結合醫院臨床照護與衛生教育網際網路服務系統－－以糖尿病為例

A Framework for Integrating Information of Clinical Care into Patient Education for Diabetes

本文提出整合型的糖尿病衛生教育網際網路服務系統架構，將結合糖尿病病人在醫療院所就醫紀錄、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(Internet)上提供可以很容易地讓病人或其家屬持續地獲得與自己病情相關的衛生教育資訊。在這網際網路糖尿病衛生教育服務系統架構下，本文也設計監測病人重要的就醫資訊和提醒病人機制，利用行動電話簡訊和電子郵件，協助提醒病人做好自我疾病管理。本系統不但可以持續的提供糖尿病衛生教育，增進病人對糖尿病的認知和自我照護的知識和技巧，而且可以協助病人做好疾病管理和提升病人的返診率。

This paper presents a framework for integrating the information of clinic care into patient education materials and supporting the access from Internet. The authors have designed and implemented a web based patient education information system for diabetes. The system can automatically download a patient's medical services records, prescriptions laboratory tests results and his/her patient education materials, and organize them into a series of case folders based on his/her medical service history in a hospital. The system can also provide patients reminders to call for return to their hospitals for further treatment under certain conditions such as one week before their appointments, the period of their HbAlC test if it is more than three months and emergency call for anomaly of a laboratory test result. It is expected that the system can assist patients to acquire the diabetes knowledge and skills for self care, and to increase the return rate for follow-ups.