近年來人口快速老化,長期照護服務的需求不斷增加,但目前國內長期照顧資訊系統分歧,除了功能不佳之外,亦欠缺資料格式標準,無法做資料的有效傳遞與整合,使之效能大打折扣,導致管理者與政策制訂者在進行相關的資源發展與體系建構之規劃與修正時,無法隨時掌握最新的長期照顧需求與服務使用等相關資訊。因此,資訊系統之規劃與開發乃是刻不容緩。在開發資訊系統的過程,只有在清楚的掌握照顧管理機制的內涵、各種長期照顧服務之流程、與各層級使用者之需求後,始可進行資訊系統之規劃與開發。規劃過程之注意事項包含有:一、結合資訊與長期照顧專業;二、服務流程與資料內容要確定;三、釐清長期照顧資訊系統的角色與功能;四、主管單位的資訊相關人力配置要充足;五、統一各縣市之資訊系統與制訂標準化資料格式;六、其他注意事項包含有資料的持續性、安全性、使用的便利性、功能的擴張性與跟其他資訊系統之連結等等。有鑑於資訊系統所帶來之效益,政府應該正視長期照護資訊系統的發展。
As the population ages quickly, the need for long-term care services also increased significantly. At present, the long-term care information system is fragmented, with no standardized database protocol, and lacking in vital functions. Not able to share and compile data has reduced effectiveness of the system. As a result, updated information could not be obtained while service managers and policy planners were in the process of devising relevant long-term care policies. Thus, the development of a long-term care information system should be an immediate concern for the government. Understanding the essence of care management mechanism, the process flow of various long-term care services, the needs of various users ranging from the clients to policy planners is essential for designing the system. The following elements are crucial in ensuring the success of the system: 1. Involve long-term care professionals, not just computer programmers; 2. Clearly identify the service flow and data contents; 3. Clarify the role and the function of the system; 4. Allocate sufficient manpower; 5. Standardize the data structure and protocols; 6. Other aspects such as the continuity, security, and accessibility of data, and compatibility with other systems. The information system will have many positive effects on the delivery and management of long-term care services, and the government should seriously consider the development of an integrated long-term care information system.
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