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《HOPE English 希平方》服務條款關於個人資料收集與使用之規定

隱私權政策
上次更新日期:2014-12-30

希平方 為一英文學習平台,我們每天固定上傳優質且豐富的影片內容,讓您不但能以有趣的方式學習英文,還能增加內涵,豐富知識。我們非常注重您的隱私,以下說明為當您使用我們平台時,我們如何收集、使用、揭露、轉移及儲存你的資料。請您花一些時間熟讀我們的隱私權做法,我們歡迎您的任何疑問或意見,提供我們將產品、服務、內容、廣告做得更好。

本政策涵蓋的內容包括:希平方 如何處理蒐集或收到的個人資料。
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我們會不定時修正與變更《隱私權政策》,不會在未經您明確同意的情況下,縮減本《隱私權政策》賦予您的權利。隱私權政策變更時一律會在本頁發佈;如果屬於重大變更,我們會提供更明顯的通知 (包括某些服務會以電子郵件通知隱私權政策的變更)。我們還會將本《隱私權政策》的舊版加以封存,方便您回顧。

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上次更新日期:2013-09-09

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兒童及青少年之保護 兒童及青少年上網已經成為無可避免之趨勢,使用網際網路獲取知識更可以培養子女的成熟度與競爭能力。然而網路上的確存有不適宜兒童及青少年接受的訊息,例如色情與暴力的訊息,兒童及青少年有可能因此受到心靈與肉體上的傷害。因此,為確保兒童及青少年使用網路的安全,並避免隱私權受到侵犯,家長(或監護人)應先檢閱各該網站是否有保護個人資料的「隱私權政策」,再決定是否同意提出相關的個人資料;並應持續叮嚀兒童及青少年不可洩漏自己或家人的任何資料(包括姓名、地址、電話、電子郵件信箱、照片、信用卡號等)給任何人。

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您承諾絕不為任何非法目的或以任何非法方式使用本服務,並承諾遵守中華民國相關法規及一切使用網際網路之國際慣例。您若係中華民國以外之使用者,並同意遵守所屬國家或地域之法令。您同意並保證不得利用本服務從事侵害他人權益或違法之行為,包括但不限於:
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上次更新日期:2013-09-16

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「Niels Van Namen:為什麼未來的醫院會是你的安身之所?」- Why the Hospital of the Future Will Be Your Own Home


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Probably not a surprise to you, but I don't like to be in a hospital or go to a hospital. Do you? I'm sure many of you feel the same way, right? But why? Why is it that we hate hospitals so much? Or is it just a fact of life we have to live with? Is it the crappy food? Is it the expensive parking? Is it the intense smell? Or is it the fear of the unknown?

Well, it's all of that, and it's more. Patients often have to travel long distances to get to their nearest hospital, and access to hospital care is becoming more and more an issue in rural areas, in the US, but also in sparsely populated countries like Sweden. And even when hospitals are more abundant, typically the poor and the elderly have trouble getting care because they lack transportation that is convenient and affordable to them.

And many people are avoiding hospital care altogether, and they miss getting proper treatment due to cost. We see that 64 percent of Americans are avoiding care due to cost. And even when you do get treatment, hospitals often make us sicker. Medical errors are reported to be the third cause of death in the US, just behind cancer and heart disease, the third cause of death.

I'm in health care for over 20 years now, and I witness every day how broken and how obsolete our hospital system is. Let me give you two examples. Four in 10 Japanese medical doctors and five in 10 American medical doctors are burnt out. In my home country, the Netherlands, only 17 million people live there. We are short 125,000 nurses over the coming years.

But how did we even end up here, in this idea of placing all kinds of sick people together in one big building? Well, we have to go back to the Ancient Greeks. In 400 BC, temples for cure were erected where people could go to get their diagnosis, their treatment and their healing. And then really for about 2,000 years, we've seen religious care centers all the way up to the Industrial Revolution, where we've seen hospitals being set up as assembly lines based on the principles of the Industrial Revolution, to produce efficiently and get the products, the patients in this case, out of the hospital as soon as possible.

Over the last century, we've seen lots of interesting innovations. We figured out how to make insulin. We invented pacemakers and X-ray, and we even came into this wonderful new era of cell and gene therapies. But the biggest change to fix our hospital system altogether is still ahead of us. And I believe it's time now, we have the opportunity, to revolutionize the system altogether and forget about our current hospital system. I believe it's time to create a new system that revolves around health care at home.

Recent research has shown that 46 percent of hospital care can move to the patient's home. That's a lot. And that's mainly for those patients who suffer from chronic diseases. With that, hospitals can and should reduce to smaller, agile and mobile care centers focused on acute care. So things like neonatology, intensive care, surgery and imaging will still remain at the hospitals, at least I believe for the foreseeable future.

