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題名:臺北市高血壓個案對遠距健康照護服務接受度之初探
書刊名:醫療資訊雜誌
作者:陳美如陳冠宇江碩儒李俊秀 引用關係余文瑞何清幼
作者(外文):Chen, Mei-juChen, Kuan-yuChiang, Shuo-juLee, Jiun-shiouYu, Ernest WRHo, Chin-yu
出版日期:2011
卷期:20:2
頁次:頁1-13
主題關鍵詞:遠距健康照護居家血壓量測客服人員衛教TelehealthHypertension self monitorTelephone health education
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:10
  • 點閱點閱:10
【目的】臺北市政府“市民健康生活照護服務”,發展創新之科技化照護服務,提供民眾健康評估、生理量測線上傳送監測、健康諮詢、主動的健康關懷、衛教指導、醫療協助、社福轉介等,欲建立社區民眾完整的健康管理服務模型。本研究之目的在了解臺北市居家型、社區型和機構型三類高血壓個案對於臺北市政府“市民健康生活照護服務”之接受度探討,了解其對使用此服務系統接受度之重要因素,作為日後服務模型修正與系統發展改善之參考。【方法】本研究為橫斷式調查研究,採立意取樣與電話問卷調查方法,選取自99年開始使用參與臺北市遠距健康照護計畫之居家型個案100位、社區型個案200位和機構型負責人100位,並於99年5月1日至30日期間以受訓後之專業客服人員執行電話調查。依科技接受模式為基礎進行問卷設計,內容包含三構面:認知易用性、認知有用性與遠距健康照護服務接受度,進行分析。【結果】社區型與居家型組內對於三個構面有九成以上滿意度。機構型組內在自覺易用性方面,對於在設備操作便利性與量測設備整體滿意度方面滿意度大約八成,而儀器故障次數方面滿意度,僅達七成左右。自覺有用性方面,對於覺得能改善自我生活習慣方面、可增加生活照護的知識能力、減少擔憂身體健康狀況與可增加與醫師或其他醫療人員的互動方面,機構型組內大約八成五左右滿意度。【建議】後續在系統的建置與服務模型的發展上,思考趨向於個人化與需求性評估的建構,建置決策支援系統給予照護者與使用者更進一步的適切的協助,達到健康照護“在地化”及“社區化”的目標。
Purpose: Taipei Citizen Telehealth Care Service Model was the community-base innovative technology care service established for providing health education, physiological measurements monitoring, medical education and assistance, and social welfare referral. This study aims to understand the acceptance and the associated factors among the various service type (home, community and institute) in Taipei Citizen Telehealth Care Service Model. Based on the result, the services model should meet the needs of the citizens in the future. Methods: This study was a cross-section telephone survey, the purposive sampling was used. The participants who used the service over three times were selected since 2010. The 100 home-based type participates, 200 community-based participates, and 100 institution-based type participates were asked by trained telephone service staffs in 2010 May. The questionnaires were based on the technology acceptance model. There were three facets: perceived usefulness, perceived easiness, and service satisfactions. Results: There were 90% satisfactions on the perceived usefulness, perceived easiness, and service satisfactions facets among the community-based and home-based type participants. However, in the convenience of the equipment operation, the whole devices service satisfaction and the equipment dysfunction constructs, the institution-based type users had about 80% and 70% satisfactions, respectively. As for the perceived usefulness, in the constructs of perceiving to improve the life style habits, to improve the ability of healthcare knowledge, to less the worries about the physical conditions and increasing interaction between the users and physician or/other medical personnel, the institution-based type users had about 85% satisfactions. Conclusion: The telehealth care service impacts on the patient—provider relationship and the design for special users are needed to be further explored. Establishing a decision support system for caregivers and users to provide further assistances to achieve local-based, community-based health care should be considered.
期刊論文
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2.Hajjar, I.、Kotchen, T. A.(2003)。Trends in Prevalence, Awareness, Treatment, and Control of Hypertension in the United States, 1988-2000。Journal of the American Medical Association,290(2),199-206。  new window
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4.Fields, L. E.、Burt, V. L.、Cutler, J. A.、Hughes, J.、Roccella, E. J.、Sorlie, P.(2004)。The burden of adult hypertension in the United States 1999 to 2000: a rising tide。Hypertension,44(4),398-404。  new window
5.Khan, N.、Chockalingam, A.、Campbell, N. R.(2002)。Lack of control of high blood pressure and treatment recommendations in Canada。Can J Cardiol,18(6),657-661。  new window
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7.Lloyd-Jones, D. M.、Evans, J. C.、Levy, D.(2005)。Hypertension in adults across the age spectrum: current outcomes and control in the community。JAMA,294(4),466-472。  new window
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10.Walsh, J. M.、Sundaram, V.、McDonald, K.、Owens, D. K.、Goldstein, M. K.(2008)。Implementing effectivehypertension quality improvement strategies: barriers and potential solutions。J Clin Hypertens (Greenwich),10(4),311-316。  new window
