本研究探討國內外遠距居家/社區式健康照護服務之系統架構與作業流程，並比較國內外居家/社區式遠距健康照護服務。收集相關文獻彙整分析，並以臺灣S醫院為例。結果顯示：台灣、日本或德國的遠距居家/社區式健康照護系統架構都很類似。此外，台灣與德國的給付方式皆為現金與實物的混和式給付，但日本僅有實物給付；日本和德國都有短期收容療養照護，反觀台灣卻沒有。本研究以臺灣S醫院之遠距健康照護服務流程為例，使用者量測的生理訊號可隨時上網查看，如異常則系統主動通知call center 的健康管理師或社區志工，聯絡使用者或家屬。總之，S醫院提供顧客為中心的簡易操作服務平台，顧客導向的醫療服務，將醫療服務與資訊科技結合，創造新的營運契機。

This study investigates domestic and international long-distance home / community-based health care system architecture and operational process as well as the comparison of health care services. The relevant literature is collected and pooled to analyze. A Taiwan’s S hospital case study is conducted. The results show that the home / community-based health care system architectures are very similar among Taiwan, Japan and Germany. In addition, the mixed payment methods of cash and material are executed in Taiwan and Germany, but in Japan the only way to payment is material. Japan and Germany have short-term convalescent care but Taiwan does not have. Based on Taiwan’s S hospital case, all the measured physiological signals can be looked over by users through Internet any time. Call center health care managers or community volunteers will be actively informed to connect with users or their family members by the system if any abnormal physiological signals are measured. In sum, S hospital provides customer-centered simply operated service platform and consumer-oriented medical services. Through the integration of medical services and information technology (IT), new business opportunities are created.