| 摘要: | 近年來全球高齡化社會來臨，年長者的預期壽命持續增長，台灣也即將邁入高齡社會，人口老化速度世界第一。根據行政院主計處的統計數據顯示，預估到了2025年時，台灣國內的老年人口數將接近475萬人，也就是說每5個人就有一位是65歲以上的老人。加上高齡長者罹患慢性疾病的比率節節上升，許多慢性病老人因缺乏完善的資源協助，病情無法獲得良好的監測與控制，導致各種急性併發症與醫療消費行為相應而生。除了消耗寶貴的醫療資源外，更是衍生許多醫療照護品質下降的問題。然而近幾年全世界網路行動科技的技術進步以及蓬勃發展，遠距照護一直被認為是實現「在地老化」最主要的工具，因此醫療互聯網成了未來全球醫療發展的新趨勢。
本論文研究計畫是由中壢天晟醫院承接桃園市衛生局「醫療小管家」計畫專案，服務對象為65歲以上獨居老人、糖尿病、高血壓病患提供「醫療小管家」服務，以社區醫療群為平台，整合醫療體系、社區藥局、長照機構資源等，將照護服務延伸至機構，社區及家庭，運用家戶會員管理模式，提供24 小時【線上一對一】諮詢服務。同時自行開發資訊平台以及行動APP，導入智慧行動醫療，將O2O（Online to Offline）觀念落實於社區醫療照護。民眾擁有專屬的家庭醫師及家庭藥師，透過行動APP，將病歷及家庭醫師裝進手機裡，達到早期診斷、完整治療、持續追蹤的連續性醫療，提昇整體照護品質及民眾的醫療滿意度，打造一個整合性智慧健康照護網絡。研究結果不但獲得民眾與社區醫療群的高滿意度，更是在公衛指標上獲得不錯成效。未來也會在同樣架構下逐步導入其他疾病，透過醫療互聯網平台收集大數據，利用大數據分析為家戶會員提供客製化醫療服務，與異業跨界融合，開發各種健康加值的服務與應用，發展出獲利的商業模式。本論文之成果與經驗可供國內發展醫療互聯網服務之參考。;Recently, the global has entered the aging society, and senior′s life expectancy has growled higher than it was a few years ago. As a result, people in Taiwan are also living much longer, and the aging of population in Taiwan speed world first. Demonstrated according to the Directorate General of Budget, Accounting and Statistics, Executive Yuan statistical data that, estimated when 2025, the population of the elderly in Taiwan will approach 4,750,000 people. In other words, every 5 individual will have one will be 65 year old of above old person. Because the ratio of the elderly suffering from chronic diseases rise steadily and many old people lack the resources assistance, the illness condition is under poor control, and it causes acute complication frequently. Besides the consumption medical service resources, simultaneously causes the medical quality to drop. Because the network technology progress fast in the past few years, telehealth care was considered the main tool to achieve the vision of aging in place. Therefore the medical Internet is the new trend of medical development in the future.
This study is the Medical Steward project that Ten-Chan General Hospital undertook from Department of Public Health, Taoyuan. This project is only for the patients above 65 year old who get diabetes, hypertension and elders living alone. We use Community Healthcare Group as the platform to integrate the resources of the hospital, the community pharmacy, and Long-Term Care the Facilities. We extend the healthcare service to the Long-Term Care the Facilities, the community and the family, and use household membership management to provide 24hours online consulting service. We design a web information system and a mobile APP to realize O2O (Online to Offline) in the community healthcare. Therefore, the patient has his family physician and family pharmacist, and achieves the goal of early diagnosis and continuous healthcare via the mobile APP. As a result, the healthcare quality and patient satisfaction degree improve. In the future, we will extend the other diseases into this wisdom healthcare system, and then we will collect big data to provide customized medical service after big data analysis and mining in this platform. We can also make different industrial cooperation to develop the successful business model. |
