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題名:應用健康資訊科技於慢性腎臟病持續性照護之契機與反思
書刊名:護理雜誌
作者:陳俞琪張博論
作者(外文):Chen, Yu-chiChang, Polun
出版日期:2016
卷期:63:2
頁次:頁12-18
主題關鍵詞:健康資訊科技慢性腎臟病持續性照護資訊科技化健康識能eHealthChronic kidney diseaseContinuity careeHealth literacy
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(4) 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:4
  • 共同引用共同引用:9
  • 點閱點閱:10
腎臟病是中老年慢性病常見的合併症,初期症狀不明顯易被忽視,返診間隔長,照護人力不足,追蹤不易,照護工作無法落實,導致慢性腎臟病之高發生率已成為全球的健康問題,因此整合持續性照護服務是防治的關鍵。但如何有效落實是項挑戰,而透過創新的科技設備環境、網路資訊、雲端平台,讓疾病照護不受時空限制,不但增加病患主動參與及照護團隊之合作,也提升照護服務的連續性、可近性與及時性,增進疾病管理之成效,可以為照護困境帶來改變的契機。然而創新資訊科技帶來照護效益,但也可能帶來健康不均等的隱憂。創新科技引領的健康照護體系中,病患能否勝任使用者的角色,以獲取適當的照護服務,關係著病患的健康行為表現,亦影響著照護品質。以病患為中心照護需兼顧效益與人性化,故提升病患資訊科技化健康識能之能力,將是推動健康服務創新與資訊科技化過程中重要課題。
Kidney disease is a common complication of chronic diseases among adult and elderly populations. As early-stage chronic kidney disease (CKD) is asymptomatic, CKD patients are frequently unaware of their condition and fail to implement requisite self-care in a timely fashion. Furthermore, the shortage of case-management manpower and difficulties in follow-up have led to high incidence rates for CKD worldwide. Integrative and continuous care is key to preventing CKD. How to implement this care effectively is a challenge. However, innovative technologies, online information, and cloud technology are increasingly providing access to good-quality healthcare beyond the traditional limitations of time and location. This environment is not only increasing the participation of patients in their care and collaboration among healthcare team members but is also improving the continuity, accessibility, and promptness of care service in order to promote the effectiveness of disease management. While the primary aim of innovative technologies is to make healthcare more cost-effective, it is also causing disparities in healthcare. Within the high-tech e-healthcare system, the ability of patients to utilize these new services relates directly to their health behaviors and quality of care. Thus, emergent e-healthcare system services should be made as patient-centered as possible in order to maximize the benefits in terms of both cost and patient care. Furthermore, improving the eHealth literacy of patients is crucial to promoting innovative technology within healthcare services.
期刊論文
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8.Chen, N.、Hsu, C. C.、Yamagata, K.、Langham, R.(2010)。Challenging chronic kidney disease: Experience from chronic kidney disease prevention programs in Shanghai, Japan, Taiwan and Australia。Nephrology,15(2),31-36。  new window
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13.Kayser, L.、Kushniruk, A.、Osborne, R. H.、Norgaard, O.、Turner, P.(2015)。Enhancing the effectiveness of consumer-focused health information technology systems through eHealth literacy: A framework for understanding users' needs。JMIR Human Factors,2(1),9。  new window
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15.Koh, H. K.、Brach, C.、Harris, L. M.、Parchman, M. L.(2013)。A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care。Health Affairs,32(2),357-367。  new window
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17.Meier, C. A.、Fitzgerald, M. C.、Smith, J. M.(2013)。eHealth: Extending, enhancing, and evolving health care。Annual Review of Biomedical Engineering,15,359-382。  new window
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會議論文
1.Gilstad, H.(2014)。Toward a comprehensive model of eHealth literacy。The 2nd European Workshop on Practical Aspects of Health Informatics。  new window
研究報告
1.資策會FIND/經濟部技術處(2015)。行動族半年激增170萬,熟齡族躍主力族群。  延伸查詢new window
2.衛生福利部。103年度死因統計。  延伸查詢new window
3.賴飛照(2013)。連續性個人化健康照護整合平台 (計畫編號:NSC-101-2219-E-002-024)。臺北市:國立臺灣大學生醫電子與資訊學研究所。  延伸查詢new window
圖書論文
1.United States Renal Data System(2015)。Chapter 13: International comparisons。2015 annual data report。  new window
 
 
 
 
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