Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan.
Telemed J E Health. 2012 Oct;18(8):596-603. doi: 10.1089/tmj.2011.0267.
Telehealthcare has been used to provide healthcare service, and information technology infrastructure appears to be essential while providing telehealthcare service. Insufficiencies have been identified, such as lack of integration, need of accommodation of diverse biometric sensors, and accessing diverse networks as different houses have varying facilities, which challenge the promotion of telehealthcare. This study designs an information technology framework to strengthen telehealthcare delivery.
The proposed framework consists of a system architecture design and a network transmission design. The aim of the framework is to integrate data from existing information systems, to adopt medical informatics standards, to integrate diverse biometric sensors, and to provide different data transmission networks to support a patient's house network despite the facilities. The proposed framework has been evaluated with a case study of two telehealthcare programs, with and without the adoption of the framework.
The proposed framework facilitates the functionality of the program and enables steady patient enrollments. The overall patient participations are increased, and the patient outcomes appear positive. The attitudes toward the service and self-improvement also are positive.
The findings of this study add up to the construction of a telehealthcare system. Implementing the proposed framework further assists the functionality of the service and enhances the availability of the service and patient acceptances.
远程医疗已被用于提供医疗服务,而信息技术基础设施在提供远程医疗服务时似乎是必不可少的。已经发现了一些不足之处,例如缺乏集成、需要适应各种生物识别传感器,以及访问各种网络,因为不同的家庭有不同的设施,这给远程医疗的推广带来了挑战。本研究设计了一个信息技术框架,以加强远程医疗服务。
所提出的框架由系统架构设计和网络传输设计组成。该框架的目的是整合来自现有信息系统的数据,采用医学信息学标准,整合各种生物识别传感器,并提供不同的数据传输网络,以支持患者家庭网络的设施,尽管设施不同。该框架已经通过对两个远程医疗计划的案例研究进行了评估,一个采用了该框架,另一个没有采用该框架。
所提出的框架促进了该计划的功能,并实现了稳定的患者注册。总体上增加了患者的参与度,患者的结果似乎是积极的。对服务的态度和自我提升也是积极的。
本研究的结果增加了远程医疗系统的建设。实施所提出的框架进一步有助于服务的功能,并提高了服务的可用性和患者的接受度。