- 學位論文
以整合性觀點探討週期性健康檢查之研究
The research of discussing periodic health examinations with integrated view
摘要
台灣目前許多健檢中心所做的方式，是排固定項目的「年度健康檢查」，這些套裝的健檢項目對許多人其實並無需要，不但是浪費而且有時會在健康的假象下耽誤了真正的疾病治療。「週期性健康檢查」是運用格式化的健康篩選表格，針對不同年齡、性別而進行的健康檢查。 根據美國及加拿大的文獻探討，本研究收集相關資料探討以生命週期(Life Time)為主的健康檢查模式，分析目前台灣地區健康檢查的重複利用及重複檢查的問題，解決現在紊亂的健康檢查模式，並且有系統性的建立、儲存國人的健康檔案。檢查結果異常的個案通常需要一套資訊化提醒系統做提醒轉介及追蹤，但是各地資訊化程度不一，所以部分地區在資訊的分享及執行上面臨一些挑戰。 研究以生命週期為概念提出整合性健康檢查的流程，主要分析現階段健檢的優點為減少重複檢查醫療資源的浪費、民眾擁有一個連續性、完整性的健康資料、在每個生命週期定期的提醒民眾定期健檢、結合資訊的建立能有效的追蹤慢性病患的治療以及統一紊亂的健檢項目，避免醫院引誘醫療需求。此外，特別針對健康資料資訊化的管理以及提醒系統之應用。電腦化的介入主要目的在於利用資訊管理系統結合中央政府的衛生單位多方行政資源與資料庫，以有效達到公共衛生中個人預防保健以及疾病管理的目標。 藉以社區個體積累健康資訊基礎，藉以發現高危險人群和早期病人。透過健康生命週期的觀念達到預防保健、疾病預防、疾病治療及健康管理的重要目標，提供民眾一生週期的健康照護，藉由預防保健與醫療結合，才能真正達到周全性與持續性照顧的理想。
並列摘要
There are many advantages for maintaining the relationship between patient and therapy for long-term which addressed by foreign research, the existing pattern of illness-therapy in Taiwan is seeking the medical treatment when became ill that reveal the neglect of alertness of himself health, therefore, to modify the existing organization of health care for this neglect on the community hospital and orientate them by initiative health care, instead of current medical therapy industry, i.e. not only the patient seeking the therapy but everyone of health consult the health care information, and further, drawing up of individual scheme of the health care for himself lifetime. we brought the "Suitable Health Care Mode" that is a successive nursing by periodicity of a lifetime, according to ours study, the lifetime distinguished into four stages of successive healthy caring i.e., ages of 0-10, ages of 11-24, ages of 25-64 and ages above 65, we are going to consolidate the un-successive and un-integrity information of personal physical examination, emphasizing the concept of "continuum of health care" which take care of everyone in one’s every life stages by their concurrent needs of health that service will be provided by national health care authority, instead of fragmental therapy provided currently. To figure out and work out all the healthy necessities in every stage for everyone which should be fulfilled by national health care authority. In order to figure out the current problem of physical examination in Taiwan, with references from US and Canada relating to physical examination mode by composed of Life Time, by mean of comprehensive consideration on integrating physical examination, attempt to solve the disorder problem of current physical examination, and to establish and to store the database of nominative physical examination systemically. The previous feasibility study and comparison between new mode and existing mode of physical examination, the new mode of ours study is concluded more practicable with efficiency, after the mode of integrating physical examination is estimated especially. The purpose of ours research is to construct a new health care mode which healthy objective was oriented by "Life Time" for nation-wide, to build up the information file of physical examination with “Continuity” and “Integrity” for ours nationals, in addition, the new concept of life cycle was attempt to preventing and curing diseases and maintaining supply of healthy information with every life period. Finally, we try to assist any auxiliary healthy institute or healthy authority by provides ours study on physical examination of with integrity information which benefit the making on national healthy policy.