網際網路視訊醫療資訊系統實務建構與應用之探討

A Study on the Implementation and Application of a Video Remedy System over Internet

10.6382/JIM.200407.0207

龔旭陽(Hsu-Yang Kung)；吳亮諭(Liang-Yuh Wu)；劉佳妮(Chia-Ni Liu)

遠距醫療 ； 醫療資訊系統 ； 視訊醫療系統 ； 網際網路 ； 多媒體串流 ； Telemedicine ； Health Information System HIS ； Video Remedy System ； Internet Communications ； Multimedia Streaming

資訊管理學報

11卷3期（2004 / 07 / 01）

207 - 232

繁體中文

企全民健保制度的實行對於國內醫療產業的經營型態有了革命性的改變，同業間彼此的競爭日趨激烈，若不持續提昇醫院的作業效率與服務品質，將會在此激烈的環境中被淘汰，因此各大小醫院皆急於引進新的資訊科技以輔助醫院的日常營運，更希望藉由醫療資訊系統的使用與功能的提昇，對於以往困擾多時的管理與決策問題能進一步改善，其中善用網際網路與多媒體技術的網際網路遠距醫療，已經是醫療資訊系統設計中重要的一環。本論文針對網際網路遠距醫療系統：(1)根據實現網路視訊化醫療資訊系統技術之關鍵因素，我們設計並實作出“Healthy網際網路視訊醫療資訊系統(Healthy Video Remedy System over Internet，HVRS)”；(2)依系統實作與合作研究之地區性教學醫院實際訪談結果，我們分析並歸納出遠距醫療視訊系統之限制與效益評估。HVRS遠距視訊醫療系統目的在希望能運用網際網路與多媒體技術和資訊，建立一套連結醫療體系並結合營利及服務性質的網際網路視訊醫療系統。HVRS遠距視訊醫療系統功能包括：(1)醫療資訊系統：提供一般醫院一些就診前的程序資訊檢索，包括醫生班表查詢、掛號箏；(2)醫務管理系統：提供管理者在掌控醫院運作所必須的資料，以了解整個醫院的運作狀況與績效，其中包括醫院可以藉由統計系統子功能參考統計結果來進行醫療資源的調整及分配；(3)即時網路視訊系統：醫院醫師和病患可透過影音的即時(Real-Time)傳輸，可觀察病患的病徵與詢問病情，以達到醫療診斷所需要的“望、問、切”之動作，提供即時的醫療徵詢並對症下藥。此外HVRS並提供衛教短片的即時播放以及舉辦影音研討會等功能，希望利用網路多媒體視訊的功能，讓使用者和醫生問的互動更為密切，進而能有效實現網路科技醫療資訊服務之目的。

With the establishment of National Health Insurance Act in Taiwan, it makes great impacts on the supervision of the hospitals since of the strict competition between the same businesses. The hospitals are eager to adopt the new information technology to enhance the operation efficiency and service quality. In addition to having the WWW homepages to exhibit the related information, the professional medicine consultant WWW sites, which provide emerging services including the provision of medicine knowledge, the inquisition of health care, and the discussion of diseases, are more and more popular. However, most of the existing medicine consultant WWW sites don't support face-to-face diagnosis between the doctor and the patients. It makes the patients be difficult to have the accurate treatment. On the other hand, it isn't really deserved to spend lots of time and money for the patients having chronic diseases, such as diabetes and hypertension, to have the face-to-face diagnosis with his/her doctor. In order to achieve the remote remedy for some non-urgent patients, the Telemedicine system, which supports real-time video/audio conferencing via Internet, should be an important application of the Health Information System. In this paper, we proposed and developed the ”Healthy Video Remedy System (HVRS)” over Internet, which provides the powerful and convenient functions for the hospital management and the remote remedy. This proposed HVRS is composed of three major components. (1) The Hospital Information System. This system provides the necessary information for the patients, such as the schedules of the doctors and the processes of the registration. (2) The Hospital Management System. This system provides the completed functions of a hospital management and some statistic data related to the general hospital operations. According to the statistic data, we can improve the hospital operation efficiency and the medicine resource allocation. (3) The Real-Time Internet Video System. This system achieves the real-time transmission of the doctor's and patient's video and audio. According to the patient's video/audio, the doctors can observe the patient's symptoms and more easily diagnose the patient. The real-time Internet Video System also provides the sanitation movies and the real-time video conferencing to the interested people. The proposed and developed ”Healthy Remedy System” provides the necessary management functions for the operations of a hospital and schieves remote real-time multimedia remedy over Internet.

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