Yoo T, Huh B Y, Jeon H, Yun Y H
Department of Family Practice, Seoul National University Hospital.
Stud Health Technol Inform. 1998;52 Pt 1:265-8.
The necessity of home telecare system is growing due to increase in desire for health promotion owing to increase in chronic diseases, aged population and medical expenses. Already, we computerized patient's data and offer periodic health reminder to patients for health promotion by using Life-time Health Monitoring Program (LHMP). Our study connected LHMP to the Web on internet by CGI as an electronic medical record; enabling reference to patient's medical records anywhere. The study also made possible video teleconsultation and constructed multimedia database to provide health-related information to the patients. On these bases, a flow chart was developed using the home telecare to practice manage patients with chronic diseases, old patients, and the handicapped. Further standardization in data, establishment of law bases for home telecare system, development of rules for medical fees and active utilization of biomedical telemetry will be needed to extend home telecare system.
由于慢性病、老年人口及医疗费用的增加，人们对健康促进的需求不断增长，家庭远程护理系统的必要性也日益凸显。我们已经将患者数据计算机化，并通过使用终身健康监测程序（LHMP）为患者提供定期健康提醒以促进健康。我们的研究通过通用网关接口（CGI）将LHMP连接到互联网上作为电子病历，从而使人们能够在任何地方查阅患者的病历。该研究还实现了视频远程会诊，并构建了多媒体数据库以为患者提供健康相关信息。在此基础上，利用家庭远程护理制定了流程图，用于对慢性病患者、老年患者和残疾人进行实践管理。为了扩展家庭远程护理系统，还需要进一步规范数据、建立家庭远程护理系统的法律基础、制定医疗费用规则以及积极利用生物医学遥测技术。
