| 研究生: |
楊心貝 Yang, Hsin-Pei |
|---|---|
| 論文名稱: |
以體驗的觀點進行服務系統設計-以成大醫院加護病房病患家屬為例 The Service System Design Through the Perspective of Experience- Take National Cheng Kung University Hospital Intensive Care Unit Patients' Families as an Example |
| 指導教授: |
孔憲法
Kung, Shiann-Far 陸定邦 Luh, Ding-Bang |
| 學位類別: |
碩士 Master |
| 系所名稱: |
規劃與設計學院 - 創意產業設計研究所 Institute of Creative Industries Design |
| 論文出版年: | 2008 |
| 畢業學年度: | 96 |
| 語文別: | 英文 |
| 論文頁數: | 154 |
| 中文關鍵詞: | 加護病房家屬 、服務系統設計 、體驗 、體驗量表 |
| 外文關鍵詞: | ICU patients' families, Experience Scale, Experience, Service system design |
| 相關次數: | 點閱:105 下載:6 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
近年來因醫院家數不斷減少,各大醫院開始紛紛尋求新的策略以維持自己於醫療產業之地位。服務的改善則成為了醫院思考策略的方向之一。而服務設計的內容又與體驗有相當大的關係。當Pine & Gilmore (1998)提出體驗經濟的概念後,人們亦開始體會到體驗在生活中的重要性。在過去的研究中,使用者正向的滿意度大多來自於正向的體驗,然而近年來亦開始有研究指出,滿意度與體驗不全然是正相關的,因此體驗設計的領域又多了不同的思唯。正當人們開始不斷討論體驗與服務的重要性時,多數人想到的是針對最直接的使用者,但實際上仍有許多間接使用者是被忽略的,例如在醫院加護病房外等候,心情難熬的家屬們。
本研究以家屬體驗做為主要核心,去檢視醫院在空間、設備、基本服務的提供,來探討服務的品質。透過實地訪查的方式,對台灣知名大醫院及研究目標「國立成功大學附設醫院」進行現況了解。隨後再以焦點團體訪談及問卷訪談等方式了解家屬體驗現況及需改善之處。以參與者、流程、設備等三個面向,規劃出一套新的服務系統設計;並以Schmitt(1999)所提出的體驗行銷策略模組為基礎,設計出一套可檢視家屬體驗結果之體驗量表。用以了解家屬對於新服務系統設計使用之體驗結果。
本研究之研究結果發現,現階段加護病房之家屬仍常被忽略。欲設計可改善家屬體驗之服務系統可由參與者、流程、實體設備等三個面向著手。而本研究所提供之服務系統可解決家屬對於親友來訪、病患、生活、醫護人員、醫療資訊、娛樂等六個面向之需求及遭遇到之問題。且家屬之體驗在透過服務系統之改善後,亦皆可轉向正向之體驗,成功減少壓力,使家屬感到放心、被關懷、貼心,並獲得好的休息品質。
The number of hospital is decreasing and results in a keen competition between hospitals. As a result, the hospitals should start to find some other services that the public need but still have been noticed to keep hospitals’ position in the medical industries. Service system will be the one of the unique strategies for hospital to compete in medical industry. Service design comes from human behavior and also can enhance the human experience during the process. As Pine and Gilmore (1998) had issued the “Experience Economy”, people started to realize the role that experience played during our daily life. In the past, positive satisfactions are interrelated by the positive experiences. Recently, existing research thought that the influence of consumption emotions on satisfaction may not always be valence-congruent. When people are discussing the importance of the service and experience, most of them will focus on the direct user only, as a result, there are still some places and situations are ignored, like the ICU patients’ families in the hospital. Families might have bad mood and emotion while their patients are in the ICU, however, families would also need some positive experience to help them past this bad time.
