| dc.description.abstract | The population of Taiwan is rapidly aging as a result of rapid social change, advances in medical technology and improved sanitation infrastructure. The traditional family in Taiwan has been losing ground in recent years. As the global population ages, many new social problems have surfaced. The National Health Insurance Administration, Ministry of Health and Welfare in Taiwan has been carrying out the “National Health Insurance Home-based Medical Care Integration Plan” since 2016. With the patients’ needs as the orientation, it will benefit those who have trouble getting into the hospital because of dysfunction or the nature of their illness, providing more accessible medical care and encouraging medical service institutions to connect with community care networks. The patients’ hospitalization needs can in turn be reduced, or more alternative methods can be thought of to provide people with disabilities more comprehensive care.
This study reviewed and compiled literature on home-based medical care and medical service models and proposed a marketing framework based on the service triangle. First, the market summary for home-based medical care in Taiwan was analyzed. The case-based operations and service models of the research subjects were explained and elaborated on. Finally, the case study and current issues were examined. The plights and problems faced by the research case include: unstable sources of cases accepted, the high cost of establishing relationship with Unit A, the time spent on establishing a sense of trust with the general public in the community, etc. Therefore, it is expected that through services provided by the community, a good reputation can be established, turning middle-term investment in the community into long-term benefits in the future. In an effort to improve the overall operating performance of clinics and their public image, concepts of medical service marketing geared toward patients’ needs have been proposed in an effort to increase the value of medical services, with the expectation of reaping long-term and unseen value and profit.
This study recommends that the government incorporate the Home-based Medical Care Integration Plan into the coverage of the National Health Insurance in order to encourage medical personnel to engage in home-based medical care work. Similarly, the restrictions on the distribution of palliative drugs should be modified and adjusted. In addition, the experiences of other nations should be considered when reevaluating the National Health Insurance system’s problems. In addition, advocacy for the concept of a “good death at home” should be bolstered, thereby enhancing the quality of life of elderly individuals nearing the end of their lives and encouraging primary clinicians to enter the community to serve more individuals in need.
However, due to the restrictions of the study’s qualitative interviews, it’s possible that its findings are skewed, unable to present the whole face. Furthermore, generalizing the results of the study is challenging because they are based on a single case study of a primary clinic. More interviewees from different places and sets of home-based medical care providers will allow future researchers interested in this area to dig deeper into the bigger picture of home-based medical integrated care. | en_US |