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題名:RFID導入長期照護機構失智老人之照護計畫及其績效評估之個案研究
書刊名:商業現代化學刊
作者:賴美嬌蔡武德林億雄
作者(外文):Lai, Mei-chiaoTsay, Wu-derLin, Yi-hsiung
出版日期:2011
卷期:6:1
頁次:頁149-169
主題關鍵詞:失智症失智量表RFID安全照護系統績效評估系統DementiaRadio frequency identificationRFIDIndoor monitoring system with RFIDOrganizational performance
原始連結:連回原系統網址new window
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人口結構老化以及與日遽增的照護需求,可謂當前各國一致面臨之重大問題。根據統計結果,台灣地區失智老年人的盛行率約在3%-4%之間,因此估計台灣約有九萬名失智老人,不過,到民國94年底,實際領有身心障礙手冊的失智症患者只有18,228人。過去若要評估失智症,需到醫院經由受過專業訓練的人員進行評估,評估量表大多為紙本表單,而評量結果需經過複雜的評分法則由人工進行計算,並且缺乏一共通的資訊平台可以作為資料交叉分析以及教育訓練之用,在國外已有相關的失智症分數評估系統,但在國內目前仍缺乏類似的評估系統。本研究設計研發一個e化失智量表評估系統,主要目的是將傳統紙本評估量表電子化,讓醫療從業人員於輸入完評估項目後,系統能立即回饋相關的評估分數給施測者及其家屬,作為失智症嚴重程度的參考;其次建置RFID之安全照護系統:室內型安全照護系統進行老人的安全監控,可以避免獨自離開機構或進入危險區成而發生走失來危及安全,達到長照機構、病患及家屬三贏之局面;最後規劃一個績效評估系統,評估失智量表評估系統、RFID之安全照護系統導入後,長照機構之員工、顧客、流程及財務績效為何,作為改善之依據。實施結果經由成對樣本統計分析發現個案機構導入e化結構式失智評量系統及RFTD監測系統使用前後在長照機構之顧客、流程、財務及員工績效上均有統計上之差異存在,其中顧客績效前後改變最大、員工學習成長績效次之、流程績效第三,而財務績效改變最少。
In Taiwan, the average age is increasing from 75 years old of 1999 to 78.38 years old of 2007, there are 3.38 years increased within 8 years' the increasing rate of average age is 0.45 years. In the meantime, the born rate is decreasing from 1.289% of 1999 to 0.892 % of 2007, the low born rate have accelerated the formation of aging population society. The population aging makes the increasing seriousness of problems, and the first among these is the deterioration of health and mental function that occurs as people age.In general, about 75% of the elderly have one or more chronic diseases, of which dementia is one of the most common. Dementia is hard to detect in early days and may be missed the best curing time. Research on elderly persons with dementia recently carried out in Taiwan has found that the incidence of dementia among the elderly is about 4%. Problems specific to dementia include memory impairments, behavioral problems, other mental symptoms, and patients' inability to take care of themselves.Firstly, the study set up a Dementia Rating System' the system provides caregiver organizations with long-term health assessments for their elderly patients, enabling them to have a suitable care plan for patients with dementia by tracking trends in their physical and mental deterioration. Secondly, the study established a Indoor Monitoring System with Radio Frequency Identification (RFID), it monitored and avoided the elderly to stay alone' prevented them from leaving a facility unattended or entering hazardous areas as well. Finally, after the two systems have been set up, a performance evaluation system had been organized to assess whether the performance increased after two systems been implemented. A pair-T test was performed to investigate whether the establishment of the system impacted on the organizational performance.The results indicated that the dementia rating system and indoor monitoring system with RFID were effective systems to monitor the elders with dementia and avoid them to stay alone, prevented them from leaving a facility unattended or entering hazardous areas as well. The results of pair T-test also showed that there were statistically significant differences in four areas of organizational performance after the implementation of dementia rating system and indoor monitoring system with RFID. Among them the customer outcomes had higher T value than employees, process and financial outcomes The results figured out that 也e implementation of this informational system had significantly impacted on organizational performance, especially customer outcomes.
期刊論文
1.李建勳(2007)。老年人輕度認知功能障礙及早期失智症。高醫醫訊,27(5)。  延伸查詢new window
2.于漱、吳淑瓊、楊桂鳳(20030900)。失智症患者的長期照護服務模式。長期照護雜誌,7(3),251-264。  延伸查詢new window
3.劉景寬、戴志達、林瑞泰、賴秋蓮(20000900)。臺灣失智症的流行病學。應用心理研究,7,157-169。new window  延伸查詢new window
4.陳榮基(2004)。憶不容遲--世界失智症曰。健康世界,225,3。  延伸查詢new window
5.Kaplan, R. S.、Norton, D. P.(1996)。Using the balanced scorecard as strategic management system。Harvard Business Review,(January/February),75-78。  new window
會議論文
1.黃興進、彭振興、連俊瑋(2000)。國内發展PACS之回顧與展望170-176。  延伸查詢new window
2.Harald, V.(2002)。Efficient object identification with passive RFID tags。Zurich。98-113。  new window
研究報告
1.内政部(2007)。身心障礙人數按成因分。  延伸查詢new window
學位論文
1.呂柏冠(2007)。長期照護整合服務系統以失智老人照護服務為例。長庚大學。  延伸查詢new window
2.林秉曄(2006)。無線健康整合服務系統應用於失智老人之照護。長庚大學。  延伸查詢new window
圖書
1.李秉穎(2003)。別怕SARS--28個抗煞觀念。台北市:天下文化出版社。  延伸查詢new window
其他
1.内政部統計處(2005)。94年老人狀況調查,http://www.moi.gov.tw/stat/。  延伸查詢new window
2.内政部統計處(2008)。戶籍人口統計年報,http://www.moi.gov.tw/stat/。  延伸查詢new window
3.行政院經建會人力規劃處(2006)。中華民國台灣95年至140年人口推計,http://www.cepd.gov.tw/index.jsp。  延伸查詢new window
4.行政院經建會人力規劃處。中華民國台灣民國93年至140年人口推計,http://www.cepd.gov.tw/index.jsp, 20081121。  延伸查詢new window
5.内政部。内政部統計年報--簡易生命表,http://www.moi.gov.tw/stat/, 20081121。  延伸查詢new window
6.中華民國老人福利推動聯盟。失蹤者通報協尋與尋獲人數,http://www.oldpeople.org.tw/, 20081121。  延伸查詢new window
7.日本總務廳統計局(2007)。世界人口統計於2007,http://www.stat.go.jp/。  延伸查詢new window
 
 
 
 
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