Take families’ experience as the core of this study, base on the service system, space, and facilities that provided by a hospital, this study is going to investigate the service quality from patients’ families in the ICU rest area through the perspective of experience. Starting with the current situation survey, this study went to some hospitals to do the field investigation, and also the focus group interview to know ICU patients’ families experiences. Based on the families’ current experiences, this study built up an experience scale to test families’ experiences. Moreover, the current experience elements are used to design the service system to better families’ experiences in the ICU rest area. After the prototyping of the service system design, this study tested families’ experience of the new service system with the experience scale to describe the shift of families’ experience.
The Analysis results show that to better families’ experiences, the service system could be build with the dimension of participant, process, and physical facilities. The service system could solve the problem between families and medical personnel, patients, living, families and friends, medical information, and entertainment. After experience the prototyping of the new service system, families’ experience could be changed from negative to positive experiences, and also reduce their pressure smoothly. Families also feel being relieved, concerned, and intimate. The most important is that they can get quality rest in the rest area.
Abbott, L. (1955) “Quality and competition” Columbia University Press. New York.
Alonso-Rasgado, T. and G. Thompson (2006). "A rapid design process for Total Care Product creation." Journal of Engineering Design 17(6): 509-531.
Alonso-Rasgado, T., G. Thompson, et al. (2004). "The design of functional (total care) products." Journal of Engineering Design 15(6): 515-540.
Ariely, D. and G. Zauberman (2000). "On the making of an experience: the effects of breaking and combining experiences on their overall evaluation." Journal of Behavioral Decision Making 13(2): 219-232.
Arnould, E. and L. Price (1993) “River magic: extraordinary experience and the extended service encounter”. Journal of Consumer Research 20(June): 24-45
Aurich, J. C., C. Fuchs, et al. (2006). "Life cycle oriented design of technical Product-Service Systems." Journal of Cleaner Production 14(17): 1480-1494
Ballantyne, D., Christopher, M., Payne, A. (1995), “Improving the quality of services marketing: service (re)design is the critical link. Journal of Marketing Management. 11: 7-24.
Barrett, L. F., B. Mesquita, et al. (2007). "The experience of emotion." Annual Review of Psychology 58(1): 373-403.
Bloch, Peter H. (1995) “Seeking the ideal form: product design and consumer response”, Journal of Marketing, 59(July): 16-29
Booms, B.H., Bitner, M.J. (1981). “Marketing strategies and organization structures for service firms. In: Donnelly, J,, George, W. (Eds.), Marketing of Services. Chicago: American Marketing Association, 47-51.
Brentani, U. (1995). “New industrial service development: scenarios for success and failure” Journal of Business Research, 32: 93-103.
Bretthauer, K. (2004). “Service management”. Decision Sciences. 35(3): 325-332
Carman, J.M., Langeard, E. (1980), “Growth strategies for service firms” Strategic Management Journal, 1(1): 7-22.
Carole, C. and E. Michael (1995). "How to describe your service." International Journal of Service Industry Management 6(2): 6.
Chase, R., Acquilano, N. (1989) “Production and operations management” 5th Edition. Irwin: Homewood.
Chase, R., Bowen, D.E. (1991). “Service quality and the service delivery system”. Service Quality: Multidisciplinary and Multi- National Perspectives. Lexington: Lexington Books, 157-178.
Clark, G., Johnston, R,, Shulver, M. (2000). “Exploiting the Service Concept for Service Design and Development.” In: New Service Design. Fitzsimmons, J., Fitzsimmons, M. (Eds.), CA: Sage, Thousand Oaks, 71-91.
Cook, L. S., D. E. Bowen, et al. (2002). "Human issues in service design." Journal of Operations Management 20(2): 159-174.
Csikszentmihalti, M. (1975). Beyond Boredom and Anxiety. San Francisco, Calif.: Jossey-Bass, Inc., Publishers.
Devlin, S. and Dong, H. (1994), “Service quality from the customer’s perspective” Marketing Research, 6(1): 5.
Dubé. L and Menon. K (2000). “Multiple roles of consumption emotions in post-purchase satisfaction with extended service transactions” Internationl Journal of Service Industry Management, 11(3): 287-304
Edvardsson, B., Olsson, J. (1996) “Key concepts for new service development.” The Service Industries Journal 16: 140-164
Ermer, D. S. and M. K. Kniper (1998). "Delighting the customer: quality function deployment for quality service design." Total Quality Management 9(4/5): S86-s91.
