[[alternative]]A Study of Developing an Innovative Long-Term Care System Using Web Applications

[[abstract]]隨著資訊科技的發展與網際網路的普及，行動裝置在醫療領域上的應用也越來越廣泛。高齡化社會的來臨同時也提高了長期照顧的需求，目前市面上較少與 長期照顧系統相關的研究，建立一套具可移植性及可攜性且通用於各個長期照顧單位的系統，一方面可讓系統於不同的長期照顧單位使用，另一方面則可以套用在各種不同的行動裝置上，並且能大幅度降低開發成本與負擔。本研究以長期照顧為主要研究方向，並以遠距照護系統與居家訪視系統的開發經驗為基準，首先探討長期照顧的相關內容、國內外目前關於長期照顧相關資訊系統與行動通訊於醫療領域之研究。使用模組化的方式與網頁應用程式等技術建置一套應用於長期照顧單位的系統雛形，研究首先開發四種供表單建置時使用的基本元件，並利用此元件進行系統雛型的開發，系統以天主教花蓮教區醫療財團法人台東聖母醫院的長期照顧服務項目設計系統架構，將其大量紙本表單利用元件的方式轉換成電子表單，並利用離線網頁應用程式之技術支援部分功能的離線使用。研究結果顯示以模組化的方式開發系統可減少程式碼的複雜度，並透過使用者評估發現可減少系統的開發時間、提高系統可維護性，利於系統的快速擴散，研究最後分享系統實作經驗並作為後續發展相關系統之參考。[[abstract]]With the development of information and computer network technologies, mobile devices for healthcare applications have become popular. An aging society has resulted in an increasing demand for long-term care. In recent years, there have been a few researches conducted on long-term care system. The objective of this study is to develop a long-term care system with portability which can be used in any long-term care institutions and carried out in any kind of mobile devices.In this study, we introduced our experience in developing telecare and home-visiting system. First, we analyzed the knowledge of long-term care and surveyed the domestic and international literature of relative systems. We used a modular design and web application technique to implement a long-term care system prototype. We built four kind of basic components for establishing the whole system. The structure of system was based on the long-term care items of Taitung St. Mary’s Hospital, and transferred the paper based medical records into electronic. Moreover, the innovative design of offline functions may solve the problems of unstable Internet environment.The results showed that users who applied the modular method in establishing the system could reduce development time and increase design extensibility. Finally, we shared our design process and experience for further research references