建構以雲端計算為基礎健康監督服務

台灣自1995年實施全民健康保險，醫療品質以及病患安全的議題廣泛被受討論，醫療環境的改善，民眾可以自由選擇醫療服務提供者。多數的醫療機構希望在成本控制下兼顧醫療品質尋求經營策略，提供完整的服務給病患，然而資訊科技進步、生態環境改變使疾病型態變化快速，民眾對各種醫療與健康照顧的需求也跟著增加。當病患接受醫療照護同時，醫療資訊系統(HIS)在醫療疏失中扮演著重要的角色，它需要確保每個作業流程是否發生異常檢核，進而增進病患安全。醫院面對環境的多變與不確定性，此時軟體的開發和硬體資源也需因應環境變化彈性調整，將雲端計算運用於醫療產業，解決多樣性需求所延伸出來的軟硬體資源擴充，故本研究「建構以雲端計算為基礎健康監督服務」，以有效、正確、即時以及彈性化提供健康檢核服務，滿足多變的醫療需求，提供更完整的醫療服務。系統評估結果顯示，雲端應用除了節省開發成本、簡易地異質整合醫療資訊系統、穩定的儲存體能準確及時地提供資訊，在效能以及效率方面與近端伺服器表現同樣優越且能應付突發的需求，自動調整負載平衡。滿意度調查結果發現，滿意度平均分數皆高於4分以上，顯示本研究建置之雲端健康監督服務符合醫療機構終端使用者需求並獲得高度認同。

關鍵字

醫療疏失；醫療糾紛；健康監督檢核服務；雲端計算

並列摘要

Since of the inauguration of National Health Insurance in Taiwan in 1995, healthcare quality and patient safety have been extensively discussed. Medical treatment environment changed dramatically; patients can visit the hospitals at will at the low cost. Most medical institutions incorporate strategies that can control cost but keep healthcare quality and provide sound service to patients. Due to technological progress, both the ecological environment of healthcare service and the treatment of the diseases have rapidly changed. In addition, patients have more senses about the treatment and care qualities. Facing the environment variability and uncertainty, hospitals should not only increase their care quality in medicine but also provide a flexible way to tune their hospital information system efficiently and effectively. Hospital Information System had played an important role in auditing and monitoring the poteial medical errors. Its additional responsibility is to ensure that each caring flow follows the desired schedules without errors. As a result, the patient safety can be guaranteed. Incoprating the cloud computing is a new trend in healthcare industry. The cloud computing can adjust itself to the diversity of requirements of software and hardware resources. This paper aims at developing a Monitoring Service for healthcare based on Cloud Computing, which provides effective, effient and flexible service for healthcare to audit and monitor the healthcare process. A set of experiments are performed in Microsoft Azure cloud planform to show the feasibity of the system. The results show that cloud computing applications can reduce development cost and integrate heterogeneous medical information system. In addition, the stable storages of the cloud platform can provide reliable and timely information. Comparing to the service if provided in local server, the services running in the cloud platform can provide the same efficiency. Even in the burst of the loading, the services in cloud computing can automaticaly adjust its hareware resource to meet the dramatical request. We also conduct empirical survey. The results of satisfaction survey showed that the average satisfaction scores are higher than 4 points, which mean that the provided service in cloud platform can meet the requirement of healthcare industry, end users and patients.

並列關鍵字

healthcare faults ； mispractice ； health monitoring service ； cloud computing

參考文獻

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國際替代計量

建構以雲端計算為基礎健康監督服務

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