台灣今天雖然西藥發達,但仍有1/3的人使用中藥。2000年以後,陸續有中西合作、中西整合等中西醫結合治療,而且很多民眾都自行倂用中西藥,讓中西藥交互作用方面的研究非常重要。雖然國外有許多中西藥交互作用的研究,但研究中的草藥都是歐美常用,如金絲桃草(St. John’s wort),我們常用中藥像人參、甘草卻很少。雖然國內最近有學者也在進行中西藥交互作用的研究,但文獻不多,只是少數動物研究報告。 中西藥交互作用不是只有不良反應,實際上,中西藥適當搭配,可提升療效,降低副作用。2000年,美國Pew網路與美國生活計劃顯示,55%美國人曾上網尋找醫療資訊。當發現用藥有異樣時,希望能由單一網站快速找到相關用藥資訊,製作一個操作簡單的查詢網站,提供醫師、藥師、和一般民眾使用。網站依照雛型模式開發,PubMed和全國博碩士論文資訊網為本網站的資料庫來源。 系統建置後,以問卷調查來進行系統測試與評估。從分析結果發現,系統品質及資訊品質對網站的使用者滿意度有顯著的正面影響,而不同教育程度或職稱的使用者,使用網站的滿意度也有顯著的差異。網站本身會繼續新增有關中西藥交互作用的資料,同時新增查詢紀錄的統計,得知訪客最常查詢的中西藥,建請相關學者進行後續的研究。希望這個網站的建置,可以減少中西藥間的不良反應,提升整體的用藥安全,正是本研究的主要目的。
Although the Western drug is widely developed in Taiwan, there are still 1/3 of people taking traditional Chinese medicine. After year 2000, Chinese and Western medicine cooperation rise one after another. Integrated Chinese and Western medical treatment is performed more often. Moreover, many people are taking Chinese and Western medicine on their own. So it is more important and urgent to study the interaction of Chinese and Western medicine. Chinese and Western medicine interaction may come with adverse drug reaction, as well as side-effects reduction. At year 2000, Pew Internet & American Life Project show, 55% of Americans have tried to search for health care information via internet. When abnormal drug reaction is observed, information related to drug use can be located in a single website, and provided for physicians, pharmacists, and the general public to use. Website is developed through Prototyping model. PubMed and Electronic Theses and Dissertations System are the main data source for website database. Questionnaire is adopted to perform website system test and evaluation. According to analysis results, system quality and information quality have a significant positive influence on user satisfaction. As for user characteristics – education level and job title have a significant difference on user satisfaction. This website will continue to update medicine database, and provide statistical data of website inquiry logs for future research. Hopefully this website will reduce adverse drug interaction and promote overall medication safety. It is the main purpose of this research.