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研究生:郭柏基
論文名稱:以主從價購支援社區之醫療監管系統
論文名稱(外文):Community Medical Care Monitoring System by Client/Server architecture
指導教授:陳澤生陳澤生引用關係
學位類別:碩士
校院名稱:國立成功大學
系所名稱:工程科學研究所
學門:工程學門
學類:綜合工程學類
論文種類:學術論文
論文出版年:1997
畢業學年度:85
語文別:中文
論文頁數:128
中文關鍵詞:主從價購醫療監管系統
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慢性病為長期不可治癒而只能控制之疾病,其控制需靠於日常生活中融入照護行為並在醫師指示下服用藥物及定期就醫。此外,病患於定期就醫時,醫師需掌握病患之生理指標,以為調整藥物之基準,若僅於當次就診所測或以前次所測之數據作為調整的依據,則其客觀性令人質疑。是以個案若能於居家測得之連續數據提供予醫師參考或此數據可透過傳輸系統輸入醫院電腦系統,供醫師於就診時參考,將使醫師與病人之合作性增加,各司其職於慢性病之控制,則對慢性病患者保持健康狀況將可大獲改善。
  本研究主要是利用電腦主從架構(Client/Server Architecture)研究一套可行的社區慢性病人監控管理系統。針對社區慢性病人自行或就近測量其身體些許健康相關數據,然後再應用這套系統,把健康資料經由三種監控模式(1)居家量測結合電話語音(2)藉助量測結合電話語音(3)居家量測結合電腦網頁網路,傳送至醫院之資料庫檔案伺服器中,使得醫師可以隨時監測慢性病患者之健康情形,加強對社區慢性病患者之診斷資訊便利性,強化社區對慢性病患者醫治之實質效率。
  本研究概分為三大部份:慢性病資料庫檔案伺服器、慢性病WWW網站伺服網路及慢性病電話語音服務系統。從慢性病人所量測得到的數據,可透過WWW網站伺服網路或電話語音服務系統輸入到資料庫檔案伺服器中儲存,而醫師可經由醫護端程式透過電腦網路取得資料庫中其所屬慢性病人之照會資料以供參考,進而能更確切地掌握病人的病情,做出適當的處理。
  在此擬以患高血壓的慢性病人作為合作對象,並與成大醫院相關醫護人員共同合作進行之。最後將討論把本研究擴大到支援社區醫藥分業業務的範圍,進而實現政府正大力推動中的社區醫療網路系統之雛形。


  The chronic disease usually can not be cured well but controlling. It can only be controlled by the daily care activity, regular diagnosis and dosage under the physician's instructions. Besides it, doctors must keep the patient's symptom and health care condition as the basis of prescription. It is doubt and unjustifiable that if a doctor's diagnosis for a chronic disease patient by merely measuring few data at present or past. Therefore, if we can provide the home-care measured patient data to doctor's computer for making decision add by communication system, the cooperation relationship between doctors and patients will be increased and valued. Finally, the chronic disease controlling will be getting better from the individual effort.
  This research tries to find a capable model for monitoring and managing the chronic patients of community by using client/server computer architecture. It is emphasized on the chronic patients of community by collecting their related health care data which were measured by themselves locally. The designed system can accept the measured patient information and store them into the database file server at hospital site by three communication devices. There are three operation models including (1) Measure at home and telephone transmission, (2) Measure via helping and telephone transmission, and (3) Measure at home and computer homepage networking. Running the system, doctors and practicians can take care the chronic patient to improve the health care services and obtain a higher efficiency of curing results.
  This research is divided into three parts: chronic disease database file server, chronic disease WWW web site service network and chornic disease telephone voice service system. We can use WWW web site service network or telephone voice service system to stoore the measured numerical data from the home care of chronic patient into the database file server. Doctors can get and review their new information from nursing program by internet communication device. Furthermore, we can control patient's symptom condition more correctly and make suitable handling.
  This research is excepted to cooperate with the relative physicians and nurses of the National Cheng Kung University Hospital to those patients who has high blood pressure disease. From the networking experience, we hope to expand the research model to support the medicine and pharmacy division operation at community care. Furthermore, we will realize and install a prototype model of the community medical network system.

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