A few weeks ago, I met a colleague whose mom was diagnosed with incurable cancer, and she said, "Niels, it's hard. It's so hard when we know that she's got only months to live. Instead of playing with the grandchildren, she now has to travel three times a week two hours up and down to Amsterdam just to get her treatment and tests." And that really breaks my heart, because we all know that a professional nurse could draw her blood at home as well, right? And if she could get her tests and treatment at home as well, she could do the things that are really important to her in her last months. My own mom, 82 years old now—God bless her—she's avoiding to go to the hospital because she finds it difficult to plan and manage the journey. So my sisters and I, we help her out. But there's many elderly people who are avoiding care and are waiting that long that it becomes life-threatening, and it's straight to the costly, intensive care. Dr. Covinsky, a clinical researcher at the University of California, he concludes that a third of patients over 70 and more than half of patients over 85, leave the hospital more disabled than when they came in. And a very practical problem that many patients face when they have to go to a hospital is: Where do I go with my main companion in life, where do I go with my dog? That's our dog, by the way. Isn't she cute?

But it's not only about convenience. It's also about unnecessary health care stays and costs. A friend of mine, Art, he recently needed to be hospitalized for just a minor surgery, and he had to stay in the hospital for over two weeks, just because he needed a specific kind of IV antibiotics. So he occupied a bed for two weeks that cost over a thousand euros a day. It's just ridiculous.

And these costs are really at the heart of the issue. So we've seen over many of our global economies, health care expense grow as a percentage of GDP over the last years. So here we see that over the last 50 years, health care expense has grown from about five percent in Germany to about 11 percent now. In the US, we've seen growth from six percent to over 17 percent now. And a large portion of these costs are driven by investments in large, shiny hospital buildings. And these buildings are not flexible, and they maintain a system where hospital beds need to be filled for a hospital to run efficiently. There's no incentive for a hospital to run with less beds. Just the thought of that makes you sick, right? And here's the thing: the cost for treating my buddy Art at home can be up to 10 times cheaper than hospital care.

And that is where we're headed. The hospital bed of the future will be in our own homes. And it's already starting. Global home care is growing 10 percent year over year. And from my own experience, I see that logistics and technology are making these home health care solutions work. Technology is already allowing us to do things that were once exclusive to hospitals. Diagnosis tests like blood, glucose tests, urine tests, can now be taken in the comfort of our homes. And more and more connected devices we see like pacemakers and insulin pumps that will proactively signal if help is needed soon. And all that technology is coming together in much more insights into the patients' health, and that insight and all of the information leads to better control and to less medical errors—remember, the third cause of death in the US.

And I see it every day at work. I work in logistics and for me, home health care works. So we see a delivery driver deliver the medicine to the patient's home. A nurse joins him and actually administers the drug at the patient's home. It's that simple. Remember my buddy, Art? He can now get the IV antibiotics in the comfort of his home: no hospital pajamas, no crappy food and no risk of these antibiotic-resistant superbugs that only bite you in these hospitals. And it goes further. So now the elderly people can get the treatment that they need in the comfort of their own home while with their best companion in life. And there's no need anymore to drive hours and hours just to get your treatment and tests.

In the Netherlands and in Denmark, we've seen very good successes in cancer clinics organizing chemotherapies at the patient's homes, sometimes even together with fellow patients. The best improvements for these patients have been improvements in reduction in stress, anxiety disorders and depression. Home health care also helped them to get back a sense of normality and freedom in their lives, and they've actually helped them to forget about their disease.

But home health care, Niels—what if I don't even have a home, when I'm homeless, or when I do have a home but there's no one to take care of me or even open up the door? Well, in comes our sharing economy, or, as I like to call it, the Airbnb for home care. In the Netherlands, we see churches and care organizations match people in need of care and company with people who actually have a home for them and can provide care and company to them.

Home health care is cheaper, it's easier to facilitate, and it's quick to set up—in these rural areas we talked about, but also in humanitarian crisis situations where it's often safer, quicker and cheaper to set things up at home. Home health care is very applicable in prosperous areas but also very much in underserved communities. Home health care works in developed countries as well as in developing countries.

So I'm passionate to help facilitate improvements in patients' lives due to home health care. I'm passionate to help facilitate that the elderly people get the treatment that they need in the comfort of their own homes, together with their best companion in life. I'm passionate to make the change and help ensure that patients, and not their disease, are in control of their lives. To me, that is health care delivered at home.

Thank you.

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