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系統識別號 U0026-1009201509091900
論文名稱(中文) 結合說服設計與產品服務系統設計以提升政府行動醫院之健康教育服務品質
論文名稱(英文) Integrating Persuasive Design and Product Service System Design to the Improvement of the Health Education Service Quality of the Action Hospital in Taiwan
校院名稱 成功大學
系所名稱(中) 工業設計學系
系所名稱(英) Department of Industrial Design
學年度 103
學期 2
出版年 104
研究生(中文) 吳聯凡
研究生(英文) Lian-Fan Wu
學號 P36013018
學位類別 碩士
語文別 英文
論文頁數 100頁
口試委員 指導教授-洪郁修
口試委員-陳建旭
口試委員-簡聖芬
口試委員-楊佳翰
中文關鍵字 健康教育服務  產品服務系統設計  說服設計 
英文關鍵字 health education service  product service system design  and persuasive design 
學科別分類
中文摘要 醫療服務對於社區居民很重要,它可以幫助民眾應對各種急性或慢性疾病。然而,目前的醫療資源相對於民眾的需求而言仍十分不足,資源分佈也不平均。在台灣南部,行動醫院由政府發起,監控民眾健康狀況,發現並解決偏遠地區的社區健康問題。南台灣多數提供醫療服務的護士都將行動醫院視為提供健康教育服務和賦能民眾健康議題的平台。對這些護士而言,最大的挑戰則是社區民眾多為老人,並且部分民眾缺乏健康意識。
為提升健康教育服務的品質及成效,本研究觀察研究了三場行動醫院的參與民眾。說服設計的行為模型則用於發展行動醫院健康教育服務中潛在的服務機會點。與37位護理長以及健康照護科科長一同完成的焦點團體實驗確定了產品服務系統中有效並可切實應用的部分。於符號學設計工作坊與說服設計工作坊最終提出了健康教育服務的方案和接觸點。
研究結果表明,要促進良好的健康態度或行為習慣,醫療護士應:1)在行動醫院入口等待區,藉由海報和問答環節來增強社區民眾對肺、口腔以及肝臟的健康意識;2)在檢查站牌中使用圖片和圖形以便不識字的民眾閱讀;3)在肺、口腔以及肝臟健康檢查的站牌中增加忽略肺、口腔以及肝臟健康的不良後果展示。
本研究在同一行動醫院,於不同的兩天對當前與設計改進後的行動醫院健康教育服務分別進行了前後測的評估。結果顯示,本研究提出的健康教育服務設計成功的在行動醫院向民眾傳遞健康知識。
英文摘要 The health care services had been important to our communities as they help people respond to acute and chronic threats to their health. However, health care resources are scarce relative to needs and demands. They had been also not evenly distributed. In southern Taiwan, action hospital was developed (by the government) to monitor the health status and identify and solve community health problems in the rural areas. Most health care nurses in southern Taiwan utilized action hospital as a platform to deliver health education services and empower people about health issues. The understood challenges for these nurses had been that most community residents were elders; some were lacking health awareness.
To enhance the effectiveness and quality of health education services, this study performed observational studies on participants of 3 action hospitals. The behavior model for Persuasive Design was used to identify potential service opportunities. Focus Group was conducted with 37 health care nurse supervisors and 1 chief of health care section to finalize elements of product service system that could take into effects and be practically implemented. Two design workshops were performed and semantics theory and persuasive design were used to develop the health education service plan and the touch points.
Results of the study suggested that, to promote good health habits (attitude)/behavior, health care nurses should: (1) enhance community residents’ awareness on lung, oral, and liver health through posters and Q&A sessions at the entrance/waiting area; (2) use guiding signs with pictures and graphics (for Illiterate participants); and (3) put bad consequences for ignoring lung, oral, and liver health on the guiding signs for the lung, oral, and liver health tests.
In this study, we conducted a between-subject pre-post evaluation on the current and the proposed health education services at the same action hospital on two separate dates. Results showed that our proposed health education service design successfully delivered health information to participants at the action hospital.
