臺灣博碩士論文加值系統

2015年，長壽與老化成為熱門的議題，而此現象正好呼應了工業化與資訊化的時代分水嶺。在工業化的20世紀，講究標準化、一致性的大量生產思維，傾向將銀髮族視為一個同質的類別，但這已不適用於講究個人化、客製化的資訊時代。長期照護產業的經營業者在台灣長照服務型態分類眾多的情況下，其經營績效悠關民眾接受照顧服務的成本、品質，各機構為了解決長照產業長者的不同需求，則需採取不同的經營策略。如何以更低的成本達到更好的照護（Lower Costs for Better Care）提升服務品質成為各業者關心的目標。

企業價值創造的理論演變從原本的企業主導導向到現今的顧客導向，甚至是消費者參與共創。而Porter (1985)提出價值鏈檢視企業的價值產生方式後，Stabell and Fjeldstad (1998)也提出了價值店以及價值網絡價值創造經營模式。本研究以深入訪談方式了解台灣長照產業服務型態居家式、日間式以及機構住宿式的經營型態，運用Stabell and Fjeldstad (1998)的理論比較三個案中的差異以及適用價值創造經營模式。研究結果顯示居家式照顧中心適用於價值網絡模型; 日間式照顧中心適用於價值鏈模型; 機構住宿式養護中心適用於價值店模型。提供企業未來進入長照市場的經營模式指引。

This research deeply explores the operation of long term care industry in Taiwan. There are three types long term care services in Taiwan, including home long term care, living service long term care and daily long term care by using qualitative multiple case study. Through exploration, this research finds the differentiation and between three types of long term care service in Taiwan. Therefore, this research tries to use types of long-linked, intensive and mediating technologies from Thompson (1967) and value configuration from Stabell and Fjeldstad (1998) which are less applied in long term care study to analyze how the long term care service owner create value by their management and primary activity categories.
The research results imply that to classify three types long term care service by
value configuration from Stabell and Fjeldstad (1998). To conclude that value shop analysis in all types of long term care services which have new cases. However, based on the primary activity of typology, the value network model is suitable for home long term care; the value shop model is suitable for living service long term care and the value chain model is suitable for daily long term care. It is important for people who are engaged in long term care industry to induct and have value creation concept.

中文摘要...I
英文摘要...II
誌謝...V
目錄...VI
表目錄...VIII
圖目錄...X
第一章 緒論...1
第一節 研究背景...1
第二節 研究動機...3
第三節 研究目的與範圍...4
第四節 研究結構及流程...5
第二章 文獻探討...7
第一節 長期照護...7
第二節 價值創造...11
第三節 價值創造經營模式...14
第四節 長期照顧產業：　價值創造、價值共創與價值創造經營模式...27
第五節 本章小結...32
第三章 研究方法...34
第一節 研究方法選擇...34
第二節 研究個案設計與選擇...37
第三節 資料蒐集...40
第四節 資料分析與研究倫理...41
第四章 個案與研究發現...42
第一節 個案：台南市Y居家服務中心...42
第二節 個案：台中市S養護中心...50
第三節 個案：台南市L日間照顧中心...58
第四節 結果分析討論...68
第五章 研究結論與建議...79
第一節 研究結論...79
第二節 研究理論與實務貢獻...84
第三節 研究限制與後續建議...85
參考文獻...88

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