資訊科技、通訊科技與醫療科技的快速進展，已影響到醫療產業生態，例如，在資通訊科技的協助之下，使得醫療相關服務的地點，由醫療機構擴展到醫療機構之外。提供醫療相關照護服務的方式，醫病接觸由面對面的傳統方式，延伸到遠距離的虛擬方式，例如遠距離會診、遠距機器手術、遠距病理判讀、遠距生理指標監控、遠距衛教、個人化電子病歷等多元運用資通訊科技的方式。 遠距照護服務可以提供使用者較佳的醫療與健康管理，但是，目前台灣雖然有許多業者開始投入該產業，而政府也跟著推動一系列計畫，以提昇台灣民眾對遠距照護的認知。至今，卻仍只有少數使用者進行採用，成效不彰，故本研究透過對遠距照護平台有高度需求的境外器官移植醫療團隊族群，探索他們對平台的需求，以一窺遠距照護服務的價值。 本研究應用德菲法，透過有系統地連續調查，目的在探索境外器官移植醫療團隊，在照護返台境外器官移植病患時，對遠距照護平台的資訊需求，以及系統功能的需求。研究樣本來自台灣北部六所醫療機構，採立意取樣，共有27位有照護境外器官移植返台病患的臨床經驗的醫療專家參與問卷填寫。透過德菲法的分析，本研究發現，境外器官移植醫療團隊對遠距照護平台分別有五項資訊需求，以及十項系統功能需求。 Both local and international medical societies have been challenged by the revolution and speedy progression of high information and communication technologies (ICTs), and medical technology science. For instance, the services of medical care have reached out from single medical institute to the clients’ communities. Meanwhile, the interaction modes between health professionals and their clients have been extended from traditional face-to-face meeting to the virtual concept of e-health for long-distance care. In Taiwan, some health institutes have tried to explore the strength of implying tele concept of e-health communication and management to the telecare services. Taiwan’s government has also developed a series of early-phased protocols with this attempt. Nevertheless, until now, few evidences of the efficacy and effectiveness have been established. Recently, more and more patients with end-stage of disease went abroad to undergo overseas organ transplantation (OOT). This study investigated Taiwan’s organ transplantation health professional (OTHP) experts’ perspective of the needs and values the telecare services for OOT who returned to Taiwan. A Delphi research method was employed in this research. A purposive sample of the leading OTHP was obtained from six hospitals in the northern Taiwan. 27 subjects were invited to respond to a sequence of survey in order to learn their appraisals of the needs of providing medical information, and the expected functions of the telecare systems. After the Delphi analysis, there are 15 requirements acquired, including 5 medical information needs, and 10 function needs related to the telecare system.