Forgas, J.P. (2007) “When sad is better than happy: negative effect can improve the quality and effectiveness of persuasive messages and social influence strategies.” Journal of Experimental Social Psychology, 43: 513-528.
Gerhart, M. and A. M. Russell (2004). "Experience and theory." Zygon: Journal of Religion & Science 39(1): 5-11
Georgantzas, N., Madu, C. (1994) “Service designs for quality: integrated- process necessity.” The Mid- Atlantic Journal of Business 30: 55-80.
Ghani, J. A. and S. P. Deshpande (1994). "Task characteristics and the experience of optimal flow in human-computer interaction." Journal of Psychology 128(4): 381.
Goldstein, S. M., R. Johnston, et al. (2002). "The service concept: the missing link in service design research?" Journal of Operations Management 20(2): 121-134.
Heskett, J.L. (1987) “Lessons in the service sector” Harvard Business Review 65, 118-126.
Hill, A. Collier, et al. (2002). “Research opportunities in service process design”. Journal of Operations Management. 20: 189-202
Holbrook, M. B. and E. C. Hirschman (1982). "The experiential aspects of consumption: consumer fantasies, feelings, and fun." Journal of Consumer Research 9(2): 132-140.
Holbrook, M. B (1994). “The nature of customer value: an axiology of service in the consumption experience.” p.21-71. In: Service Quality: New Direction in Theory and Practice. Rust, R. T. and R. L Oliver (eds.) Thousand Oaks, CA: Sage Publications.
Huang, P.-f (2004). “A Study on experience design”. National Yun Lin University of Science and Technology.
Johnston, R. (1998) “Service operations management: return to roots”. International Jorunal of Operations and Production Management. 19(2): 104-124
Johnston, R. (2005). "Service design." Blackwell Encyclopedic Dictionary of Operations Management: 1-287.
Johnston, R, Clark, G. (2001) “Service operations management.” Pretice- Hall, Harlow
Jordan, Patrick W (2000) “Designing pleasurable products, an introduction to the new human factors” London: Taylor and Francis.
Kandampully, J. (1997). "Quality management in retailing through `service-product design'." Total Quality Management 8(1): 41-53.
Keijzer, F. A. (2000). "Modeling human experience?!" Philosophical Psychology 13(2): 239-245.
Kekre, S., M. S. Krishnan, et al. (1995). "Drivers of customer satisfaction for software products: implications for design and service support." Management Science 41(9): 1456-1470.
Kutash, M. and L. Northrop (2007). "Family members' experiences of the intensive care unit waiting room." Journal Of Advanced Nursing 60(4): 384-388.
Kutash, M. and L. Northrop (2007). "Family members??experiences of the intensive care unit waiting room." Journal Of Advanced Nursing 60(4): 384-388.
Langeard, E., Bateson, J.E.G. Lovelock, C.L., Eiglier, P. (1981) “Service marketing: new insights from consumers and managers” Marketing Science Institute, Cambridge, MA.
Lash, S. (2006). "Experience." Theory, Culture & Society 23(2/3): 335-341.
Mannell, R. C. (1996) “Approaches in the social and behavioral sciences to the systematic study of hard-to-define human values and experiences.” In: B. L. Driver, D. Dustin., T. Baltic., G. Elsner., & P. Inghilleri., L’Esperienza Quotidiana. Milan: Franco Angeli.
Maslow, A.H. (1968). Toward a Psychology of Being. 2nd Edition, Princeton, NJ: D. Van Nostrand.
Mathwicka, C., N. Malhotra, et al. (2001). "Experiential value: conceptualization, measurement and application in the catalog and Internet shopping environment." Journal of Retailing 77(1): 39.
Mukherjee, S. and A. Venkatesh (2006) “Experience-based design: some concepts and issues.” Advances in Consumer Research - European Conference Proceedings, Association for Consumer Research.
