隨著近年來全球人口高齡化的趨勢，未來對健康照護的需求會逐漸增加，這使得各國政府與相關機構開始重視健康照護的發展。然而，為了能有效地降低醫療照護成本以及提升照顧品質，健康照護產業未來的發展重點將著重於「全人照護模式」與「在地老化」之兩大目標，而本研究個案台灣「斗六長泰老學堂日間照顧中心」即為成功發展在地社區照顧服務系統的實際案例之一。因此本研究之主要研究目的為探討台灣健康照護產業生態服務系統之形成過程，透過深入分析以期能進一步了解台灣發展當地健康照護產業的特性。
本研究將透過質性研究的單一個案研究法，並以「斗六長泰老學堂照顧服務生態系統的發展過程」為研究標的，結合價值主張、價值共創與服務生態系統之相關理論，分析各個階段系統內資源密度、服務生態系統結構與優化程度的演變過程。
根據對「斗六長泰老學堂日間照顧中心」的分析結果發現，若要成功發展在地社區照顧服務系統，首先要先釐清「照顧」的本質，建立明確的「價值主張」；接著再以價值共創的觀點思考，應採取哪些價值共創實務進行資源、服務整合，讓所有行動者皆能從中獲益；最後才是逐漸擴大系統的影響範圍，吸引更多的行動者加入、進行更多元化、更密集的價值共創活動，進而提升服務生態系統的總價值與優化程度。隨著近年來全球人口高齡化的趨勢，未來對健康照護的需求會逐漸增加，這使得各國政府與相關機構開始重視健康照護的發展。然而，為了能有效地降低醫療照護成本以及提升照顧品質，健康照護產業未來的發展重點將著重於「全人照護模式」與「在地老化」之兩大目標，而本研究個案台灣「斗六長泰老學堂日間照顧中心」即為成功發展在地社區照顧服務系統的實際案例之一。因此本研究之主要研究目的為探討台灣健康照護產業生態服務系統之形成過程，透過深入分析以期能進一步了解台灣發展當地健康照護產業的特性。
本研究將透過質性研究的單一個案研究法，並以「斗六長泰老學堂照顧服務生態系統的發展過程」為研究標的，結合價值主張、價值共創與服務生態系統之相關理論，分析各個階段系統內資源密度、服務生態系統結構與優化程度的演變過程。
根據對「斗六長泰老學堂日間照顧中心」的分析結果發現，若要成功發展在地社區照顧服務系統，首先要先釐清「照顧」的本質，建立明確的「價值主張」；接著再以價值共創的觀點思考，應採取哪些價值共創實務進行資源、服務整合，讓所有行動者皆能從中獲益；最後才是逐漸擴大系統的影響範圍，吸引更多的行動者加入、進行更多元化、更密集的價值共創活動，進而提升服務生態系統的總價值與優化程度。

Value co-creation is described as a resource integration process involving actors that are linked within a service ecosystem. This process occurs when value propositions attract actors to share their resources during collaborative activities and interactions, termed co-creation practices. The purpose of this research is to understand value co-creation in the health care service ecosystem from a multilevel perspective, revealing how value co-creation practices change resource density and outcomes at the micro, meso, and macro levels.

Study results enable a detailed understanding of the nature and dynamics of value co-creation in the health care service ecosystem from a multilevel perspective. First, value co-creation practices are identified at each level(micro, meso, and macro). These practices enable actors to integrate resources in multiple dynamic interactions to co-create value outcomes, which involve both benefits realization and the well-being of the ecosystem. Study results show that these value co-creation practices and outcomes differ across levels, but they are also embedded and interdependent.

This study provides a multilevel understanding of value co-creation in the health care service ecosystem. It also clarifies how key players(actors) in the ecosystem should manage their value propositions to promote resource integration for each actor, fostering resource density and the well-being of the ecosystem.

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