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| Title: | 雲端健康資料運用策略之研究-以健康存摺(My Health Bank)創新應用為例
A Study of MediCloud Application Strategies -An Example of the Innovative Application of “My Health Bank” |
| Authors: | 張鈺旋
Chang, Yu-Hsuan |
| Contributors: | 季延平
張鈺旋
Chang, Yu-Hsuan |
| Keywords: | 健康存摺
雲端健康資料
全民健保
資料治理
公私協力
My health bank
Cloud-Health data
National health insarance
Data governance
Public private partnership |
| Date: | 2018 |
| Issue Date: | 2018-08-01 16:28:07 (UTC+8) |
| Abstract: | 我國全民健保成為國人滿意度最高之一的公共政策，如何運用雲端的健保資料提供民眾完整健康資訊，利於國人自我管理健康？而我國醫療與資訊發展具有良好條件，如何有效應用而利於我國雲端健康相關產業發展？這些背景之關鍵，乃於雲端健康資料之運用，本研究即以此為研究動機。因此，本研究以我國健保署對雲端健康資料運用之健康存摺為個案，藉此瞭解運用雲端健康資料的情形、發展、挑戰、效益等，以深入掌握雲端健康資料運用之要項、方向與注意等策略議題。
順應巨量資料(Big data)趨勢的分析與應用，期待健康資料之整合開放，使民眾瞭解個人健康資訊，能夠實現「自我健康管理」，且於看診時可提供醫師即時參考，解決重複就醫情形並兼顧用藥安全問題。因此，除了對個案的探討，本研究亦投入雲端健康資料與各國健康資料管理等文獻探討，以更有利於雲端健康資料運用策略的提出。最後，一則提出雲端健康資料運用策略，並提出健保資料庫豐富完整，其整合開放可促民眾自我健康管理，且有助我國智慧醫療產業發展之結論；二則提出對於雲端健康資料的運用，必須納入多元的社會對話機制並考量個人資料去識別化及資安控管之建議。
Taiwan’s NHI program is one of the public policies that have the highest degree of satisfaction. As NHI develops through time and technology, how to use cloud-health-data to provide complete health information with our people and how to promote health industries development for our country become important issues. The answer to the questions is related to cloud-health-data application strategies that NHIA is now promoting, which is the motivation of this research.
My Health Bank is a case to explore the using situation, challenge, advantages of cloud-health-data. Due to the application and analysis of Big Data, it is expected that the integration and opening of health data will enable the public to understand personal health information and achieve “self-health management”, and provide doctors with instant reference during the visit to solve repeated medical treatment and to ensure drug safety. In addition to the case study of My Health Bank, this research also involves literature review of cloud-health-data management in other countries to build cloud-health-data applicacloud-health-data. In summary, the integration and open of cloud-health-data promote “self-health management” to our people and local health-related industries. Also, the application of cloud-health–data must consider multiple opinion and social dialogue, and further enforce information security and control. |
| Reference: | 一、中文文獻
中央健康保險署.(2018).2107-2018 National Health Insurance Annual Report 全民健康保險年報。
吳仁和等編著.(2015).醫療資訊管理。台北市 : 智勝文化事業有限公司。
Aday, L. A., & Andersen, R. (1974). A Framework for the Study of Access to Medical Care. Health Services Research, 9(3), 208-220.
王復中. (2008) e-Health 2.0發展策略分析：科技政策觀點. 資訊管理研究所, 國立政治大學.
呂宗學, & 蘇慧貞. (2013). 海量資料分析在醫療照護領域的應用. [Big Data Analysis in Medical Care]. 台灣醫學, 17(6), 652-661. doi:10.6320/fjm.2013.17(6).10
林子倫. (2017). 大數據與健康研究之公民參與. [The Citizen Engagement of Big Data and Health Research]. 台灣醫學, 21(1), 54-61. doi:10.6320/fjm.2017.21(1).7
林其樺. (2017). 因應2018年GDPR，歐盟將推資料保護衝擊影響評估. 科技法律透析, 29(6), 6-8.
徐彪豪. (2016). 物聯網時代的資料保護防線－以歐盟GDPR為中心. [Bottom Line of Data Protection in the Time of IoT - Perspectives from EU GDPR]. 科技法律透析, 28(10), 56-71.
莊宇真, & 蔡甫昌. (2018). 健康資料與生物資料庫研究之倫理議題. [Ethical Issues in Health Databases and Biobanks Research]. 台灣醫學, 22(2), 181-191. doi:10.6320/fjm.201803_22(2).0010
麥可‧波特（Michael Porter）.(2006).競爭策略，台北:天下文化公司.
