以遠距照護服務系統發展社區個案健康管理模式

Design and Development of a New Community Healthcare Management Model by Using Telehealth Service System

由於人口結構逐漸走向老年化，老年人的健康照護也開始受到重視，為了能有效地預防及監測老人的生活品質和健康，本研究發展了一套照護資訊系統管理社區個案之健康，此系統的架構包含(1)健康資訊傳輸子系統，此子系統可以透過藍芽無線傳輸擷取二合一血糖血壓計所量測的資料，(2)個人健康管理子系統，透過此網路服務平台，可協助個案或護理人員管理分析健康狀況，(3)遠距視訊服務子系統，透過此系統的線上即時視訊，可幫助個案與護理人員直接進行溝通、諮詢或衛教等。除了可以節省醫療資源，也讓老人可以在熟悉的社區環境中受到照護，對於促進人民健康會有很大的貢獻。

Because of the floridisation, the elderly health-care has become a serious issue. To address this issue, we have developed a healthcare information management system to manage the health care for a community civilians. The structure of this system includes health information transmission subsystem (HITS), personal health management subsystem (PHMS), and remote video service subsystem (RVSS). HIST can retrieve the information of the blood pressure and glucose level of a patient stored in measurement instruments through Bluetooth wireless transmission; PHMS is a web services platform that can assist a medical-care personnel to analyze the health condition of the patient who transmits the data through the HIST. RVSS provides face-to-face communications and instructions to a patient for selfcare. The system can greatly save medical resources and also take care of the elderly people in a community setting. This electronics medical-care system is expected to significantly promote the health of our people.