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Serendipity！Co-creation Value Analysisof hospitalin Macau

CHIA-LING,HUNGAbstract ID # 326829

APHA Session Number: 4111Session Title: Health in all Policies/Public

Health Policy/Health AdministrationNovember 3, 2015: 10:30 a.m.-12:00 p.m.

Jia-Hsuan Hsu,Chu-Chu Sheng,Yu-Hsin Wang,Yi-Hsin Elsa Hsu,Ya-Ting Yang

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Agenda• Opening• Introduction• ResearchBackground / Purpose / Method /

Co-creation analysis

Findings / Conclusions / Reference

• Q & A

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Names

嘉臨 ,洪

CHIA-LING ,HUNG

[ka lím, Âng]

Nadia ,Hung English

Chinese

Roman alphabet

Taiwanese

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Introduction

EDUCATION Health Care Administration B.A. Taipei Medical University, (ungraduated, senior student)

STUDY＆WORK EXPERIENCE• 2015.07-2016.02Internship in Taiwan Mundipharma• 2014.10-2015.02Employment in the elderly Influences on the elderly active aging.(commissioned project : Taiwan National Health Department)• 2015.03-2015.06Research Projects of International Medical Industry Technology Development Mode(commissioned project :Taiwan Ministry of Health and Welfare )

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Page 51. http://pinecone.pixnet.net/blog/post/100411895-%E6%97%85%E8%A1%8C%E2%99%A5-welcome-to-taiwan!

Location Of Taiwan

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Snacks In Taiwan

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Famous Brands In Taiwan

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Ang Lee Yani Tseng Chien-Ming Wang

Celebrities in Taiwan

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Purpose:• Analyze medical Industry and Co-creation value in Macau.

• What’s Taiwan can learn?

Finding:• The difference between public and private hospital staff

• Unequal distribution of medical resources

• No western medicine education in Macau .

Conclusions:• Establish corporate culture ,increase brand identity.

• Deregulate related policy.

• Integrate advantage of Medical Industry to develop.

• Include medical professionals in Labor Standards like Macau.

Summary

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　 Macau Taiwan U.S.

　 　 　

Population(million) 0.64 23 952.24

Area 31.3 km² 36,000 km² 96,26,675km²

Population density 21,218/km² 648.44/km² 35/km²

LanguageChinese

PortugueseCantonese

Chinese English

Life expectancy 84.48 years 79.84 years 78.50 years

Medical systemhealth care

vouchers 600 MOP/year

National Health

Insurance

Private insurance-

based

Background Information

Highly Developed NHI System

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Hospital in Macau

　Hospital Conde S. Januário

Macao Kiang Wu Hospital

The University Hospital

　 　 　

Total beds 851 635 57 Bed Occupancy Rate

80.63% 72.80% 90.00%

Average length of stay

10.76 days 6.70 days 2.50 days

Number of Outpatients /year(million)

0.63 130 0.073

Largest

Private

AdvancedLatest

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Purpose of Research

1. Understand hospital co-creation value in Macau .

2. Provide management recommendations for Macau.

3. Learn from medical human resources management in

Macau.

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Method Of Research

Analyze dataVisit hospitalsCollect information

Young Yang & Elsa Hsu, 2015

DemandSupply

1. Gain

2. Customer Job

3. Pain

4. Gain Creators

5. Product & Service

6. Pain Relievers

7. Transparency

8. Dialogue

9. A

cces

s

10. Risk-benefit

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Gain , Gain Creators

Gain• Reasonable

medical expense • Recover• Well physician-

patient relationship.

