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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 健康政策與管理研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/55059
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor林能白
dc.contributor.authorYa-Chen Luen
dc.contributor.author呂亞臻zh_TW
dc.date.accessioned2021-06-16T03:45:48Z-
dc.date.available2018-03-12
dc.date.copyright2015-03-12
dc.date.issued2014
dc.date.submitted2015-02-04
dc.identifier.citation中文文獻
公務人員退休法(民32 年11 月16 日)
內政部統計處(2009)•98年老人狀況調查結果•取自
http://sowf.moi.gov.tw/stat/Survey/%E8%80%81%E4%BA%BA/98%E5%B9%B4%E8%80%81%E4%BA%BA%E8%AA%BF%E6%9F%A5%E5%88%86%E6%9E%90.pdf
王雲東(2009)•我國長期照護服務需求評估(編號:(98)022.805)•台北:行政院經濟建設委員會。
行政院經濟建設委員會(2012)•中華民國2012年至2060年人口推計•取自
http://iknow.stpi.narl.org.tw/Post/Files/policy/2012/policy_12_037_2.pdf
老人福利法(民69 年1 月11 日)
余家杰、徐業良(2009,4月)•國內外遠距居家照護發展之現況與挑戰•發表於2009 年社區教育暨老人福祉學術研討會•桃園縣:元智大學。
李卓倫、陳文意、陳慈純、洪弘昌(2013)•台灣發展遠距健康照護的現況與挑戰•醫學與健康期刊 2(2),1-10。
吳永宏、林秋雯、楊素敏、陳意純(2008)• 探討台北市Starbucks連鎖咖啡店顧客之需求-以Kano二維品質模式與體驗行銷為架構•顧客滿意學4(1),69-88。
胡愈寧、 酈欽菁、李佳、林榮輝、胡國琦 (2009)•老年人各項日常生活活動功能與自評健康狀態之調查及相關性探討,台灣復健醫誌 37(2),107-114。
柯玲杏(2010)•以服務科學為基礎之遠距健康服務系統之初步描述分析 (碩士論文)•取自台灣博碩士論文知識加值系統。
張慈映(2009)•遠距健康照護市場•取自http://www.bmes.org.tw/FCKupload/File/IEK_08.pdf
張席熒、李世代、陳保中、謝清麟(2006)•長期照護機構住民之工具性日常生活活動需求評估•台灣老年醫學雜誌 2(2),116-129。
張仁耀(2008)•遠距照護系統支研製-以竹山秀傳醫院U-Care系統為例 (碩士論文)•取自台灣博碩士論文知識加值系統。
黃玉枝、趙海倫、傅一帆(2012)•影響民眾購買遠距健康照護商品意願之因素探討•國立虎尾科技大學學報 30(4),7-17
黃祥瑋(2010)• 二維品質模式與品質機能展開的應用以協助製鞋業產品開發之研究 (碩士論文)•取自台灣博碩士論文知識加值系統。
勞動基準法(民73 年7 月30 日)
楊長興、賴芳足(1995)•全民健保實施對於民眾醫療利用率影響之初期評估計畫(編號:DOH84-NH-003)•台北:行政院衛生福利部中央健康保險署。
鄭博仁(1999)•以KANO品質模式探討醫療服務品質特性(碩士論文)•取自台灣博碩士論文知識加值系統。
衛生福利部國民健康署(2007)•台灣中老年身心社會生活狀況長期追蹤調查•取自https://olap.hpa.gov.tw/search/ListHealth1.aspx?menu=1&mode=5&year=96
衛生福利部國民健康署(2009)•老人健康促進計畫•取自
http://www.hpa.gov.tw/BHPNet/Portal/File/ThemeDocFile/201110210145126095/980327%E8%80%81%E4%BA%BA%E8%A8%88%E7%95%AB(%E6%A0%B8%E5%AE%9A%E7%89%88).pdf
衛生福利部•遠距健康照護服務網站•取自http://mohw.telecare.com.tw/
盧柏丞(2010)•運用Kano品質模式探討高齡者使用醫療網站之滿意度 (碩士論文) •取自台灣博碩士論文知識加值系統。
英文文獻
American Telemedicine Association.(2013). What is Telemedicine? Retrieved from
http://www.americantelemed.org
Ambient assisted living joint programme. (2013). Catalogue of Projects 2013.
