Jen Wen-Yuan
Graduate School of Social Informatics, National United University, Miao-Li, Taiwan.
Int J Med Inform. 2009 Jun;78(6):425-34. doi: 10.1016/j.ijmedinf.2008.11.002. Epub 2009 Jan 22.
In Taiwan, campus health problems are placing more and more pressure on school-based health centers (SBHCs). Moreover, SBHCs have insufficient resources to actively provide follow-up healthcare for students and faculty found to be overweight, chronically ill, or at high risk. In order to improve the quality of SBHC healthcare, a project was begun to enhance the efficiency of campus healthcare services by employing web-based and cell phone-based services. This project employed the Mobile Automated Medical Alert (MAMA) system, which was designed especially for campus health center use. Before implementing the MAMA system, a focus group of healthcare related staff identified areas in which SBHC healthcare services might be improved by the system and created a questionnaire to measure student and faculty response to the proposed services. Modifications to the MAMA design and service offerings were made based upon these questionnaire results.
After the initial brainstorming session, the MAMA team created a survey instrument that was administered to students and faculty in order to understand their attitudes toward the proposed mobile healthcare services. Two hundred questionnaires were distributed to students and faculty at a private technical college in central Taiwan.
Among the respondents, 100% had cellular phones and used short-text messages. Ninety-five percent of the student respondents and 85% of the faculty respondents agreed that mobile healthcare system would improve the quality of the health care their SBHC was currently providing. Based on these positive survey responses, the MAMA system was implemented.
DISCUSSION/CONCLUSION: The current paper describes the process by which the MAMA team brainstormed proposed services and administered their survey. Survey results and the consequent changes to the MAMA system are discussed. Finally, recommendations are made for MAMA system use and a description is offered of the impact such systems might have on the future of college campus healthcare services.
在台湾，校园健康问题给校内健康中心（SBHCs）带来了越来越大的压力。此外，校内健康中心资源不足，无法为超重、患有慢性病或处于高风险状态的学生和教职员工积极提供后续医疗服务。为了提高校内健康中心的医疗质量，启动了一个项目，通过采用基于网络和手机的服务来提高校园医疗服务的效率。该项目采用了移动自动医疗警报（MAMA）系统，该系统是专门为校园健康中心设计的。在实施MAMA系统之前，一个由医疗相关人员组成的焦点小组确定了该系统可能改善校内健康中心医疗服务的领域，并创建了一份问卷来衡量学生和教职员工对提议服务的反应。根据这些问卷结果对MAMA的设计和服务内容进行了修改。
在最初的头脑风暴会议之后，MAMA团队创建了一份调查问卷，分发给学生和教职员工，以了解他们对提议的移动医疗服务的态度。向台湾中部一所私立技术学院的学生和教职员工发放了200份问卷。
在受访者中，100%拥有手机并使用短信。95%的学生受访者和85%的教职员工受访者认为移动医疗系统将提高他们所在校内健康中心目前提供的医疗服务质量。基于这些积极的调查反馈，MAMA系统得以实施。
讨论/结论：本文描述了MAMA团队提出提议服务并进行调查的过程。讨论了调查结果以及随之对MAMA系统所做的更改。最后，针对MAMA系统的使用提出了建议，并描述了此类系统可能对大学校园医疗服务的未来产生的影响。
