隨著高齡化為全球性之議題，對長期照護的重視及需求亦同步增加。長期照護之「以病人為中心」的照護方式與「價值共創」之概念相符，兩者均經由利害關係人互動，尋求解決方案。本研究為探討長期照護機構如何透過內部及外部利害關係人之互動及機制，達到價值共創之目的。雲林縣同仁仁愛之家即為成功演繹長期照護機構之價值共創案例之一。
本研究以同仁愛之家為研究對象，採質性研究之「單一研究個案」研究法進行深度訪談，並結合長期照護機構及價值共創之相關理論，分析長照機構之內部與外部利害關係角色之價值共創過程。
依據對同仁仁愛之家之價值共創活動分析結果發現，如欲進行機構內之價值共創，首先須認定長期照護之本質，以確立利害關係人需求；接著以價值共創之觀點，針對利害關係人之需求，進行價值共創活動及整合，以滿足內外部價值主張，例如專業精進、個人化照護計畫等，讓所有價值共創利害關係角色，均能從中獲益，同時不斷吸引有志者共同參與，擴大長期照護之價值。

Much affected by the ever-lengthened longevity of Taiwan citizens and the phenomenon of much lowered childbirth rate, the discrepancy between the demand and the actual capacity of senior chronicle patients who need long-term healthcare keeps expanding. Policies made regarding long-term healthcare service aim to enhance the healthcare for the people who are entitled to less social resource and they try to establish an ubiquitous, highly accessible long-term healthcare network of fine quality for those people who are in need of help.

This research adopts the value co-creation theory in its exploration of how long-term healthcare institutions can offer solutions in order to meet the demands of all parties of interest through integrating and creating resources to co-create values.

