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題 名 | 臺大醫院北護分院居家照護使用行動裝置系統情形=The Development of a Portable Home Nursing Service System at the National Taiwan University Hospital Bei-Hu Branch |
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作 者 | 陳佩琦; 王素琴; | 書刊名 | 長期照護雜誌 |
卷 期 | 16:3 2012.12[民101.12] |
頁 次 | 頁251-256 |
分類號 | 429.5 |
關鍵詞 | 居家護理; 行動式裝置; 健康保險; Home nursing; Portable device; National health insurance; |
語 文 | 中文(Chinese) |
中文摘要 | 自1995年3月全民健康保險居家照護作業要點實施後,居家照護納入全民健保給付範圍。而2008年全民健保居家照護作業規範修定,去除紙本病歷而改由健保IC卡登錄上傳,其目標達成率為90%以上案例需以健保卡登錄並於24小時內完成健保資料上傳作業。本報告之目的在於分享臺大醫院北護分院居家護理部門(以下簡稱本機構)建構行動裝置系統(或手持式裝置系統)過程及初步結果,以作為同業及政府部門擬定政策之參考。本機構建構手持式居家護理裝置系統之目的有二:(1)降低非直接照護時間及提升個案管理效能;(2)個案健保IC卡登錄及上傳以符合全民健保作業規範,正確上傳個案健保資料。本機構服務量於2011年總服務案數為952人,總家訪次數為7,651人次。機構內有護理師9名。2010年居家照護系統網路版開發完成,自2011年4月執行健保卡登錄及上傳作業至今。作業效能方面,本機構在2012年8月前符合健保居家護理資料上傳規範者皆為0%,自2012年9月始皆符合健保規範,逾24小時上傳筆數≦10%,上傳少於申報≦10%。檢討行動裝置系統使用情況,困難點為:(1)網路傳輸不穩定;(2)網路連線品質不佳,即使使用中華電信3G網卡亦常常有連不上線的困擾;(3)行動設備的費用成本與重量負擔;(4)個案家訪行程受影響;(5)人力成本增加。建議未來能開發離線版的行動式居家照護系統;選擇更為輕薄穩定的行動系統與網路服務;並建議在軟硬體配合前,中央健康保險局可考量上傳率達成數的調整。 |
英文摘要 | Home nursing care payment is included in the national health insurance (NHI) plan since March 1995. In 2008, the NHI revised its regulation on home care and regulated that more than 90% of all home cases be uploaded to the national health insurance web system within 24 hours of services. The purpose of this report is to share the experience of the home nursing services in developing a portable home nursing service system at the National Taiwan University Hospital Bei-Hu Branch. The institutions constructed a portable home nursing service system for two purposes: (1) to reduce the non-direct care time and enhance the effectiveness of case management; (2) to fulfill the requirement that more than 90% of NHI cases information be uploaded with 24 hours to comply with the NHI job specification. The volume of services of the agency in 2011 was a total service case number of 952, for a total of 7,651 home visits. A total of 9 nurses worked full time in the institution. In 2010, the agency completed the development of the portable device system, and the system was tested in the field since April, 2011. The results since implementation of the portable system was 0% success rate (data upload with 24 hours) until August 2012. Since the beginning of September 2012, cases that were uploaded later than 24 hours were less than ≦ 10%.Difficulties encountered during the development and implementation of the system are: (1) unstable network transmission; (2) the quality of the network connection is poor even with China Telecom 3G network card; (3) burden of the additional cost and weight of the portable system; (4) delay of home visit schedule; (5) increase in manpower costs. It is recommended that an offline version of the portable home nursing care system be developed, and to choose a slimmer mobile system and more stable and speedy network services. Furthermore, the Bureau of National Health Insurance might consider relaxing the standard of charts upload until the hardware and software both supports the service. |
本系統中英文摘要資訊取自各篇刊載內容。