- 期刊
The Usage and Future Development of Medical Information System in Traditional Chinese Medical Institutions
中醫醫療資訊系統使用現況及未來發展之探討
摘要
為因應全民健康保險申報需求，中醫界開始廣泛使用醫療資訊系統，但中醫與西醫之醫療模式差異甚大，系統在使用上不如理想，本研究為瞭解中醫醫療資訊系統之使用現況及無法發揮預期效果之原因，運用科技接受模型之理論，設計開春進行調查。 本研究發出開春共2794份，回收485份。分析填答結果發現：目前醫療院所使用中醫醫療資訊系統的目的以輔助健保申報作業等醫事工作為主，尚未全面發揮醫療資訊系統功能。其中七成以上的醫療院所認為「中醫病名編碼」、「中醫辨證編碼」、「中醫症狀編碼」、「跨院際電子病歷交換」等應為中醫醫療資訊化之未來發展方向。此外，八成受訪院所認為政府對中醫醫療資訊的標準制定不夠明確，且九成受訪院所認為政府對相關研究之補助有所不足。本研究建議未來政府首應協助建立中醫症狀、辨證與病名之標準編碼，例如運用中醫疾病辨證分類編碼系統等，以進一步發展跨院際電子病歷交換系統，並協助廠商發展適於中醫臨床使用的醫療資訊系統。
並列摘要
Since Traditional Chinese Medicine is incorporated into National Health Insurance, medical information system is wildly used in Traditional Chinese Medical institutions to fulfill the need of insurance declaration. However, the difference between Traditional Chinese Medicine and Western medicine is great; and there is no medical information system specifically designed for Traditional Chinese Medicine. Therefore, the advantages of medical information system have not been fully presented yet. This study adopts Technology Acceptance Model theory to find out the present situation of medical information system applied in Traditional Chinese Medical institutions. For this study, the questionnaires were delivered to 2794 Traditional Chinese Medical institutions; and 485 copies were received thereafter. The result shows that the main purpose for these medical institutions to apply the medical information system is to assist some medical tasks, such as the declaration of National Health Insurance. The accessibility and practicality of the medical information system usage in Traditional Chinese Medical institutions do not seem to be completely performed. Besides, more than seventy percent of these medical institutions think that standard coding system for diseases, symptoms and pattern differentiation, as well as the electronic medical records exchange system are the key development directions of Chinese medical information system in the future. Furthermore, eighty percent of the survey responders consider that the standard of Chinese medical information system is not well conducted; while ninety percent of the survey responders believe that the governmental subsidies to the related researches are insufficient. Accordingly, this study suggests that the government should help to develop a standard coding system for diseases, symptoms and pattern differentiation of Traditional Chinese Medicine, such as B-code system, to develop the nationally medical records exchange system, and to assist the application software vendors to build an information system specialized in Traditional Chinese Medicine.