A Study of Public Health based Governmental Healthcare Cloud Service - A Case Study of Taipei Telecare Program
|關鍵字:||遠距健康;公共衛生;雲端運算;外部性;民間興建營運後轉移模式;telehealth;public health;cloud computing;externalities;build-operate-transfer|
Public health is always a primary issue in population productivity. Contrasted with previous telehealth programs applied to individual patient care only, nowadays, telehealth is more broadly applied to population health due to the development and adoption of the program using a broad spectrum of information and communication technologies. Governments implement their public health program through constructing healthcare infrastructure such as social welfares and healthcare facilities. Nevertheless, beyond the obligation of serving people and achieving social justice, government thinks over the sustainability of services compulsively and dislodges any profit ideas from the business plan. The healthcare infrastructure usually constitutes with Non-government organizations (NGO) by government healthcare legislation to carry out the health map for country. Governmental healthcare focuses on the illness prevention and health promotion. NGO handle the specific protections for high-risk group in public health. These healthcare services are implemented well separately and undoubtedly, but the key factor for people is the level of healthcare services integration. Many healthcare services are operating well along with the national health insurance system in Taiwan. However, the collaboration within existing services and cooperation between departments are still fragile. After narrow the scope to the government lead telehealth program based on public health in Taiwan, Taipei telecare program is the only survived program. Taipei city government proposed the telecare program in 2008 to integrate existing healthcare services. In this study, we analyze the program and try to figure out the key factors in sustentation of governmental telehealth program. The analyses are from four different aspects: service combinations, system infrastructure, business model, and utility model.
|Appears in Collections:||Thesis|