優化居家照護系統以提升照護品質與效率之經驗分享

Experience Sharing: Optimizing the Home Care Information System to Enhance Care Quality and Efficiency

居家醫療服務導入資訊科技，旨在實現醫院端與居家醫療端的協同照護，達成連續性全人照護目標，執行期間為2015-2023年。現存問題包括：一、就醫資訊傳遞的不完整，衍生居家看診受限；二、居家護理照護資訊系統的優化需求；三、繁瑣的行政流程，影響居家醫療的工作效率。改善成效：一、實現居家遠端存取個案就醫資料，提升醫療資訊的完整性和即時性；二、提升居家護理師工作效率及減輕身體負重4公斤；三、減少50%計價錯誤率。本研究所提解決方案可確保居家醫療服務得以延續病人出院後的照護；同時，當病人需要回院求診時，醫師可透過系統取得其居家醫療期間的照護資料，促進病人安全，以病人為核心解決問題，亦滿足照護人員需求，從而提供更全面且連貫的醫療服務。

The implementation of information technology in home healthcare services aims to achieve coordinated care between hospital-based and home-based medical services, ultimately fulfilling the goal of continuous, holistic care. The implementation period was from 2015 to 2023. The existing issues include: 1) incomplete transmission of medical information, which leads to limitations in home healthcare; 2) the need to optimize the home healthcare information system; and 3) complex administrative procedures that affect the efficiency of home healthcare services. The improvements achieved are: 1) enabling remote access to patient medical records from home, enhancing the completeness and timeliness of medical information; 2) increasing the efficiency of home healthcare nurses while reducing their physical burden by 4 kg; and 3) reducing billing error rates by 50%. This solution ensures continuity of care after patient discharge, and when a return to the hospital is needed, physicians can access home healthcare records, promoting patient safety. This patient-centered approach addresses healthcare provider needs, providing more comprehensive and seamless medical services.