雲端臨床決策支援服務系統策略規劃

Abstract

本研究應用創新密集服務分析模式架構，分析對象為醫療雲端服務廠商，範圍為提供臨床決策支援系統（Clinical Decision Support System）的服務業。本研究欲探討以醫療雲概念發展出臨床決策支援系統服務，透過使用臨床決策支援系統服務，許多活動流程將變得更流線性、更有效率，改良照護品質及降低健康照護的支出，這樣的工具能使臨床醫師取得相關資訊，以提供安全及有效的照護。 本研究以內部核心能力與外部資源涵量為兩大主體分析構面進行各項因子的處理與說明，推論出創新密集服務業的內外部需求條件。在內部核心能力的分析中，探討在服務設計、測試認證、市場行銷、配銷活動、售後服務、支援活動六大類內部核心能力及其特性，並根據不同屬性，進行企業策略矩陣定位與評量分析。在外部資源涵量的分析中，強調外部專業能量的掌握，探討在互補資源、研究發展、產品設計、產品製造、服務提供、市場行銷、其他客戶等七大類外部資源涵量及其特性，並根據不同屬性，進行企業策略矩陣定位與評量分析；以四種客製化程度與五種創新方式所構成的4X5 矩陣進行分析，藉由結合兩大主體的差異分析了解未來策略發展趨勢。 研究結果顯示，台灣在發展臨床決策支援統服務時，目前定位於「產品創新之一般型服務」，未來(5～7年)策略定位為「流程創新之專屬型服務」與「流程創新之特定型服務」。服務價值活動以「測試認證」、「行銷」、「配銷」、「售後服務」、及「支援活動」為重要核心構面。這個產業剛剛起步，各界共識尚待凝聚，產品創新是廠商進入產業的首要選擇。

This thesis reports on an analysis of operating strategy of the Taiwan’s Clinical Decision Support System (CDSS) industry based on the model of innovation intensive services (IIS). Through the use of CDSS, a number of activities can be streamlined through the use of these tools, improving care and reducing healthcare spending. These tools enable clinicians to access relevant information to provide safe and effective care. The model respectively dissects four influential factors of industrial environments and technological systems at the industry-level analysis to verify the requirements of industrial innovation system. IIS Matrix will help deduce critical elements of industrial environment and technological systems at the industry level by strategic positioning and KSFs in the firm level. The requirements of industrial environment and technological systems will be consolidated into the industrial innovation systems by using the IIS approach. Results showed that in the Taiwan's CDSS industry, the future trend needs to be moved to “Unique Service”, “Restricted Service” and “Process Innovation” with the support of core competence in “validation”, “marketing”, “delivery”, “after service”, and “supporting activities” and the externalities of complementarities, production and market. The industry is still in its infancy stage; product innovation is the vendors’ first step to become a member of CDSS industry.