中醫雲端照護模式之建立-以糖尿病為例

由於資訊相關科技與生物醫學技術的快速發展，改善了技術適合性、臨床可行性與醫療照護服務的經濟負荷性，使得世界上許多健康照護組織逐漸地重視使用遠距醫療技術以增進或展現現今病患照護與服務。對糖尿病患來說，資訊科技無法完全解決糖尿病照護的所有問題，但是資訊科技可以是一個「照護決策支援的輔助工具」、「溝通的互動工具」、「健康資料的分析工具」、「增強病友自我照護能力的衛教工具」與「個案管理的管理工具」。我們可以藉由提供 (1)良好的流程設計 (2)互動式平台的溝通管道(3)良好的使用者介面(4)個人化的健康資料分析與決策支援(5)個人化的衛教與分析建議等五項重要的資訊技術研發，使糖尿病照護科技化更趨於完善，並歸納出一個對於雲端照護模式介入糖尿病照護系統之可行建議。本研究主要發展一套適合糖尿病病患所需之雲端數位個案照護管理與居家監控系統與服務模式，該系統主要於個案家中設置一套經絡診斷(中醫)及生理監測(西醫)系統(包含基本血糖、血壓及其他基本生理值監控)，以雲端系統模式定期將資料回傳至個案管理中心(Call Center)，由該中心之照護團隊(包含中醫師及個案管理師)，透過雲端數位健康照護系統之數據判斷，個案是否需進行醫療介入或其他照護方式，以簡便、迅速及全方位角度達到糖尿病照護的目的。

關鍵字

雲端照護模式；糖尿病；中醫

並列摘要

Due to the fast development of information technology (IT) and biomedical technology, the telecommunication health care system has become more mature and popular. Many health care organizations worldwide have started on implementing telecommunication health care system to provide better patient services. The telecommunication health care system is a tool to provide (1) online decision support, (2) ad hoc interaction with health care organization, (3) real time analysis of patient's health information, (4) patient self-care instructions, and (5) individual health care management. In this study, I proposed and developed a Chinese medicine health care system and the corresponding service model that adopt cloud computing techniques to remotely monitor and supervise each individual diabetic. In this system, there are two main features provided that differentiate from other systems. First, I implemented the cloud computing techniques and second, I incorporated the Chinese medicine care. This proposed system can be set up at the patient’s home that measure and collect the channels and collaterals (Chinese medicine care) and physiological data (including blood sugar, blood pressure, etc). The system will connect with the host server at the call center (in the health care organization) through cloud computing service. By analyzing the data, the health care experts can decide whether the medical treatments are needed so as to provide a faster, easier, and all-around approach for diabetics care.