Retrieved from http://www.aal-europe.eu/
Andersen R. M. (1968). A behavioral model of families’ use of health services.
(Research Series No. 25, Center for health administration studies). Chicago, IL: University of Chicago.
Andersen A. S., & Laake, P. (1983). A causal model for physician utilization: Analysis
of Norwegian. Medical Care 21(3), 266-278.
Andersen R.M. (1995). Revisiting the behavior model and access to medical care: Does
it matter? Journal of Health and Social Behavior 36(1), 1-10.
Anker S.D., Koehler F. & Abraham W.T. (2011) Telecmedicine and remote
management of patients with heart failure. Lancet 378 (9792), 731–39.
Chiou C. C. & Cheng Y. S. (2008). An Integrated Method of Kano Model and QFD for
Designing Impressive Qualities of Healthcare Service. IEEM 590 – 594. doi:10.1109/IEEM.2008.4737937
Chou C.C., Chang C.P., Lee T.T., Chou H.F., & Mills M.E. (2013). Technology
Acceptance and Quality of Life of the Elderly in a Telecare Program. Comput Inform Nurs 31(7), 335-342. doi: 10.1097/NXN.0b013e318295e5ce.
CQM (1993). A special issues on Kano’s methods for understanding customer-defined
quality. Center for Quality Management Journal 2, 3-35.
Chumbler N.R., Mann W.C., Wu S., Schmid A., & Kobb R. (2004). The Association of
Home-Telehealth Use and Care Coordination with Improvement of Functional and Cognitive Functioning in Frail Elderly Men. TELEMEDICINE JOURNAL AND e-HEALTH 10,129-137.
Devellis R.F. (1991). Scale Development Theory and Applications. London: SAGE.
DOH. (2011). Whole system demonstrator Programme: Headline findings: Decemeber
2011. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/215264/dh_131689.pdf
Dudgeon B. J., Hoffman J. M., Ciol M. A., Shumway-Cook A. , Yorkston K. M., &
Chan L. (2008). Managing Activity Difficulties at Home: A Survey of Medicare Beneficiaries. Arch Phys Med Rehabil 89, 1256-1261. doi:10.1016/j.apmr.2007.11.038
Evans J. P. & Lindsay W. M. (2002). The Management and Control of Quality.
(5th ed.). Mason, Ohio: South-Western
Greenhalgh T., Wherton J., Sugarhood P., Hinder S., Procter R., & Stones R. (2013).
What matters to older people with assisted living needs? A phenomenological analysis of the use and non-use of telehealth and telecare. Social Science & Medicine 93, 86-94. doi: 10.1016/j.socscimed.2013.05.036
Kuo R.J., Wu Y.H., Hsu T.S. , & Chen L.K. (2011). Improving outpatient services for
elderly patients in Taiwan: A qualitative study, Archives of Gerontology and Geriatrics 53. doi:10.1016/j.archger.2010.09.013
Lai C. K.Y., Chung J. C. C., Leung N. K. L., Wong J.C.T.,& Mak D. P. S. (2010).
A survey of older Hong Kong people’s perceptions of telecommunication technologies and telecare devices. Journal of telemedicine and telecare 16, 441-446.
Lee W.I., Chang T. H., & Chao P.J. (2007). The relationship between quality of
healthcare service and customer satisfaction - An example of hospital in Taiwan. Journal of the Chinese Institute of Industrial Engineers 24(1), 81-95.
Lin C.S. (2010). Telecare projects in Taiwan. Gerontechnology 9(3), 400-407.
doi:10.4017/gt.2010.09.03.003.00
Matzler K. & Hinterhuber H. H. (1998). How to make product development projects
more successful by integrating Kano’s model of customer satisfaction into quality function deployment. Technovation 18, 25–38.