參考文獻
Eisenhardt, K. M. (1989). Building theories from case study research. Academy of management review, 14(4), 532-550.
Evans, J. R., & Collier, D. (2007). Operations Management: Integrated Goods and Services Approach WITH Student CD-Rom AND Microsoft Project: South-Western Publishing/Thomson Learning.
Fyrberg, A., & Jüriado, R. (2009). What about interaction? Networks and brands as integrators within service-dominant logic. Journal of Service Management, 20(4), 420-432.
Grönroos, C. (2011). Value co-creation in service logic: A critical analysis. Marketing theory, 11(3), 279-301.
Kane, R. A., & Kane, R. L. (1987). Long-term care: Principles, programs, and policies.
Lee, T. W. (1999). Using qualitative methods in organizational research: Sage.
McColl-Kennedy, J. R., Vargo, S. L., Dagger, T. S., Sweeney, J. C., & Kasteren, Y. v. (2012). Health care customer value cocreation practice styles. Journal of Service Research, 15(4), 370-389.
Michie, S., Miles, J., & Weinman, J. (2003). Patient-centredness in chronic illness: what is it and does it matter? Patient education and counseling, 51(3), 197-206.
Myers, M. D. (2013). Qualitative research in business and management: Sage.
OHern, M. S., & Rindfleisch, A. (2010). Customer co-creation Review of marketing research (pp. 84-106): Emerald Group Publishing Limited.
Porter, M. E., & Lee, T. H. (2013). The strategy that will fix health care. Harv Bus Rev, 91(12), 24.
Prahalad, C. K., & Ramaswamy, V. (2004). Co-creation experiences: The next practice in value creation. Journal of Interactive Marketing, 18(3), 5-14. doi:10.1002/dir.20015
Ramaswamy, V. (2011). Its about human experiences ... and beyond, to co-creation. Industrial Marketing Management, 40(2), 195-196. doi:10.1016/j.indmarman.2010.06.030
Rowe, J. W., & Kahn, R. L. (1997). Successful aging. The gerontologist, 37(4), 433-440.
Saarijärvi, H., Kannan, P., & Kuusela, H. (2013). Value co-creation: theoretical approaches and practical implications. European Business Review, 25(1), 6-19.
Stabell, C. B., & Fjeldstad, Ø. D. (1998). Configuring value for competitive advantage: on chains, shops, and networks. Strategic management journal, 413-437.
Stone, R. I. (2000). Long-Term Care for the Elderly With Disabiltiies: Current Policy, Emberging Trends, and Implications for the Twenty-First Century.
Sweeney, J. C., Danaher, T. S., & McColl-Kennedy, J. R. (2015). Customer Effort in Value Cocreation Activities: Improving Quality of Life and Behavioral Intentions of Health Care Customers. Journal of Service Research, 18(3), 318-335. doi:10.1177/1094670515572128
Teboul, J. (2005). Service is front stage: We are all in services… more or less. Unpublished manuscript, Collège des Ingénieurs, Paris, France.
Vargo, S. L., & Lusch, R. F. (2004). Evolving to a new dominant logic for marketing. Journal of marketing, 68(1), 1-17.
Vargo, S. L., & Lusch, R. F. (2008). Service-dominant logic: continuing the evolution. Journal of the Academy of Marketing Science, 36(1), 1-10.
Vargo, S. L., Maglio, P. P., & Akaka, M. A. (2008). On value and value co-creation: A service systems and service logic perspective. European management journal, 26(3), 145-152.
王嵩竑, & 林晉鋒. (2012). 醫院門診病人「以病人為中心」感受對關係品質及病人忠誠度之影響. 醫療品質雜誌, 6(3), 48-58.
江大樹, 王子華, 潘中道, & 梁鎧麟. (2013). 老有所用的理念與實踐：菩提長青村個案研究. [The Idea and Practice of 'Using Elderly Capability': A Case Study of Bodhi Chang-Ching Village]. 國家與社會(14), 55-118.
李世代. (2012). 長期照護之界定與操作推動. [Defining and Operating/Action of Long-Term Care]. 領導護理, 13(1), 2-13.
李世代. (2014). 「長期照護」的發展與推動. 中華民國內膜異位症婦女協會會刊, 21(3&4), 13-21. doi:10.6498/ea.2014.21(3/4).4
周建亨. (2009). 顧客之服務參與對其與企業關係強度影響之研究. [The Relationship between Customer Participation and Customer Relationship Strength]. 臺大管理論叢, 19(2), 233-261. doi:10.6226/nturm2009.19.2.233
林金立, & 余彥儒. (2017). 自立支援照顧的臺灣實踐. [Self-supporting Care for Taiwan's Practice]. 長期照護雜誌, 21(1), 15-18. doi:10.6317/ltc.21.15
林金定, 嚴嘉楓, & 陳美花. (2005). 質性研究方法：訪談模式與實施步驟分析. [Qualitative Research Method: Models and Steps of Interviewing]. 身心障礙研究季刊, 3(2), 122-136.
林淑瓊, 張銀益, & 林宣均. (2016). 從醫病關係管理觀點探討醫療服務與病人的互動關係. [A Study on the Interactive Relationship between Services of Medical Treatment and Patients based on Perspective of Patient-Physician Relationship Management]. 慈濟科技大學學報(3), 67-99.
林淑馨. (2010). 質性研究: 理論與實務: 巨流圖書股份有限公司.
邱文達. (2011). 衛生福利的融合綜效－長期照護的前瞻. 研考雙月刊, 35(2), 123-130.
胡幼慧, & 姚美華. (1996). 一些質性方法上的思考: 信度與效度? 如何抽樣? 如何收集資料, 登錄與分析? 載於胡幼慧 (主編), 質性研究: 理論, 方法及本土女性研究實例. 台北: 巨流.
高強華. (1991). 個案研究法. 教育研究法 (頁 291-308). 台北: 師大書苑.
張至寧, 蔡. 林. (2008). 研究倫理的歷史、原則與準則. 台灣醫學 ；, 12卷(1期), P107 - 122. doi:10.6320/FJM.2008.12(1).12
曹書銘, & 林我聰. (2005). 以個案研究法分析企業 e 化階段歷程之研究: 以資訊電子業為個案研究對象. 產業論壇, 7(2), 151-183.
陳向明. (2002). 社會科學質的研究, 台北市: 五南.
陳政智. (2007). 失能長者照顧機構的型態與選擇.
彭玉樹, 梁奕忠, 于卓民, & 梁晉嘉. (2010). 台灣管理學門質性研究之回顧與展望. [Review and Prospection of Qualitative Research in the Area of Management in Taiwan]. 中山管理評論, 18(1), 11-39.
黃淑奕, & 丘昌泰. (2016). 私立小型長照機構轉型為社會企業之可行性探討. [A Feasibility Study of Small-scale Private Long-term Care Organizations Transforming to Social Enterprise]. 國家與社會(18), 201-232.
鄧素文. (2010). <淺談我國長期照護機構之評鑑制度.pdf>. 長期照護雜誌, 14(2).
鄭怡世. (2002). 個案研究法之介紹兼論其在社會工作實務研究中的運用.
網站資料：
內政統計年報(104年)。取自http://sowf.moi.gov.tw/stat/year/list.htm