論文目次 摘要 i
ABSTRACT ii
ACKNOELEDGEMENT iii
I. INTRODUCTION 1
1.1 Background and Motivation 1
1.2 Research Purpose 3
1.3 Research Scope and Limitation 4
1.4 Research Structure 4
II. Literature Review 7
2.1 Local Government Action Hospital 7
2.2 Product Service System 8
2.2.1 Differences Between the Definition of Product and Service 8
2.2.2 Definition of Product Service System 9
2.2.3 Classification of Product Service Systems 11
2.2.4 Application of PSS in Health Care 13
2.3 Persuasive design 17
2.3.1 Definition of persuasive design 17
2.3.2 Process of persuasive design 19
2.3.3 Application of persuasive design in health care products, services and systems 20
III. Methodology 23
3.1 Process of Research Experiments 23
3.2 Field Observation (Users’ perspective) 25
3.3 Focus Group (Q & A style) 26
3.4 Design Workshop (Semiotics) 28
3.4.1 Design Workshop (Semiotics) 28
3.4.2 Design Workshop (Persuasive Design) 30
3.5 Field Observation for the Second Stage of Health Education of Action Hospital (Xinshi District) 31
3.6 Design Evaluation for health education of action hospital 33
3.6.1 Public Pretest Questionnaire of Design for Health Education of Action Hospital 33
3.6.2 Posttest Evaluation of Design for Health Education of Action Hospital 35
IV. RESULT 40
4.1Result of Field Observation 40
4.1.1 Problems in action hospital process and health education 40
4.1.2 Opportunities and initiate concept in health education design 48
4.2 Focus group of health education in Action Hospital 52
4.3 Result of design workshop 55
4.4 Result of second field observation (Xinshi district) 57
4.4.1 Case description: Xinshi district and Action Hospital of Xinshi district 57
4.4.2 The process and layout of Xinshi action hospital before design 58
4.5 Result of design proposal discussion 61
4.6 Health Education Questionnaire Analysis of the Action Hospital 63
4.6.1 Pretest and posttest service receivers’ questionnaire analysis 63
4.6.2 Staff questionnaire analysis 71
V. DISCUSSION 75
5.1 Discussion on efficiency of process improvement of action hospital 75
5.2 Discussion on efficiency of health education improvement of action hospital 76
VI. CONCLUSION & RECOMMODATION 79
Reference 81
Appendix 87
參考文獻 Armstrong, G., Adam, S., Denize, S., & Kotler, P. (2014). Principles of marketing. Pearson Australia.
Armstrong, G., & Kotler, P. (2011). Marketing. Boston, Mass.: Pearson.
Baines, T. S., Lightfoot, H. W., Evans, S., Neely, A., Greenough, R., Peppard, J., ... & Wilson, H. (2007). State-of-the-art in product-service systems.Proceedings of the Institution of Mechanical Engineers, Part B: Journal of Engineering Manufacture, 221(10), 1543-1552.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Inc.
Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual review of psychology, 52(1), 1-26.
Berry, L. L., & Bendapudi, N. (2007). Health care a fertile field for service research. Journal of Service Research, 10(2), 111-122.
Behrendt, S., Jasch, C., Kortman, J., Hrauda, G., Pfitzner, R., & Velte, D. (2004). Eco-service development. Business Horizons.
Boehm, M., & Thomas, O. (2013). Looking beyond the rim of one's teacup: a multidisciplinary literature review of Product-Service Systems in Information Systems, Business Management, and Engineering & Design. Journal of Cleaner Production, 51, 245-260.
Brezet, H., & Rocha, C. (2001). Towards a model for product-oriented environmental management systems. In Sustainable solutions: Developing products and services for the future (Vol. 243, No. 262, pp. 243-262). Greenleaf Publishing in association with GSE Research.
Büyüközkan, G., Çifçi, G., & Güleryüz, S. (2011). Strategic analysis of healthcare service quality using fuzzy AHP methodology. Expert Systems with Applications, 38(8), 9407-9424.
Chang, C. S., Chen, S. Y., & Lan, Y. T. (2013). Service quality, trust, and patient satisfaction in interpersonal-based medical service encounters. BMC health services research, 13(1), 22.
Chang, C. S., Weng, H. C., Chang, H. H., & Hsu, T. H. (2006). Customer Satisfaction in Medical Service Encounters-A Comparison Between Obstetrics and Gynecology Patients and General Medical Patients. Journal of Nursing Research, 14(1), 9-23.
Chen, J. (2011). Community health nursing. Taipei city: Farseeing Publishing.
Chen, X. (2009). She hui ke xue zhi de yan jiu. Taipei city: Wu nan.
