結合醫院就醫資訊之糖尿病衛生教育網際網路系統之返診成效評估

Evaluation on Return Rates of Follow-ups for An Integrated Diabetes Patient-Centered Education System

本文探討及評估糖尿病衛生教育網際網路服務系統對病人返診率成效。本系統結合糖尿病病人在醫療院所的就醫紀錄、用藥處方、檢查等照護資訊以及相關的衛生教育，在網際網路上提供可以很容易的讓病人或其家屬持續的獲得與自己病情相關的衛生教育資訊。當病人登入本系統後，便可以看到自己下次預約返診時間，除此之外，本系統也利用手機簡訊及電子郵件等服務，提醒病人返診檢查。因此，本系統一方面協助衛教師提供病人衛生教育，協助病人做好自我疾病管理。另一方面提醒病人按時返診。本系統採用實驗組和對照組以系統性隨機取樣方式，比較兩組病人的返診率和爽約率。其評估結果顯示本系統確實可以促進病人上網查閱自己的病歷資料及衛教內容，提供持續的衛生教育，增進衛生教育的效果。所以，返診率也因此而提高，與爽約率也就降低。

This paper describes an active and web based patient-centered education system for diabetes, and presents the evaluation of the system impacts on the return rates of fellow-ups. The system combines a patient's clinic care information with his/her patient education materials forming a personal information folder that facilitates access from Internet. It can show the appointment date for the patient's next visit on his own Web pages, and provide the reminders to return to his/her hospital for follow-ups using cellphone short message services or emails, The evaluation results showed that the system could effectively increase the return rates of follow-ups, and greatly decrease the missed appointment rates.