依臨床復健觀點建置輔具處方決策支援系統－以輪椅應用為例

Building a Clinical Decision Support System for Prescription of Assistive Technology: An Example of Wheelchair Prescription

周佩瑾(Pei-Chin Chou) ； 紀彣宙(Wen-Chou Chi) ； 陳信水(Hsin-Shui Chen) ； 謝文逸(Wen-Yih Hsieh) ； 李旺澈(Wang-Che Li)

《台灣復健醫學雜誌》 43卷1期 (2015/03) Pp. 19-31

https://doi.org/10.6315/2015.43(1)03

摘要

近年來，社會福利的保障增加帶來了輔助科技的應用受到各方的重視；然而醫療人員開立輔具處方之評估，仍多依其各自經驗或單位要求進行，缺乏系統化及全面性的考量；且相關資訊的欠缺整合，更使得輔具的使用療效無法系統性地驗證。因此本研究以輪椅為例建置輔具處方決策支援系統，期讓專業人員診斷標準化，並降低輔具棄用率，更可以提昇使用者滿意度並減少因不適合或錯誤診斷產生副作用或傷害等。同時，本研究利用統計軟體SPSS 19.0進行受試者基本資料之敘述性統計分析和探索性因素分析，評估使用者自開立輔具需求，至接受診斷產生之輪椅建議圖，以及後續使用追蹤、衛教等照護之連續性及完整性。

關鍵字

輔助科技 ； 輔具處方決策支援系統 ； 棄用率

並列摘要

Background and Purpose: The application of assistive technology has recently been paid attention to with the benefit of social welfare. However, less systematic and comprehensive consideration has been given to the prescription of assistive devices. Moreover, the efficacy of assistive devices has not been systematically examined yet due to the lack of integration of related information. Methods: This study firstly interviewed clinical assessors for assistive technology by field research. As users participated periodically, object-oriented systems development methodology and case diagram were used as a design tool to build a prototype system. Finally, web applications were built in Oracle database by using ASP.NET and 3-tier architecture. Results: This study established a decision support system for wheelchair prescription. The system assessed a flowchart of wheelchair prescription and evaluated continuousness and completeness of follow-up care and health education. Conclusions: This decision support system for wheelchair prescription would be utilized to make a standardized diagnosis and reduce abandonment rate, as well as increase user satisfaction and reduce side effects and harm when a wrong diagnosis is made.

並列關鍵字

assistive technology ； decision support system for prescription of assistive technology ； abandonment rate

參考文獻

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