許芳瑜. (2016). 歐盟對於行動健康服務之個人資料隱私保護之發展. [The Development of Personal Data and Privacy Protection of mHealth in European Union]. 科技法律透析, 28(7), 54-71.
陳育群, & 李偉強. (2016). 醫療大數據：健保資料庫之臨床應用與研究. [Examples of Data Analysis and Application Using Taiwan`s National Health Insurance Database in Healthcare]. 台灣醫學, 20(6), 602-608. doi:10.6320/fjm.2016.20(6).6
陳昭妤. (2016). 論人工智慧創作與發明之法律保護－以著作權與專利權權利主體為中心. (碩士), 國立政治大學. Retrieved from http://thesis.lib.nccu.edu.tw/record/#G1033642031%22.
陳豈, & 陳建煒. (2016). 大數據研究之機會與限制. [The Opportunities and Limitations of Big Data in Clinical Research]. 台灣醫學, 20(6), 595-601. doi:10.6320/fjm.2016.20(6).5
陳聰富, & 蔡甫昌. (2017). 大數據應用於醫學研究之法律議題. [The Legal Issues of the Applications of Big Data on Medical Research]. 台灣醫學, 21(1), 34-42. doi:10.6320/fjm.2017.21(1).5
黃瀚萱, & 陳信希. (2016). 醫療大數據及其應用. [Big Health Data and Its Applications]. 台灣醫學, 20(6), 589-594. doi:10.6320/fjm.2016.20(6).4
葉志良. (2016). 大數據應用下個人資料定義的檢討：以我國法院判決為例. [The Adjustment of the Definition of Personal Information in the Age of Big Data: From a Perspective of Court case]. 資訊社會研究(31), 1-33.
董信煌, & 陸曉曦. (2017). 雲端電子病歷使用意圖之探討. [A Study on the Adoption Intention of Cloud Electronic Medical Record]. Electronic Commerce Studies, 15(2), 167-208.
詹士賢, & 沈忠憲. (2013). 健康資料加值應用雲端化服務計畫簡介. [Brief Introduction of Health Data Value-added Applications in Cloud Services]. Journal of Data Analysis, 8(4), 103-125. doi:10.6338/jda.201308_8(4).0006
鄧筑瑄. (2018). 探討健康存摺App之使用意向. 淡江大學. Available from Airiti AiritiLibrary database. (2018年)
鍾孝宇. (2016). 巨量資料與隱私權─個人資料保護機制的再思考. (碩士), 國立政治大學. Retrieved from http://thesis.lib.nccu.edu.tw/record/#G1016510592%22.
韓佩軒. (2016). 應用資料視覺化於開放政府資料之衛生政策決策研究. 成功大學. Available from Airiti AiritiLibrary database. (2016年)
顏如娟, & 許明暉. (2017). 健康大數據研究之資訊安全. [Information Security for Health Big Data]. 台灣醫學, 21(1), 30-33. doi:10.6320/fjm.2017.21(1).4
二、外文文獻
Aday, L. A., & Andersen, R. (1974). A Framework for the Study of Access to Medical Care. Health Services Research, 9(3), 208-220.
Archer,N.,Fevrier-Thomas,U.,Lokker,C.,McKibbon,K.A.,&Straus, S.E.(2011). Personal health records: a scoping review. Journal of the American Medical Informatics Association,18,515-522.
Barry R. Furrow et al.(2001) Health Law: Case, Materials and Problems (4th ed.).
Bennett, R. J., & Krebs, G. (1994), “Local Economic Development Partnerships: An Analysis of Policy Networks in EC-LEDA Local Employment Development Strategies” Regional Studies, 28: pp. 119-140.
Dinver,T.,V.,Xu,H.,D’Atri & Hart,P.(2016).Individual’s attitudes to towards electronic health records-A privacy calculus perspective. Annals of Information System,19,19-50.
Ermakova,E.,Fabian,B.,& Zarnkow,,R(2104).Acceptance of health clouds-a privacy calculus perspective. Proceedings of 22nd ECIS,Tel AVIV,1-13.
Glueck, W. F., Business Policy and Strategic Management , 1980, New York:McGraw-Hill.
Ｈarrison, T.G., Wick, J.,Ahmed,S.B.,Jun,M.,Manns,B.J.,Quinn, R. R., …&Hemmelgarn, B. R.(2015). Patients with chronic kidney disease and their intent to useelectronic personal health records. Canadian Journal of Kidney Health and Disease,2(1),23.
