應用知識管理於個人健康記錄系統

A Personal Health Record System using Knowledge Management

王世羽(Wang Shih-Yu)

指導教授 ： 林志豪

亞洲大學/資訊學院/資訊多媒體應用學系碩士班/碩士(2010年)

摘要

醫療照護需要醫護人員提供完善的醫療行為與病患積極的參與。現今社會整體知識水準不斷提高，隨著國民知識水準的提升，社會大眾對醫療品質的要求日益增加，為了達到良好的醫療照護，需要醫病之間的良好互動。但醫療服務提供者往往會比病患了解醫療市場，或擁有更多的醫療訊息，包括各種可能的治療方式及預期療效和產生的副作用等，因此醫病關係長久以來產生資訊不對稱現象。且國內目前家庭醫師制度未普及，分散於各院所就醫使個人健康資訊不集中，所能獲取的健康知能的管道分散，民眾無法獲得整體性、持續性及方便性的健康照護與衛生教育。本研究以知識管理流程導入建立個人健康記錄系統，由病患管理自身健康，從實作中獲取知識的回饋，以提升健康知能。
本研究利用建立一個個人健康紀錄知識平台儲存病史可網路存取過敏、用藥、病史、和治療等資訊。經由知識管理流程，個人管理蒐集建康記錄，以本體論工程的形式建立知識架構，利用資訊技術控制資源描述框架等XML形式文件描述知識，儲存於知識庫中進行知識交流與利用。經由長久熟悉與管理自身病史提升病患健康知能，將醫療照護從一種醫囑、指令，朝醫病雙向協同、理解的服務本質調整。

關鍵字

個人健康記錄 ； 知識管理 ； 健康資訊交換第七層協定 ； 本體論 ； 健康知能

並列摘要

Health care needs medical staff to provide medical behavior and active participation of patient. People pay attention on the quality of medical care. In order to get good medical care, need good interaction between physicians and patients. But health care providers understand than the patients in the medical domain. This phenomenon is known as medical information asymmetry. Family physician system is not currently popular. People can not get integrity, sustainability and convenience of health care and health education. Health information what distributed in different hospital make health knowledge is decentralized. This research follows the knowledge management process to build system. User manages own health record. Learning from doing. Hope to improve health literacy. We build a knowledge platform for storing personal health record history on network. It store allergies, medication history and treatment information. In the knowledge management process what system using. User will collect and manage our health records. Knowledge structure is build by ontology engineering. Describing the knowledge is controlled by resource description framework (RDF), it stored in the knowledge base. Knowledge can exchange and utilization. User manage own personal health record to enhance patient health literacy. It is to be hoped medical care can be changed a doctor's advice and instruction to Service of collaboration and understanding.

並列關鍵字

PHR ； Knowledge management ； HL7 ； Ontology ； Health literacy

參考文獻

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