Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Comput Methods Programs Biomed. 2010 Mar;97(3):286-92. doi: 10.1016/j.cmpb.2009.12.008. Epub 2010 Jan 22.
The aging population is a global phenomenon. The skyrocketing costs of healthcare and the shortage of healthcare providers will soon become a crucial issue all over the world. Taiwan's government executed the Taiwan's Telehealth Pilot Project (TTPP) from July 1, 2008 to December 31, 2008, using healthcare information technology to tackle these problems. The system has three different models, the home-care, the community-care, and the residential-care model to assist the elderly in the pursuit of better healthcare and improved quality of life. The results revealed both the home-care and community-care models facilitated timely medical responses if the enrolled patients had emergent conditions. In the home-care model, the hospital readmission rate was reduced from 8.19% to 3.17%, and the hospital visit rate was decreased from 2.95% to 2.90%. In community-care model, the medication nonadherence rate was reduced from 38.20% to 9.20%. In the residential-care model, reduced rates of readmission to the hospital, nosocomial infection and the adverse drug event were found. Telehealth enabled the aged with chronic illnesses to live independently and helped the institutionalized elderly get acute care more efficiently without increased manpower of healthcare organization.
人口老龄化是一个全球性现象。医疗保健成本的飙升和医疗保健提供者的短缺将很快成为全世界的一个关键问题。台湾政府于 2008 年 7 月 1 日至 2008 年 12 月 31 日执行了台湾远距医疗先导计划（TTPP），利用医疗信息技术来解决这些问题。该系统有三种不同的模式，即居家照护、社区照护和安养机构照护模式，以帮助老年人追求更好的医疗保健和提高生活质量。结果表明，如果参与计划的患者出现紧急情况，家庭护理和社区护理模式都能及时做出医疗响应。在居家照护模式中，医院再入院率从 8.19%降至 3.17%，医院就诊率从 2.95%降至 2.90%。在社区护理模式中，药物不依从率从 38.20%降至 9.20%。在安养机构照护模式中，住院、院内感染和药物不良事件的减少率也有所发现。远距医疗使患有慢性病的老年人能够独立生活，并帮助机构化的老年人更有效地获得急性护理，而无需增加医疗保健组织的人力。
