健保資料庫整體規劃及其架構

Planning and Suggested Framework for Healthcare Databases Integration

游張松(Chang-Sung Yu) ； 蘇喜(Syi Su)

《中華公共衛生雜誌》 16卷6期 (1997/12) Pp. 522-526

https://doi.org/10.6288/CJPH1997-16-06-07

摘要

我國健保制度施行以來，為以期加速資料處理能力，正傾全力建立健保給付電腦系統。然而，本土學者很難由此取得我國健保資料，乃以美國資料，作美國的個案研究，殊為可惜。本文期望透過健保資料庫之規劃與建立，為我國研究人員提供可以獲取(access)之資料，推動本土醫療成效研究。健全的健保資料庫之建立有助於分析健保營運成果，明瞭醫療單位之醫療成效，形成自然的良性循環，提昇國民醫療品質。
本文分析健保資料庫之重要性，理想條件及其策略功能，從而說明其與提昇醫療品質之關係，並且整合科技、網路與管理，提出系統架構及建置之建議。

關鍵字

健保 ； 資料庫 ； 規劃 ； 架構

並列摘要

Since the introduction of healthcare program, the healthcare bureau has been devoted to the computerization in order to speedup the process of healthcare payment.
However, the local researchers are not easy to access the local healthcare data, and therefore, use the American data for American case study instead. We believe that, through the planning and the establishment of loca healthcare database integration, we will be able to provide the researchers with valuable data, which will in turn encourage the research of local healthcare performance.
A well-planned integrated database can be used to analyze the effectiveness of healthcare operations, to understand the medical institutions' performance, and thus to enhance national healthcare quality.
In this paper, we analyze the importance of the healthcare database integration, the required conditions, and the related strategic functions. We, therefore, depict how the healthcare database can automatically enhance the quality of the healthcare implementation. Finally, through the utilization of information technology, internetworking and systems management, we propose planning building blocks and a framwork for healthcare databases integration.

並列關鍵字

healthcare ； database ； planning ； framwork