Nurse-assisted Development of the Community-based Integrated Screening Information System (CISIS) in Taipei City Hospital

社區護理人員參與建置資訊系統之歷程研究－以台北市立聯合醫院社區整合式篩檢系統為例

陳美如(Mei-Ju Chen) ； 林宏嶽(Hung-Yueh Lin)

《醫療資訊雜誌》 24卷2期 (2015/06) Pp. 39-51

摘要

本研究藉由社區護理人員與管理師共同組成開發團隊，建構「社區整合式篩檢資訊系統」。之後進行第一線同仁（包括護理、行政與資訊同仁）問卷評估，以分析其可行性。研究結果顯示，本研究在實機操作部分，提供現場列印與掛號功能，大量減少同仁掛號時間（每人減少約70秒），同時有效降低民眾書寫大量表單時間（每人可減少約320秒），並且與院內其他系統之進行整合。問卷顯示，在第一線實務同仁之系統之知覺有用性高，雖然覺得因為社區網路的原因，造成系統穩定性上有非常大的改善空間，但是還是願意使用此系統來進行整合性篩檢業務。結論：「社區整合式篩檢資訊系統」的建置正是符合基層醫療照護與公共衛生發展之方向。下一階段，除單機版模式外，更可進一步開發無線資料（或藍芽）傳輸技術與專用APP併配合智慧型裝置與條碼掃瞄器，持續開發資料無線傳輸功能，以提供民眾一個具客製化、獨特化，並享有完全服務與深入照護的醫療環境。

關鍵字

篩檢資訊系統 ； 社區整合式篩檢服務,結構方程模式

並列摘要

The research aimed to document and assess the development of a community-based integrated screening information system (CISIS) by a team consisting of community nurses and managers. A questionnaire survey was conducted among frontline employees (including those in the nursing department, administration and information office) to assess the prospect of the new system. Hands-on testing demonstrated significant advantages of the system. It provided patient identification label printing, streamlined registration and was compatible with other in-house systems. Results showed that registration processing time was considerably reduced (by 70 seconds per case). Patients also spent less time filling up forms manually (by 320 seconds per case). Scores of perceived usefulness were high among staff who came in first contact with the system. They expressed willingness to use the CISIS in future screening sessions despite a technical issue of connection stability due to limited internet coverage in some areas. We concluded that establishment of the CISIS was effective in strengthening primary health care and public health programs. In the next phase, in addition to the current edition, we plan to introduce wireless (or Bluetooth) data transmission and apps, incorporating smart devices and barcode scanner. This is expected to contribute to the making of a unique, comprehensive, customer-oriented healthcare facilities.

並列關鍵字

Screening Information System ； Community-Based Integrated Screening Service ； Structural Equation modeling