• Obtain right Diagnosis

• Smooth medical treatment process

• Improve quality of life

Demand

Gain Creators• Internal training,

keep quality• Medicaid• Hire Foreign

doctors• Integrate medical

information system

Supply

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Customer Job , Product & Service

Customer Job • Take the initiative

to see doctor• Health protection,

Prevention, exercise

Demand

Product & Service• Outpatient,

Emergency call, Hospitalized

• Right Diagnosis• Health exam• Free health

consultation• Postoperative

Tracking, Rehabilitation

Supply

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Pain , Pain Relievers

3. Pain• Medical difficulties• High medical

expense • Confused about

Divisions• Long waiting time• Physician-patient

information unequal• Medical Privacy

6. Pain Relievers• Update hardware

and software • Friendly technology

interface• Information

security maintenance

• Convenient transport connections

DemandSupply

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7. Transparency• Solve information unequal• APP and price list are clear

and concise• Bilingual version for Medical

records

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8. Dialogue• Patients: affordable ,high-quality health

care services• Hospital: set suggestion box• Free health consultation, improve numbers

of outpatient patients to relieve their distress

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9. Access• APP( Health information,

physicians background)• Shuttle bus• Online registration,

booking appointment.• Both of Outlying Islands

and downtown have hospitals.

10. Risk-benefit • Shortage of medical professionals.• Lack of education for physicians to develop, Western divisions

are incomplete.• Local people prefer go to Hong Kong for medical treatment.

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Finding Of Research

1. The difference between public and private hospital

staff

2. Unequal distribution of medical resources

3. Development Direction

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Conclusions Of Research

1. Establish corporate culture in private hospitals for

recruiting .

2. Deregulate on foreigner worker in medicine.

3. Prepare western medicine doctors education.

4. Government should integrate develop items.

5. What’s Taiwan can learn from Macau.

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• Key word: Macau healthcare

1. Chan, MF . Zhu, MX (2008). Investigating the health profile of Macau Chinese.

2. Brown, Geraldine (2008). Hong Kong, Macau and Beijing, China and Seoul, South Korea: a fusion of health and culture between the east and west.

3. Chan, MF (Chan, Moon Fai) ; Ng, WI (Ng, Wai I.); Van, IK (Van, Iat Kio)(2010 ） . Socioeconomic instability and the availability of health resources: their effects on infant mortality rates in Macau from 1957-2006.

• Key word: Macau hospital

4. Leong, CSU (Leong, Cindy Sin U.) （ 2012 ） .Factors contributing to contemporary nursing shortage in Macao.

5. Zhou, BT (Zhou Bao-tong) ; Fan, YM (Fan Yun-ming); Li, TM (Li Tak-ming) ; Liu, XQ (Liu Xiao-qing) （ 2010 ） .Clinical features of initial cases of 2009 pandemic influenza A (H1N1) in Macau, China.

Reference

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Key word:macau.nurse

• 6. Chan, MF; Leong, SM; Luk, AL; Yeung, SM; Van, IK(2010). Exploring the profiles of nurses’ job satisfaction in Macau: results of a cluster analysis

• Key word :macau .elderly

• 7. Yu, Gerard Junhong ; Zaroff, C; Davis, M(2013) Normative data of psychological measures in a Macau elderly population

• Key word: 澳門科大• 8. 王春芳（ 2010 ）以科技帶動中醫藥產業關鍵是要抓好切入點－

專訪澳門科技大學中醫藥學院、科大醫院院長項平

Reference

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Key word: 澳門醫療

• 9. 梁淑敏（ 2012 ）澳門長者的健康及醫療服務使用狀況。• 10. 劉伯龍 龐欣新（ 2008 ）澳門醫療政策的評估和建议。• 11. 吳偉強（ 2003 ）澳門醫療問題探討 : 現況與前瞻。• 12. 湯麗娟 (2013) 。 2012 年澳門衛生資源配置的公平性分析

Study on the Equity of Macau Health Resources Allocation in 2012

• 13. 張杰萍 (Jie-Ping Zhang) 、陳志茹 (Zhi-Ru Chen) 、馮彩霞(Cai-Xia Feng) 、 黃莉芬 (Lei-Fan Wong) 、 王波 (Bo Wang) 、何少華 (Sio-Wa Ho)(2011) 。澳門某醫院就診婦女抗拒子宮頸抹片檢查原因的探討 The Perception of the Influencing Factors of Refusing Cervical Smear Investigation of Female Clinic Attendees in a Hospital in Macau.

Reference

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Q & A

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Thank You