行動社區醫療資訊系統

1. 行動社區醫療資訊系統 • 中文摘要 • 社區醫學(Community Medicine)的理念，約於1920-1940年代起興起。隨著時代的變遷，健康政策逐漸朝向新公共健康觀念的發展，即由單純疾病治療醫學轉變為以預防醫學為主。長期照護服務的型態可分為居家式、社區式及機構式照護三大類型，而社區醫療是以推動社區健康為基礎，以社區民眾為主體，達到週全性照顧為目標，屬於長期照護型態的社區式照護模式。 • 本研究之目的在於整合應用社區醫療與行動醫療資訊服務兩方面，在行動醫療資訊服務方面，本系統以Context-Aware 為原則設計行動社區醫療資訊系統之User Interface。為求繼承了 HTML 強大的超媒體網頁表現能力，並同時擁有XML的擴充性，因而採用XHTML 作為 Markup Language描述社區醫療資訊，並利用UMRL based resource retrieval存取醫療資訊。基於行動無線設備軟、硬體平台各不相同之考量，本研究選擇Platform Independent之Java 2作為發展平台，在Mobile Device 端除了以 MIDP實作外，更提供了Mobile Based Medical Extension，以利行動社區醫療資訊系統開發者易於利用本架構提供服務。 • 在社區醫療方面，行動社區醫療資訊系統將可建立以社區為基礎、以病人為中心之整合醫療服務，確實提供可近性、週全性及持續性之醫療保健照顧。例如個人健康計劃、生命徵象測量、慢性病人用藥時間提醒、慢性病人預約門診時間、地點提醒、嬰幼兒疫苖接種提醒、糖尿病患者血糖監測、胰島素注射提醒、居家照護、檢查、檢驗時間提醒，行動社區醫療資訊系統不但可以增進民眾身心健康，減少疾病發生，更可以合理控制醫療費用成長，提供完整、連續性之醫療護理服務。

2. Mobile Community Medicine Information System • 英文摘要 • The concept of Community Medicine emerged between 1920 and 1940. With the change of times, health policies gradually evolved into the development of new public health concepts, which focus on preventive medicine instead of therapeutic medicine. Long-term medical care service can be divided into three major categories — home-based, community-based and institution-based — among these, community medicine is the basis for promoting community health. It is aimed at the people in the community, and its objective it to provide thorough medical care. community medicine is a long-term-care community service。 • The objectives of this project lie in community medicine and mobile medicine information service. The user interface of mobile medicine information service is designed in accord with the Context-Aware principle. Since HTML is well known as a language of powerful hypermedia, we adopt XHTML as the markup language to describe community medicine information so as to make full use of the capability of HTML as well as the portability of XML, while UMRL based resource retrieval is used to access medical information. Take into account the variances in the software and hardware platforms of mobile system, we choose Java 2 as a Platform-Independent environment to develop our system. The mobile device is implemented in MIDP. Mobile Based Medical Extension is also provided to facilitate further development of mobile community medicine information system. • In the community medicine aspect, the mobile community medicine information system can be established as a community-oriented and patient-based integrated medical service, which provides closer, complete and continuous medical health care. The services include, for example, individual heath plans, life sign measurements/detection, reminders of medicine administration for chronic disease patients, setting up outpatient service appointments for chronic disease patients, reminder of localities, inoculation reminders for infants, monitoring the blood sugar level of diabetics, insulin injection reminders, home medical care, examinations and reminders of examination dates. A mobile community medicine information system not only improves the public health in general and reduces the occurrence of diseases, but rationally monitors the increase of medical expenses and provides a complete and continuous medical care service.