臺灣電子運動傷病監控系統之建構：系統性文獻回顧

Development of an electronic medical record system for sport injuries and illnesses in Taiwan: A systematic literature review

近年來運動傷病監控系統在國際的技術不斷成熟，並廣泛應用於不同的運動層級與隊伍。然而，臺灣尚未發展能長時間監控且使用者友善的運動傷病監控系統。為建立本土化系統並建構運動傷病流行病學資料庫，本系統性文獻回顧收錄30篇研究，一、從系統開發、使用、資料分析三個面向切入，並依國際奧林匹克委員會2020年發表的共識聲明，綜整系統建構建議的七大要素；二、並借鑑我國全民健康保險資料庫之發展歷程，提出短、中、長程推行策略。系統性文獻回顧顯示，過去的系統運作模式及資料蒐集較侷限於特定運動項目且格式僵化，因操作不便而難以顯現運動傷病的全貌，仍存在調整空間。建議未來本土化系統建置時，需遵循國際標準，並應分析國內傷病文化，發展合適且具獨特需求之系統。同時，需推動相關法規制定，確保系統安全與使用價值，達成提升運動員照護品質及降低傷害風險之目標。

Introduction: Technology for Electronic Medical Records (EMRs) has matured and is widely used across different sports levels and teams in recent years. However, Taiwan still lacks a longterm, user-friendly EMRs. Methods: In order to establish a suitable EMRs for Taiwan and develop a local epidemiological database of sports injuries and illnesses, this systematic review includes 30 studies focusing on (1) the perspective of development, useagility and data analysis, bases on“The International Olympic Committee (IOC) Consensus Statement: Methods for recording and reporting of epidemiological data on injury and illness in sport 2020”released by the IOC; (2) references Taiwan's“National Health Insurance Research Database”to propose short-, medium-, and long-term implementation strategies. Results: The systematic review showed that previous systems were limited to specific sports and rigid data collection formats, making them inconvenient to provide comprehensive and in-depth tracking and analysis of data, which unable to fully represent the scope of sports injuries. Conclusion: Future development of a localized system recommend should include not only adhering to international standards but also analyzing the local culture of injuries and illnesses to develop a system that addresses unique needs of Taiwan. Additionally, it is suggested that should focus on establishing relevant regulations to ensure the system's safety and utility. This would ultimately enhance the quality of athlete care and reduce injury risks.