Chisholm, D., & Evans, D. B. (2010). Improving health system efficiency as a means of moving towards universal coverage. World health report.
Corrigan, P., & Joyce, P. (2000). Reconnecting to the public. Urban Studies, 37(10), 1771-1779.
Fogg, B. J. (2009, April). A behavior model for persuasive design. InProceedings of the 4th international Conference on Persuasive Technology (p. 40). ACM.
Fogg, B. J. (2009, April). Creating persuasive technologies: an eight-step design process. In Persuasive (p. 44).
Gaiardelli, P., Resta, B., Martinez, V., Pinto, R., & Albores, P. (2014). A classification model for product-service offerings. Journal of cleaner production, 66, 507-519.
Girth, A. M., Hefetz, A., Johnston, J. M., & Warner, M. E. (2012). Outsourcing public service delivery: Management responses in noncompetitive markets. Public Administration Review, 72(6), 887-900.
Goedkoop, M., van Halen, C., te Riele, H., & Rommens, P. 1999. Product Service Systems, Ecological and Economic Basics. Amersfoort, The Netherlands: Pre consultants.

Halliday, M. A., & Hasan, R. (1989). Language, context, and text: Aspects of language in a social-semiotic perspective.
Health.tainan.gov.tw,. (2015). 臺南市政府衛生局. Retrieved 24 June 2015, from http://health.tainan.gov.tw/tnhealth/Health_resources_Index/detail.aspx?Id=636&Health_resources_Index=4&Health_resources_Class=15
Health.tainan.gov.tw,. (2015). 臺南市政府衛生局. Retrieved 24 June 2015, from http://health.tainan.gov.tw/tnhealth/Health_resources_Index/detail.aspx?Id=428&Health_resources_Index=4&Health_resources_Class=15&p=1
Hong, Z. S., & Huo, J. Z. (2010, October). Applying quality function deployment to quality management of product service system. In Industrial Engineering and Engineering Management (IE&EM), 2010 IEEE 17Th International Conference on (pp. 849-853). IEEE.
Komoto, H., Tomiyama, T., Nagel, M., Silvester, S., & Brezet, H. (2005, December). Life cycle simulation for analyzing product service systems. In Environmentally Conscious Design and Inverse Manufacturing, 2005. Eco Design 2005. Fourth International Symposium on (pp. 386-393). Ieee.
Krucken, L., & Meroni, A. (2006). Building stakeholder networks to develop and deliver product-service-systems: practical experiences on elaborating pro-active materials for communication. Journal of Cleaner Production, 14(17), 1502-1508.
Ladhari, R. (2009). A review of twenty years of SERVQUAL research. International Journal of Quality and Service Sciences, 1(2), 172-198.
Looije, R., Neerincx, M. A., & Cnossen, F. (2010). Persuasive robotic assistant for health self-management of older adults: Design and evaluation of social behaviors. International Journal of Human-Computer Studies, 68(6), 386-397.
Lynn Shostack, G. (1982). How to design a service. European Journal of Marketing, 16(1), 49-63.
Manzini, E., & Vezzoli, C. (2003). A strategic design approach to develop sustainable product service systems: examples taken from the ‘environmentally friendly innovation’Italian prize. Journal of Cleaner Production, 11(8), 851-857.
Martín-Consuegra, D., Molina, A., & Esteban, Á. (2007). An integrated model of price, satisfaction and loyalty: an empirical analysis in the service sector. Journal of Product & Brand Management, 16(7), 459-468.
McLaughlin, C. (2004). Continuous quality improvement in health care: theory, implementation, and applications. Jones & Bartlett Learning.
Mendenhall, W., Beaver, R., & Beaver, B. (2012). Introduction to probability and statistics. Cengage Learning.
Merriam-webster.com,. (2015). product | something that is made or grown to be sold or used. Retrieved 24 June 2015, from http://www.merriam-webster.com/dictionary/product
Mittermeyer, S. A., Njuguna, J. A., & Alcock, J. R. (2011). Product–service systems in health care: case study of a drug–device combination. The International Journal of Advanced Manufacturing Technology, 52(9-12), 1209-1221.
Mohammad Mosadeghrad, A. (2013). Healthcare service quality: Towards a broad definition. International journal of health care quality assurance, 26(3), 203-219.
Mont, O. K. (2002). Clarifying the concept of product–service system. Journal of cleaner production, 10(3), 237-245.
