智慧科技普及化已為全球趨勢,而各國使用智慧型手機的人口大增,形成智慧科技應用於健康照護及行為改變介入方案的獨特優勢。而行動健康(mobile health)服務,能解決及補足傳統醫療服務無法持續而即時追蹤疾病症狀變化的缺點,手機之普及性使行動健康應用程式(mobile health applications)應運而生。行動健康應用程式使用主動與被動的方式蒐集資料並傳遞訊息,目前已有研究相繼證實其應用於評估與偵測疾病、心理衛生介入之可行性與接受度。本文將介紹傳統精神醫學疾病診斷的限制,以及如何跨域應用資通訊科技於發展行動健康之契機,並以雙相情緒障礙症(bipolar disorders)為例,分析當前實證研究應用智慧科技於症狀評估、偵測發病警訊及發展行動健康照護模式的效益及未來展望。未來期待能發展出適用於臺灣健康照護的行動健康應用程式,並建議更多研究投入相關領域,以累積更廣泛及完備的實證證據。
The popularization of smart technology is a global phenomenon. The increasing ubiquity of smartphones offers the potential to apply smart technology in areas such as healthcare and behavioral change interventions. Mobile health services may enhance the effectiveness and resolve the shortcomings of traditional medical services, which cannot continuously and instantly track changes in disease symptoms. The popularity of mobile phones has led to the emergence of mobile health applications. Mobile health applications use active and passive methods to collect data and transmit information. Studies have confirmed the feasibility and acceptance of these applications in assessing and detecting diseases and in mental health interventions. In this article, the limitations of traditional psychiatric medical diagnosis and the opportunity to develop mobile health using information and communication technology are discussed, and related empirical research on using smart technology to evaluate and detect symptoms is explored using the example of bipolar disorders. In addition, the benefits and future prospects of onset alert and the development of healthcare models for action are highlighted. In the future, we look forward to developing mobile health applications that meet the needs of healthcare in Taiwan. Furthermore, we recommend more research and investment in related fields to accumulate more extensive empirical evidence.