May C. R., Finch T. L., Cornford J., Exley Catherine, Gately C., Kirk S.,…, Mair F. S.
Integrating telecare for chronic disease management in the community: What needs to be done? BMC Health Services Research 11:131. Retrieved from http://www.biomedcentral.com/1472-6963/11/131
Rakich J.S., Longest Jr. B.B., & Darr K.D. (2000). Managing Health Services
Organizations and System. (4th ed.) Baltimore, MD: Health Professions Press.
Steventon A., Bardsley M., Dixon J., Doll H., Hirani S., Cartwright M., …, Newman S.
(2012). Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial. BMJ 344. doi: http://dx.doi.org/10.1136/bmj.e3874
Sugarhood P., Wherton J., Procter R., Hinder S., & Greenhalgh T. (2013). Technology
as system innovation: a key informant interview study of the application of the diffusion of innovation model to telecare. Disabil Rehabil Assist Technol, 1-9. doi: 10.3109/17483107.2013.823573
Telecare Service Association. (2013). What is telecare? Retrieved from
http://www.telecare.org.uk
United Nations, Department of Economic and Social Affairs, Population Division.
(2013). World Population Ageing 2013. Retrieved from http://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf
UNFPA and HelpAge International (2012). Ageing in the Twenty-First Century: A
Celebration and A Challenge. Retrieved from http://countryoffice.unfpa.org/botswana/drive/Ageing-Report_fullOct2012.pdf
Van den Berg N., Schumann M.,Kraft K., & Hoffmann W. (2012). Telemedicine and
telecare for older patients—A systematic review. Maturitas 73(2), 94-114.doi: 10.1016/j.maturitas.2012.06.010.
WHO. (2013). Definition of an older or elderly person. Proposed Working Definition of
an Older Person in Africa for the MDS Project. Retrieved from http://www.who.int/healthinfo/survey/ageingdefnolder/en/ Accessed 25.05.2013
Wong A. M. K., Chang W.Han., Ke P.Chih., Huang C.Kai., Tsai T.H., Chang H.T., …,
& Pei Y. C. (2012) Technology Acceptance for an Intelligent Comprehensive Interactive Care (ICIC) System for Care of the Elderly: A Survey-Questionnaire Study. PLoS ONE 7. doi: 10.1371/journal.pone.0040591
WSD Action Network. (2010). Sustaining innovation in telehealth and telecare.
Retrieved from http://www.kingsfund.org.uk/sites/files/kf/Sustaining-innovation-telehealth-telecare-wsdan-mike-clark-nick-goodwin-october-2010.pdf
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/55059-
dc.description.abstract世界衛生組織(World Health Organization,簡稱WHO)指出,高齡化已成為近年來全球共同關注的重要議題。綜觀台灣,由於經濟發展、醫療進步,使國人平均壽命延長,高齡人口增加;但高齡族群罹患慢性病機會較高,且隨著生理自然老化然或慢性病及其所引發的後遺症,易使身體功能衰退、失能,使得高齡族群對於長期照護的需求持續上升。然科技日新月異,遠距照護被視為高齡化社會與長期照護提供替代的解決方案,不僅造就許多開創性的產品及服務模式,也為高齡者的居家照護帶來新的契機。
本研究主要目的在於以顧客的觀點角度切入,探求高齡族群對遠距照護服務項目的需求,在不同特性的高齡族群之間,找出可滿足其需求的關鍵遠距照護服務項目,並藉由Kano品質模式分別探討:(一)高齡族群重視之遠距照護服務項目需求;(二)罹患不同慢性病數之高齡族群對遠距照護服務項目需求的差異;(三)不同失能狀況之高齡族群對遠距照護服務項目需求的差異;以提供政府及相關產業在高齡遠距照護未來發展的方向。
本研究以問卷調查方式於北部某醫學中心高齡整合門診收集資料,並以統計軟體SPSS 19.0進行資料處理,以Kano二維品質歸類法、品質改善指標,應用信度分析、描述性統計及變異數分析法進行資料分析。
研究結果發現,根據Kano品質模式,高齡族群對於遠距照護服務項目確實存在不同於單一線性關係的二維關聯性,藉此了解高齡族群所重視之遠距照護服務項目;並應用品質改善指標,可對需開發的遠距照護服務項目做有效率的安排;對於罹患不同慢性病個數與失能狀況之高齡族群,亦能找出其需求上的差異點,綜上,本研究能夠提供政府及遠距照護領域相關產業未來發展的基礎,使服務更貼近高齡族群之需求,以增加其使用。
zh_TW
dc.description.abstractAccording to WHO, aging society has been a worldwide issue in recent years. Followed by economic growth and medical improvement, the average life expectancy in Taiwan also prolong in a long-term trend. However, the growth of elderly population brings up the needs of long term care because of naturally aging, chronic decease, and complication. With technology innovation, telecare has been considered as an alternative for the emergence of aging society and long term care.