Morelli, N. (2002). Designing Product/Service Systems: A Methodological Exploration1. Design issues, 18(3), 3-17.
Moritz, S. (2005). Service design: Practical access to an evolving field. Lulu. com.
Mosadeghrad, A. M. (2012). A conceptual framework for quality of care. Materia socio-medica, 24(4), 251.
Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77.
Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international, 15(3), 259-267.
Shabbir, S., Kaufmann, H. R., & Shehzad, M. (2010). Service quality, word of mouth and trust: Drivers to achieve patient satisfaction. Scientific research and Essays, 5(17), 2457-2462.
Prochaska, J. O. (2013). Transtheoretical model of behavior change. InEncyclopedia of behavioral medicine (pp. 1997-2000). Springer New York.
Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research & Practice, 19(3), 276.
Stahel, W. R., & Reday-Mulvey, G. (1981). Jobs for tomorrow: the potential for substituting manpower for energy. Vantage Press.
Tonelli, F. L. A. V. I. O., Taticchi, P. A. O. L. O., & Starnini Sue, E. (2009). A framework for assessment and implementation of product-service systems strategies: learning from an action research in the health-care sector. WSEAS Trans Bus Econ, 6(7), 303-319.
Tukker, A. (2004). Eight types of product–service system: eight ways to sustainability? Experiences from SusProNet. Business strategy and the environment, 13(4), 246-260.
Tukker, A., & Tischner, U. (2006). Product-services as a research field: past, present and future. Reflections from a decade of research. Journal of cleaner production, 14(17), 1552-1556.
Van Halen, C., Vezzoli, C., & Wimmer, R. (2005). Methodology for product service system innovation: how to develop clean, clever and competitive strategies in companies. Uitgeverij Van Gorcum.
Vargas-Lombardo, M., Jipsion, A., Vejarano, R., Camargo, I., Álvarez, H., Mora, E. V., & Ruíz, E. M. (2012). Technologies to Better Serve the Millions of Diabetic Patients: A Holistic, Interactive and Persuasive ICT Model to Facilitate Self Care, in Extremely Poor Rural Zones of Central America. Journal of medical systems, 36(2), 595-600.
Wang, P. P., Ming, X. G., Li, D., Kong, F. B., Wang, L., & Wu, Z. Y. (2011). Status review and research strategies on product-service systems. International Journal of Production Research, 49(22), 6863-6883.
Who.int,. (2015). WHO | Health education. Retrieved 24 June 2015, from http://www.who.int/topics/health_education/en/
Williams, R., & Tollett, J. (2006). Robin Williams design workshop. Pearson Education.
Wikipedia,. (2015). Service (economics). Retrieved 24 June 2015, from https://en.wikipedia.org/wiki/Service_(economics)
Zaring, O., Bartolomeo, M., Eder, P., Hopkinson, P., Groenewegen, P., James, P., ... & Örninge, M. (2001). Creating eco-efficient producer services.Gothenburg, Gothenburg Research Institute, 503.
陳青浩, 劉維倫, 林承學, 黃怡菁, 鄭家堯, & 隋安莉. (2007). 台南縣民眾對行動醫院的認知與滿意度之探討. 嘉南學報 (人文類), (33), 472-484.
蔡清欽. (2015). 台南市衛生局行動醫院計畫啟動 全民健檢安心又便利. 中央日報. Retrieved from http://news.sina.com.tw/article/20150330/14085856.html
賴友容. (2007). 亞洲癌症篩檢研討會 行動醫院受肯定. 大紀元. Retrieved from http://www.epochtimes.com/b5/7/10/12/n1864436.htm
廖素娥, 劉嘉斌, 蔡宗仁, 李甯, 郭有淼, 楊炳炘, ... & 劉武哲. (1994). 全國衛生所檢驗作業狀況調查結果. 中華公共衛生雜誌, 13(4), 300-307.
臺南縣政府. (2015). 臺南縣政府94年度施政成果報告. 臺南縣: 臺南縣.
楊思瑞. (2015). 健檢助延壽 賴清德挺行動醫院. 中央通訊社. Retrieved from http://www.cna.com.tw/search/hydetailws.aspx?qid=201503290123
楊維. (2008). 護理人力資源配置與病人滿意度的相關性研究. 中華護理雜誌,42(12), 1119-1121.
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