建立應用於遠距居家照護之矛盾矩陣

Abstract

近年來台灣乃至世界各國面臨出生率持續下降，少子化與人口高齡老化等人口結構重大改變，而衍生出遠距居家照護需求。遠距居家照護是一項結合服務、通訊與醫療器材的照護模式，運用遠距監控技術，使高齡者或慢性病患者能就近在居家或社區環境中，獲得保健、醫療、安全等無微不至的關照，目前世界各國正積極發展「遠距照護」，而台灣資通訊產業發達，整體資通訊環境建設完備，有相當潛力足夠發展遠距醫療照護體系，欲踏入此一新興領域的公司應如何能成功經營且解決經營管理的問題便顯得重要。

在面臨問題時，大多數人以發散式思考方式，像是腦力激盪等方式尋求問題的解決方法，此種發散式思考方式常受限於參與人員的經驗背景，而萃思(TRIZ)方法為一架構化的問題解決方案，目前已廣泛應用於工程領域與非工程領域。 本研究應用萃思(TRIZ)方法，透過文獻回顧與分析，試圖建立一應用於遠距居家照護矛盾矩陣，透過此矩陣，經營者可找出矩陣所建議使用的四十項發明原則，並以所建議的發明原則為思考出發點，透過架構化的思考方式找出問題的解決方案。

In recent years, the world’s population structure is facing to the continuous decline of birth rate, birth decrease and aging population. These major changes derives the need of telehomecare (THC). Telehomecare is a care model that combines services, communications, and medical equipment, and it uses remote monitoring technology to enable the elderly to enjoy a more convenient, comfortable and safe medical service at home or in community. Now the world countries develops telehomecare actively, Taiwan's ICT industry develops very well, and there is a solid foundation in overall information and communications environment, so there is sufficient potential to develop telehomecare system. It will be important how companies can successfully operate and solve management problems in this emerging field.

TRIZ differs from Brainstorming within the systematic thinking process. When facing problems, brainstorming is the most common method to seek for solutions. Neverthless, this thinking process is restricted to the experiences and backgrounds of participants and it takes a lot of time. TRIZ is a systematic problem solution method and is applies to engineering and non-engineering field recently. In this study, we applies TRIZ and review related literature to construct a contradiction matrix for telehomecare, managers could use this matrix and the 40 inventive principles to seek for appropriate solutions for telehomecare.