The main purpose of this study is to find out the needs of telecare for elderly through elderly’s perspective. By applying Kano’s model, the study emphasis on: (1) telecare items that elderly concern most, (2) the variance of the needs of telecare items among elderly who have different chronic decease amount, and (3) the variance of the needs of telecare items between elderly with or without IADLs disability.
In this study, data was collected with a structured questionnaire at center of geriatrics and gerontology in a medical center in Taipei and was processed by statistic software SPSS 19.0. Kano’s model, quality improvement index, and ANOVA were the major methods applying on the stage of data analyzing.
In results, the needs of telecare for elderly and the telecare items that are recognized important are comfirmed by Kano’s model. Along with quality improvement index, each telecare item could be reconfigured into right position based on the needs of elderly. For different chronic decease amount and IADLs disable status, the study also found the variance within several telecare items. These findings of this study could provide critical suggestions for the future development in telecare field and thus, enhance telecare more suitable for elderly.
en
dc.description.provenanceMade available in DSpace on 2021-06-16T03:45:48Z (GMT). No. of bitstreams: 1
ntu-103-R01848014-1.pdf: 4799975 bytes, checksum: c6001c90d0cae3b99f62f102c7cd7d13 (MD5)
Previous issue date: 2014
en
dc.description.tableofcontents中文摘要 Ⅰ
Abstract Ⅱ
目錄 Ⅲ
圖目錄 V
表目錄 VI
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究重要性與目的 4
第三節 研究流程 5
第二章 文獻探討 6
第一節 高齡族群 6
第二節 遠距照護 10
第三節 Kano二維品質模式 19
第三章 研究方法 25
第一節 研究架構 25
第二節 研究設計 26
第三節 研究變項與操作型定義 31
第四節 分析方法 38
第四章 研究結果 41
第一節 信度分析結果 41
第二節 描述性統計分析結果 42
第三節 Kano二維品質模式分析結果 48
第四節 變異數統計分析結果 54
第五章 結論與建議 67
第一節 研究結論 67
第二節 研究建議 71
第三節 研究限制 73
參考文獻 74
附錄 80
dc.language.isozh-TW
dc.subject遠距照護zh_TW
dc.subjectKano品質模式zh_TW
dc.subject服務需求zh_TW
dc.subject慢性病zh_TW
dc.subject失能zh_TW
dc.subjecttelecareen
dc.subjectKano’s modelen
dc.subjectservice demanden
dc.subjectchronic deceaseen
dc.subjectIADLsen
dc.title應用KANO品質模式探討高齡族群對遠距照護服務之需求zh_TW
dc.titleApplying Kano’s model to the needs of telecare for elderlyen
dc.typeThesis
dc.date.schoolyear103-1
dc.description.degree碩士
dc.contributor.oralexamcommittee陳雅美,吳永宏
dc.subject.keyword遠距照護,Kano品質模式,服務需求,慢性病,失能,zh_TW
dc.subject.keywordtelecare,Kano’s model,service demand,chronic decease,IADLs,en
dc.relation.page85
dc.rights.note有償授權
dc.date.accepted2015-02-04
dc.contributor.author-college公共衛生學院zh_TW
dc.contributor.author-dept健康政策與管理研究所zh_TW
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