematized and differentiated medical service of international standards, and to further achieve specialized and diversified service. In addition, international medical services are the answer to overcome the limitations currently encountered due to the health insurance scheme. The benefits of ramping up such service include promoting the utilization of medical technology, encouraging the introduction and the development of new medical technology, as well as the economically efficient use of medical instruments. The international medical service can also make up for insufficiencies in national health insurance subsidies and acts as a leader in increasing overall domestic medical service standards and practical quality. As medical service has become globalized, specialized and diversified, it has become crucial to build a model so that Taiwan’s hospitals can develop international medical service and value chain, as well as a model for strategic blueprint and policy-making behavior. International medical services can be divided into two broad categories, which include specialized medical services as well as medical tourism, where travel is the primary expense, incurred and medical services are auxiliary. Unfortunately the present capabilities of our global medical services fall short of international norms. When planning for the value chain development, taking into account of the unique value goals and market positioning of Taiwan’s medical institutions, the emphasis should be put on identifying the 'specialized' direction of the most competitive medical service as per the expertise of individual medical centers. Hence, this thesis explores the competitive advantage strategy and the value chain analysis in the development of 'specialized medical service' in medicine centers. It also attempts to structure a possible model for international medical process management, while simulating and assessing the benefits and feasibility of medical centers’ investment in specialized international medical service.