電子病歷資訊共享效益分析之研究

A Study of the Electronic Patient Record Information Sharing Effect Analysis

陳秀雯(Shiu-Wen Chen)

指導教授 ： 宮大川

中原大學/工學院/工業工程研究所/碩士(2003年)

https://doi.org/10.6840/cycu200300411

摘要

科技越來越進步的現代，醫療院所紛紛進行電腦化（電子病歷的建構），加上2001年電子簽章法的通過、2003年健保IC卡的實施，更是加速了醫療院所電腦化的腳步，在電腦化的同時電子病歷也跟著出現，電子病歷與傳統病歷的比較，電子病歷的範圍，醫療院所為什麼要進行電腦化？等問題接踵而至。
本研究透過文獻探討的方式來瞭解什麼叫做電子病歷，並歸納總合各方意見後重新為電子病歷的定義和範圍做一個詮釋，針對電子病歷和傳統病歷也會做一個比較，接著利用個案分析的方式來探討醫療院所進行電子病歷建構時所需投入的成本，以及電子病歷建構完成後可帶來的效益，成本投入後醫療院所可在多久的時間內可將所投入的成本回收，也會以個案分析的分式分析討論醫療院所進行電子病歷導入時可能會遭遇到的問題與須注意的事項，來與本研究的內容做個呼應和印證。
2001年電子簽章法的通過、2003年健保IC卡的實施，讓我們可以利用相關的資訊科技資源，如HL7、PACS和DICOM等，建構模擬一個可在各醫療院所間進行的電子病歷資訊共享模式，讓電子病歷資訊共享的目標早日實現，以利醫生對病患病情的診斷和治療，並減少重複性的醫療浪費，節省醫療資源的開支，將節省的醫療資源使用在衛生保健和預防工作上，真正實現預防勝於治療的名言。

關鍵字

電子病歷 ； 資訊共享 ； 效益分析

並列摘要

Nowadays, the advanced science is progressing more and more rapidly. Taking medical field for example, more and more clinics and hospitals tend to be computerized in installing their own medical systems such as Electronic Patient Record (EPR); moreover, the pass of Digital Signature in 2001 and the proceeding of National Health Insurance IC Card in 2003, which had speed up the progress of computerization in hospitals and medical clinics. Before stepping into the world of computerization, the Electronic Patient Record is appeared. And the difference is between this Electronic Patient Record and Traditional Patient Record. Moreover, what’s included in the EPR? Why the hospitals want to proceed to the computerization? What are the advantages of being computerization? All these questions may occur from the public.

The main purpose of this study is to understand the meaning of EPR through literature discussion. This study will not only gather and conclude opinions from different aspects but also redefinition the meaning of the EPR. Besides that, this study will do the comparison between EPR and traditional patient record as well as to have discussions like cost investment of building the EPR structure, the advantages of EPR accomplishment and the investment payback period etc. These issues will be discussed through single case analysis; moreover, the problem that might occur when the EPR is actually being used will be also discussed through single case study to respond and prove the contention of this study.

The pass of Digital Signature in 2001 and the proceeding of National Health Insurance IC Card in 2003 have made the public get to know how to utilize related sources and technical information such as HL7, PACS and DICOM etc. Every hospital can construct a simulation EPR sharing information model to cut down the repeating medical waste and cost. For doctors, they can utilize this sharing information to diagnose and cure the patient efficiently. The saving cost from above can be used in health care and protection to really accomplish the well-saying “pre-protection is always better than after remedy.”

並列關鍵字

effect analysis ； information sharing ； electronic patient record

參考文獻

[17] 郝宏恕，「從病患安全到全面醫療品質管理」，第三屆第一次會員大會暨學術研討會，台灣醫務管理學會主辦，2003.04。

[25] 陳宏一、林峰輝、劉文雄、林定凱，「公立醫院商店街整體外包過程與效益之個案探討」，醫務管理期刊，第3卷，第2期，第1-10頁，2002.06。

[3] 王炳龍、郁慕明、徐淑芬、張正二、戴蘭棋，「寬頻網路在醫療世界之應用與趨勢」，醫務管理期刊，第1卷，第1期，第42-56頁，2000.09。

[34] 賴俊澤，「二代醫療網之健保IC卡安全作業之研究」，國立成功大學工程科學系，碩士論文，2001

[35] 關宇，「整合HL7/XML與XSL對電子病歷之轉換」，成功大學工程科學研究所，碩士論文，2002.06。