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    題名: 後疫情時代遠距醫療使用率下降之比較分析--台灣與日本之政策、實施與使用者因素
    Post-COVID Telemedicine Usage Decline: A Comparative Analysis of Policy, Implementation, and User Factors in Taiwan and Japan
    作者: 潘立珊
    Pan, Li-Shan
    貢獻者: 連賢明
    Lien, Hsien-Ming
    潘立珊
    Pan, Li-Shan
    關鍵詞: 遠距醫療
    遠距健康
    COVID-19
    後疫情
    視訊門診
    遠距照護
    telemedicine
    telehealth
    COVID-19
    post-pandemic
    healthcare policy
    digital health
    日期: 2025
    上傳時間: 2025-07-01 15:10:53 (UTC+8)
    摘要: COVID-19疫情在全球催化了前所未有的遠距醫療採用，然而到2023-2024年，日本和台灣的使用率均已回落接近至疫情前水平。本研究透過分析政策演變、系統設備和使用者因素，探討兩個技術先進醫療體系中後疫情時代遠距醫療使用率下降的因素。本研究採用2018-2024年醫療政策和全國使用率數據的文件分析，並輔以台灣醫療專業人員的訪談，調查遠距醫療成長為何無法持續。研究結論指出，不同的政策轉型策略導致了相似的結果，顯示遠距醫療採用面臨超越監管方法的結構性挑戰。未來的整合可能需要混合模式，在承認醫療互動的具身性本質的同時，善用科技的可及性優勢。
    The COVID-19 pandemic catalyzed unprecedented telemedicine adoption across East Asia, yet by 2023-2024, usage rates in both Japan and Taiwan had declined to pre- pandemic levels. This comparative study examines factors contributing to this post- pandemic decline through analysis of policy evolution, system implementation, and user adoption patterns in two technologically advanced healthcare systems. Using document analysis of healthcare policies and national utilization data from 2018-2024, national utilization data supplemented by interviews with Taiwanese healthcare professionals, this research investigates why telemedicine gains proved unsustainable. Key findings reveal Japan's graduated policy approach maintained telemedicine reimbursement at 87% of in-person rates, creating financial disincentives. Taiwan's "reset-and-rebuild" strategy restricted coverage to specialized populations. Both countries faced technical challenges, including low digital identity adoption and legacy system integration difficulties. Interview findings demonstrate that Taiwanese healthcare professionals maintain low preference for telemedicine due to concerns about clinical assessment limitations and disrupted trust-building mechanisms in virtual environments. The research concludes that different policy transition strategies led to similar outcomes, suggesting telemedicine adoption in East Asian contexts faces structural challenges transcending regulatory approaches. Future integration requires hybrid models that acknowledge the embodied nature of medical interactions while leveraging technology's accessibility benefits of technology.
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    描述: 碩士
    國立政治大學
    應用經濟與社會發展英語碩士學位學程(IMES)
    112266001
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0112266001
    資料類型: thesis
    顯示於類別:[應用經濟與社會發展英語碩士學位學程 (IMES)] 學位論文

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