Norman, Donald A. (2004) “Emotional design: why we love (or hate) everyday things”, Basic Books.
Norris, R. T. (1941) “The theory of consumer’s demand.” Yale University Press. New Haven, CT.
Olsen, L. and Johnson, M. (2003) “Service equity, satisfaction, and loyalty: from transaction-specific to cumulative evaluation”. Journal of Service Research. 5(3): 184-195
Pine, I. I. B. J. and J. H. Gilmore (1998). "Welcome to the experience economy." Harvard Business Review 76(4): 97-105.
Poulsson, S. H. G. and S. H. Kale (2004). "The experience economy and commercial experiences." Marketing Review 4(3): 267-277.
Privette, G (1983) “Peak experience, peak performance, and flow: A comparative analysis of positive human experiences.” Journal of Personality and Social Psychology. 45(6): 1361-1368
Quarrick, G. (1989) Our Sweetest Hours:Recreation and the Mental State of Absorption. Jefferson, NC: Mcfarland.
Rhea, Darrel K. (1992). “A new perspective on design: focusing on consumer experience. Design Management Journal, Fall edition: 40-48
Rosenspan, A. (2000). "The direct marketing experience.'" Direct Marketing 62(10): 39.
Saravanan, R. and K. S. P. Rao (2007). "Service quality from the customer's perspective: an empirical investigation." Quality Management Journal 14(3): 15-24.
Saravanan, R. and K. S. P. Rao (2007). "Measurement of service quality from the customer's perspective - an empirical study." Total Quality Management & Business Excellence 18(4): 435-449.
Schmitt, B. H. (1999) “Experiential marketing” Journal of Marketing Management, 15: 53-67.
Shah, M. N. (2006). "The formation of the emergency medical services system." American Journal of Public Health 96(3): 414-423.
Shostack, G. L. (1982). "How to design a service." European Journal of Marketing 16(1): 49.
Shostack, L. (1987) “Service positioning through structural change.” Journal of Marketing 51: 31-43
Shulver, M. (2005). "Operational loss and new service design." International Journal of Service Industry Management 16(5): 455-479.
Smith, C.A., & Ellsworth, P.C. (1985). “Patterns of cognitive appraisal in emotion.” Journal of Personality and Social Psychology. 48: 813-838.
Spake, D. F., S. E. Beatty, et al. (2003). "Consumer comfort in service relationships." Journal of Service Research 5(4): 316.
Straughan, R. and Cooper, M. (2002), “Managing internal markets: a conceptual framework adapted from servqual” The Marketing Review 2:253-265.
Tax, S. S. and I. Stuart (1997). "Designing and implementing new services: the challenges of integrating service systems." Journal of Retailing 73(1): 105-134.
Tellegen, A., & Atkinson, G. (1974) “Openness to absorbing and self-altering experience (‘absorption’), a trait related to hypnotic susceptibility.” Journal of Abnormal Psychology, 83: 268-277.
Verhoef, P. (2004). “Service encounters as a sequence of events”. Journal of Service Research, 7(1): 53-64.
Walker, G.J., Bruce Hull IV, R., & Roggenbuck, J.W. (1998), “On-site optimal experiences and their relationship to off-site benefits”, Journal of Leisure Research, 30(4): 453-471.
Williams, R. (2005). "Implications for service design." Child & Adolescent Mental Health 10(1): 12-15.
Zins, C. (2001). "Defining human services." Journal of Sociology & Social Welfare 28(1): 3.
孔有芸、傅玲、尹祚芊 (2003). “國內外護理組織架構與照護服務再造略之比較”,護理雜誌,50(20): 24-29
李玉輝 (2006), "體驗經濟的審美批判”, 三峽大學學報, 29(1): 46-49
何雍慶(2004), “消費者體驗與訊息處理路徑對品裨延伸購買態度之影響",行銷評論1 (1): 1-2
何雍慶、蘇子炘 (2005). “體驗策略模組與消費態度之關聯性—以南台灣區域醫院為例”,第一屆管理與決策2005年學術研討會特刊,43-57