11.Yu, C.、Yang, J. J.、Chen, J. C.、Liu, C. S.、Chen, C. C.、Lin, M. L.、Lin, C. W.(2009)。The Development and Evaluation of the Citizen Telehealth CareService System: Case Study in Taipei。Conf Proc IEEE Eng Med Biol Soc,2009,6095-6098。  new window
12.Van den Brink, J. L.、Moorman, P. W.、de Boer, M. F.、van Bemmel, J. H.、Pruyn, J. F. A.、Verwoerd, C. D. A.(2003)。An Information System to Support the Care for Head and Neck Cancer Patients。Supportive Care in Cancer,11(7),452-459。  new window
13.Bennett, H.、Laird, K.、Margolius, D.、Ngo, V.、Thom, D. H.、Bodenheimer, T.(2009)。The effectiveness of health coaching, home blood pressure monitoring, and home-titration in controlling hypertension among low-income patients: protocol for a randomized controlled trial。BMC Public Health,2009(9),456。  new window
14.Choudhury, Askar H.、Fisher, Dennis G.、Pearce, Frederick W.、Fenaughty, Andrea M.(2008)。A baseline study of the factors that should be used to measure the effectiveness of telemedicine。Academy of Health Care Management Journal,4(1),1-17。  new window
15.Green, B. B.、Cook, A. J.、Ralston, J. D.、Fishman, P. A.、Catz, S. L.、Carlson, J.、Thompson, R. S.(2008)。Effectiveness of home blood pressure monitoring, Web communication, and pharmacist care on hypertension control: a randomized controlled trial。JAMA,299(24),2857-2867。  new window
16.HOPP, F.、Woodbridge, P.、Subramanian, U.、Copeland, L.、Smith, D.、Lowery, J.(2006)。Outcomes Associated with a Home Care Telehealth Intervention。TELEMEDICINE AND e-HEALTH,12(3),297-307。  new window
17.Stowe, S.、Harding, S.(2010)。Technology applied to geriatric medicine--Telecare, telehealth and telemedicine。European Geriatric Medicine,1(3),193-197。  new window
18.Luo, N.、Koh, W. P.、Ng, W. Y.、Yau, J. W.、Lim, L. K.、Sim, S. S.、Tay, E. G.(2009)。Acceptance of information and communication technologies for healthcare delivery: a SingHealth Polyclinics study。Ann Acad Med Singapore,38(6),529-8。  new window
19.Ryan, P.、Kobb, R.、Hilsen, P.(2003)。Making the right connection: matching patients to technology。Telemed J E Health,9(1),81-88。  new window
20.Coyle, M. K.、Duffy, J. R.、Martin, E. M.(2007)。Teaching/learning health promoting behaviors through telehealth。Nursing Education Perspectives,28(1),18-23。  new window
21.Glynn, L. G.、Murphy, A. W.、Smith, S. M.、Schroeder, K.、Fahey, T.(2010)。Interventions used to improve control of blood pressure in patients with hypertension。Cochrane Database Syst Rev,17(3)。  new window
22.Feldman, Penny H.、McDonald, Margaret V.、Mongoven, Jennifer M.、Peng, Timothy R.、Gerber, Linda M.、Pezzin, Liliana E.(2009)。Home-Based Blood Pressure Interventions for Blacks。Circ Cardiovasc Qual Outcomes,2(3),241-248。  new window
23.楊文旗、何定為、黃崇仁、龔知安(20080600)。遠距照護計畫成果與展望。電腦與通訊,124,35-38。  延伸查詢new window
24.張嘉秀、李世代(2007)。長期照護資訊發展面面觀。長期照護雜誌,11(4),331-344。  延伸查詢new window
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26.Boulware, L. E.、Daumit, G. L.、Frick, K. D.、Minkovitz, C. S.、Lawrence, R. S.、Powe, N. R.(2001)。An evidence-based review of patient-centered behavioral interventions for hypertension。American Journal of Preventive Medicine,21(3),221-232。  new window
27.何定為、賴才雅(20080800)。衛生署遠距照護試辦計畫服務架構介紹。護理雜誌,55(4),17-23。new window  延伸查詢new window
28.Chobanian, A. V.、Bakris, G. L.、Black, H. R.、Cushman, W. C.、Green, L. A.、Izzo, J. L. Jr.、Roccella, E. J.(2003)。The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report。Journal of the American Medical Association,289(19),2560-2572。  new window
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學位論文
1.周春珍(2009)。參與遠距照護長者生活品質及其對科技使用接受度之研究(碩士論文)。國立台北護理學院。  延伸查詢new window
2.洪麗玲(2008)。遠距照護系統應用於高血壓患者自我管理行為之探討(碩士論文)。弘光科技大學。  延伸查詢new window
3.林欣音(2009)。影響社區式遠距照護藥事安全服務使用之相關因素探討(碩士論文)。臺北醫學大學。  延伸查詢new window
4.彭惠臻(2009)。社區榮民健康相關生活品質與遠距離健康照護之研究(碩士論文)。元智大學。  延伸查詢new window
5.沈家琳(2010)。遠距照護服務系統建置、評估及成本效益分析之研究(碩士論文)。國立台北護理學院。  延伸查詢new window
圖書
1.Department of Health(2005)。Building Telecare in England。London:Department of Health, Older People and Disability Division。  new window
其他
1.陳建仁,行政院衛生署國民健康局(2010)。台灣地區高血壓、高血糖、高血脂追蹤調查報告,http://www.doh.gov.tw/CHT2006/DM/SEARCH_RESULT.aspx。  延伸查詢new window
2.行政院衛生署(2010)。遠距健康照護服務發展計畫專案辦公室揭牌暨成果發表會,http://doh.telecare.com.tw/ActivityContent.aspx?SequenceNumber=60。  延伸查詢new window
 
 
 
 
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