健康資訊功能整合的國際趨勢

Progress toward functional integration in health informatics: an international perspective

在老年社會慢性疾病整合照顧的概念中，與資訊通訊技術相關的「功能整合」至為重要，跨國分析比較顯示整體功能性整合成功的案例並不多見，但透過資訊通訊科技系統整合成功的個別案例正逐漸累積。本文之目的在蒐集分析各國為了促進健康照顧與長期照顧疾病管理所開發之資訊通訊科技產品，以及這些產品與服務的運作情形。全文依據資訊通訊技術的種類大致區分為「遠距醫療與穿戴裝置」、「應用程式與數位治療」、「智慧手機與人工智慧」三大類別，透過期刊、其他定期與非定期出版之文獻、各國政府出版品、和各新科技開發之官方網頁，搜集資料後，將各國比較明顯的成功案例、廠商、技術產品、功能列表簡介，希望讀者可以藉由本文連結資訊通訊技術的最新進展。本文的最後以資訊及通訊科技介入健康服務在視訊、簡訊、健康監測三方面的貢獻，並以其中發展最迅速的居家照護進展，以及它對於台灣長照2.0政策的階段性含義作為結論與建議。 Studies on functional integration in information and communication technology (ICT) for integrated care of older adults with chronic diseases are needed but rarely conducted. Therefore, this study gathered and analyzed information on the operational situation and expiration of ICT developed in various countries for disease management in health care and long-term care. This paper has three sections, each focusing on one ICT--telemedicine and wearable devices, applications and digital therapy, and smartphones and artificial intelligence. By reviewing journal articles, periodicals, government and international organization reports, and ICT product websites, this paper compares (using tables) success cases, ICT firms, and products and their functional introduction to update readers on the latest progress in ICT applications. This paper concludes by summarizing the contribution of ICT in the use of video, publication of newsletters, and health monitoring, focusing especially on the development of ICT in domiciliary care and its policy implications for long-term care in Taiwan.