Irwin M. Rosenstock, Ph.D.Irwin M. Rosenstock,“Historical Origins of the Health Belief Model”First Published Dec 1, 1974; pp. 328–335.
Jerden, L.,Weinehall.L.(2004).Does a patient-held health record give rise to lifestyle changes? A study in clinical practice. The Journal of Family Practice,21:651e3.
Lee,B.J.,Forbes,K.(2009).The role of specialists in managing the health of populations with chronic illness:the example of chronic kidney disease. British Medical Journal.339:b2395.
Mohsen, M.O.and Aziz H.A.(2105)The Blue Button Project: Engaging Patients in Healthcare by a Click of a Button. Perspectives in Health Information Management.12:p.1d
Otsuka, S.H.,Tayal,N.H.,Porter,K.,Embi, P.J.,&Beatty,S.J.(2013). Improving herpes zoster vaccination rates through use of a clinical pharmacist and a personal health record. The American Journal of Medicine,126,832-el.
Price WaterhouseCoopers.(2002).HealthCast Tactics: A Blueprint for the Future. The HealthCast 2101 Series
Skelcher, C. M., Loendes, & V. P. Nanton(1996), Community networks in urban regeneration: It all dspends who you know…! Bristol, UK: Policy Press.
Urowitz,S.,Wiljer,D.,Dupak,K.,Kuehner,Z.,Leonard,K.,Lovrics,E.,…&Cafazzo,J.(2012).Improving diabetes management with a patient portal:Qualitative study of a diabetes self-management portal. Journal of Medical Internet Research,14(6).
三、網路資料
行政院全球資訊網-重大政策-中華民國人口政策綱領http://www.ey.gov.tw/Upload/RelFile/26/188147/242614405671.pdf
行政院主計總處網頁資料http://www.dgbas.gov.tw/public/Attachment/533185236FDX2D8F3.pdf
國家發展委員會網頁資料。
https://www.ndc.gov.tw/
衛生福利部網頁資料。
https://www.mohw.gov.tw/mp-1.html
衛生福利部中央健康保險署網頁資料。
https://www.nhi.gov.tw/Default.aspx
網路智慧新台灣政策白皮書－智慧健康照護行動計畫(2015) 。
http://beta.join.gov.tw/book/smart/health.html
謝明彧(2015)。PEST 分析。經理人。2015 年 6 月 15 日。
http://www.managertoday.com.tw/glossary/view/148
Australian Digitital Health Agency,(2016).Benefits of having a My Health Record. 〔cited 2107 July 23〕；Available from:https://www.myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/find-out-benefits.
Australian Digitital Health Agency,(2017).Managing Your My Health Record.〔cited 2107 July 23〕；Available from:https://www.myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/ find-out-more?OpenDocument&cat=Manageing%20your%20My%20Health%20Record
EUROPEAN COMMISSION,(2012) 〔cited 2018 June 3〕Available from:https:// https://ec.europa.eu/digital-single-market/en/news/ehealth-action-plan-2012-2020-innovative-healthcare-21st-century
HealthBank(2016) A disruptive approach to health data’s safety and ownership:healthbank〔cited 2107 July 22〕；Available from:https://www.healthbank.coop/2016/06/09/a- disruptive –approach-to-health-datassafety-and-ownership-healthbank/.
HealthIT.gov.(2014) The Blue Button Pledge: To Empower Individuals to Be Partners in Their Health Through Health IT. 〔cited 2107 July 22〕；Available from:https://www.healthit.gov/patients-families/pledge-info
HHS,(2009),Federal Health IT Programs, The Department of Health and Human Service(HHS), 〔cited 2018 June 3〕Available from:https://www.hhs.gov/about/strategic-plan/index.html
Voinea,A(2015) Stella Creasy calls for a co-operative approach to traditional politics. 〔cited 2107 July 23〕；Available from: https://www.thenews.coop/97982/topic/democracy/stella-creasy-calls-co-operative-approach-traditional-politics/
World Health Orgainization,(2004) eHealth〔cited 2018 June 3〕Available from:https://www.who.int/healthacademy/media/en/eHealth_EB-en.pdf
WHO(2000), Long-Term Care Laws in Five Developed Countries : A Review, http://www.who.int/chp/knowledge/publications/ltc_laws_5developed_countries.pdf |
| Description: | 碩士
國立政治大學
經營管理碩士學程(EMBA)
104932186 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0104932186 |
| Data Type: | thesis |
| DOI: | 10.6814/THE.NCCU.EMBA.039.2018.F08 |
| Appears in Collections: | [經營管理碩士學程EMBA] 學位論文
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