慢性疾病照護作業流程之個案管理資訊系統建置與評估

Development and Evaluation of a Workflow-based Chronic Disease Case Management Information System

王逸帆(Yi-Van Wang)

指導教授 ： 賴飛羆

國立臺灣大學/電機資訊學院/生醫電子與資訊學研究所/碩士(2012年)

https://doi.org/10.6342/NTU.2012.03268

摘要

所謂慢性病，是指會長期影響身心健康，而且難以根治的疾病。然而慢性病是可以被控制的，藉由良好的飲食、規律的運動以及持續的自我管理就夠穩定病情。至於要如何持續的控管就要靠個案管理的協助。個案管理是一種共同合作的過程，在醫療健康方面，藉由不斷的預估、計畫、促進、協調、評估等步驟，以及合作關係，讓病人的健康狀況維持穩定的控制。然而隨著資訊系統的發展，個案管理的工作流程也會需要資訊系統的輔助。以臺大醫院的糖尿病及愛滋病的照護為例子，在這兩種慢性病的個案管理上，我們發現了有許多工作流程上所必須處理的部分，都能夠靠資訊系統來協助並得到解決。隨著系統的完成及上線，我們想知道個案管理資訊系統到底解決了多少問題以及效益的程度，使用者滿意度以及接受度等等。因此本篇論文將會進行以系統評估的為主，系統發展為輔的研究。

關鍵字

系統評估 ； 個案管理 ； 資訊系統 ； 疾病管理

並列摘要

The chronic diseases are not only affecting physical and mental health, but also difficult to cure. However, the chronic can be controlled to stable by including indicated appropriate food intake, regular exercise habit and self-monitoring. And, how to control continually can be done by assistance from case management. Case management is a kind of collaborative process. In health care, through ongoing assessment, planning, facilitation, coordination, and evaluation and cooperation with patients whose health can be maintained in stability. With the development of information systems, the workflow of case managements can be improved. Taking the care of diabetes and HIV in National Taiwan University Hospital as an example, we found parts of workflow were handled manually which could be resolved by assistance from information systems. After the completion and online of the care management information system, we know how many problems can be resolved as well as the efficiency scale, user satisfaction and system acceptability can be evaluated; therefore, this research was carried out to do system evaluation and system development is not our major focus.

並列關鍵字

System evaluation ； case management ； information systems ； disease management

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