| 摘要: | 因高齡化及人口結構的改變，老年人口所帶來失能的人口大幅增加，衍生出家庭照顧者的照護問題，更突顯長期照顧制度及相關產業的發展已是非常重要且待解決的議題。政府的長期照護服務體系中，包含機構式與社區式之照護型態，目前長照2.0 著重在社區式照護比例較重，但機構式的照護有其必然性及存在的意義。機構式照護中的護理之家其主管機關為衛福部，設置依據護理機構設置標準及接受護理機構評鑑，長期營運需兼顧醫療、照護品質及成本效益。
醫療院所面臨全民健保政策及醫療環境的改變，間接也影響現有的經營模式，因此醫院積極發展長照產業已是趨勢，但如何運用策略以維持競爭優勢，以維持市場占有率及營運績效，是醫院經營者極需重視的問題。
有鑑於此，本研究個案是南桃園一所區域醫院暨教學醫院，在面臨政府推行長照2.0及長照市場競爭的環境下，以現有條件為基礎，透過相關資源分析，探討長照產業的目前情況，再針對桃園市長照機構發展現況，估算出成本及合理利潤，以分析中壢平鎮地區設置護理之家可行性。經成本分析後除強化本身的資源與能力外，定價可優於競爭者同房型，方能創造持續性的競爭優勢。;Due to the change of the family structure and the population aging, it has become the truth that the household care problem because of the increasing of elders with the disability, thus that should be the main subject and need to be solved making institutions of long-term care (LTC) and development of the related industries. With the public system of LTC 2.0 service, the Community-based service is major type nowadays, but doubtless, it still is necessary to establish the Institution-based LTC service.
The Ministry of Health and Welfare is the main authority governing all Institution-based nursing homes, and according to the standard for the regulations of settlement and the evaluation of the nursing institution, obviously, they are the crucial conditions of LTC operation with the Medical treatment, the care quality and the effectiveness of cost.
On the other hand, most of the hospitals are turning their operation planning indirectly due to the change of medical environment and the policies of National Health Insurance in Taiwan, therefore, this should be the trend to develop the LTC in the hospitals, nevertheless, how to make and use the strategies effectively to maintain the competitive advantage, the market share and the operation effectiveness, this is the crucial problem for the managers in hospitals.
Thus, according to environment of promoting LTC 2.0 and the market competition, through the related resource analyzation and discussion about the LTC development based on the conditions for now with a case study of a regional and teaching hospital in Southern Taoyuan, and secondly then focus on the development of Institution-based LTC service in Taoyuan to estimate the cost and reasonable profits, it concludes the possibility to establish the nursing house in District of Pingjen, Zhongli. To draw the conclusion and from the results of cost analyzing, besides to promote the recourse-getting and self-abilities, it should create the more competitive advantage to make better room-pricing strategy than the other competitors. |
