由於資訊與通訊科技的進步,在醫療照護領域的應用不斷的增加,智慧醫療已經成為熱門的議題,利用各種資訊與通訊科技收集醫療照護過程中所需的各種資料,運算處理和彙整成為有用的資訊,協助個案和醫療照護人員進行決策。目前國內的發展大都是以智慧醫院為主,但是在長期照護領域也有許多資通訊應用的需求。本文將探討智慧醫療在長期照護領域的應用,特別是在社區式和居家式的照護模式對於資訊與通訊的需求,並介紹以模組化的方式,建置長照系統的元件,包括行動裝置使用者端的資料輸入介面模組元件、行動裝置與伺服器間資料傳輸及同步模組元件、資料呈現與統計,及分析模組元件等。並且分享應用這些元件,陸續開發居家護理、居家服務、送餐服務和輔具租借等長期照護支援系統雛型的經驗,相信有助於促進長照的創新服務及提升照顧的效率和品質。
Rapid progress in information and communication technologies and the increasing popularity of healthcare-related applications has increased interest in the topic of intelligent medical care. This topic emphasizes the use of information and communication technologies to collect and analyze a variety of data in order to provide physicians and other healthcare professionals with clinical decision support. At present, so-called smart hospitals are the focal point of most intelligent-systems development activity, with little attention currently being focused on long-term care needs. The present article discusses the application of intelligent systems in the field of long-term care, especially in community and home-based models of care. System-implementation components such as the data entry interface components of mobile devices, the data transmission and synchronization components between the mobile device and file server, the data presentation, and the statistics analysis components are also introduced. These components have been used to develop long-term care service-related applications, including home health nursing, home-care services, meals on wheels, and assistive devices rental. We believe that the findings will be useful for the promotion of innovative long-term care services as well as the improvement of healthcare quality and efficiency.