Loading...
|
Please use this identifier to cite or link to this item:
https://nccur.lib.nccu.edu.tw/handle/140.119/78061
|
| Title: | 個人化智慧型健檢決策支援系統 |
| Authors: | 龔文亮 |
| Contributors: | 余千智
龔文亮 |
| Keywords: | 智慧型決策支援系統
個人化健檢
保健醫療 |
| Date: | 2007 |
| Issue Date: | 2015-09-01 16:10:40 (UTC+8) |
| Abstract: | 近年來，產、官、學界逐漸重視民眾健康資訊的管理與應用，加上消費者自主意識的提高，促使醫院加速進行醫療資訊化，以提升醫療品質及效率，同時滿足就醫者對醫療相關資訊與決策支援的需求。此外，網際網路技術的快速發展、健康保健觀念及醫療資訊政策普及化所帶來的影響，也使得提供線上即時、個人化、智慧型的健檢決策支援系統，成為了一個關鍵的研究與實務應用課題。目前大多數的健康檢查中心因主、客觀的限制，只能提供就醫者套餐式健檢組合，供就醫者作為健康檢查參考。依醫者雖可選擇健檢服務客製化模式，就個人需要或喜好增減檢查項目，但仍無法滿足個人化健檢服務需求，亦即得到專業推薦且符合個人差異與需要的個人化健檢組合方案。再者，過去的健檢系統除缺乏個人化健檢推薦功能，對於個人保健建議及後續就醫服務等亦缺乏整合性服務。而以往醫療資訊化過程中，因缺乏醫療資訊標準格式之發展，也限制醫療資訊在院所間之交換與流通，造成整合性醫療服務的困難。面對上述醫療資訊不對稱及個人化保健與醫療系統支援環境缺乏的困難，整合資料、模式及知識技術的個人化智慧型健檢決策支援系統，成為一個可行且重要的解決方法。由於此課題在文獻上缺乏具體成果，本研究的目的即在提出一個全球資訊網環境中個人化智慧型健檢決策支援系統 (Personalized Intelligent Decision Support System for Health Examination, PIDSSHE)的架構及流程，系統功能著重於個人化健檢、保健及醫療等方案的推薦，以及智慧型輔助診斷和即時性醫療資訊交換等。本論文也將提出系統發展方法並建置原型系統，以驗證架構、流程及方法的可行性與效益。
In recent years, the health industry, the government as well as the academic area pay more attention to the people’s health information management and applications. Due to the promotion of consumer health information, the proliferation of Internet, the awareness of healthcare, and the policy of mdical care information, how to provide online personalized intelligent healthcare decision support systems becomes an critical academic and applied research issue. Most health exam centers only offer health exam packages to the patients due to subjective or objective restrictions. Even the patients may customize their health exams by adding or dropping certain health exam items, it does not meet the needs of personalized health exam recommendation based on individual differences and personal needs. Moreover, there are no integrated services for follow-up personalized clinical care recommendations. The exchanges of medical information between hospitals are limited due to the lacks of medical information exchange standards. In turn, it leads to the gaps of integrated medical services. Facing the medical information assymetry and the difficulties of current medical supporting environment, an intelligent decision support system for personalized healthcare based on the integration of data, models, and knowledge is a feasible and important solution. To fill the research gaps, our research proposes a web-based intelligent decision support system for personalized health care. To fill the research gaps, our research is to propose the system architecture and processes of a Web-based intelligent decision support systems for personalized healthcare. We also illustrate our system development methodology as well as our prototype to validate the feasibility and effectiveness of our system architecture, processes and methodology. |
| Reference: | 中文參考文獻
1. 張大元(1999)，個人健康風險評估運用在職業衛生計畫之研究，台灣大學職業醫學與工業衛生研究所碩士論文。
2. 黎文琪(2001)，智慧型臨床醫囑輔助系統之開發，國立陽明大學，公共衛生研究所
3. 姚志成(2004)，運用資料探勘技術建構脂肪肝預測模式，中原大學資訊管理研究所碩士論文。
4. 楊懷壹(2005)，B型肝炎病毒因子與肝癌肝硬化之流行病學研究，台灣大學流行病學研究所博士論文。
5. 林富美(2003)，行動代理程式在健康保健的應用，淡江大學資訊工程學所碩士論文。
6. 何維嘉(2002)，消費者選擇健康檢查機構因素之探討，臺北醫學大學醫務管理學系研究所碩士論文。
專業書籍
7. 陳禹辰、歐陽崇榮，決策支援與專家系統，全華科技圖書公司，台北，第75-81 頁，民國77年。
8. 余千智，整合性專家決策支援系統之建構方法與管理決策應用研究，華泰，民國 80年。
9. 黃治雄，健康檢查正常值異常值，浩園文化，民國 85年。
10. 稻富惠子，輕鬆解讀醫院檢查報告，臺灣實業，民國85年。
11. 奈良信雄，怎樣做好全身健康檢查，林鬱出版，民國91年。
12. 吉濟華，常見的檢查與其正常值解析，合記，民國93年。
13. 李明亮編，2003全國衛生醫療政策會議—總結報告書，國家衛生研究院，民國93年。
14. 鄭維理，健康檢查全書，商周出版，民國94年。
中文期刊
15. 郭冠良、陳建志、林光洋、傅楸善，「健檢資訊系統實務－臺北市立聯合醫院仁愛院區經驗」，北市醫學雜誌，第8卷第6期，民國93年，頁755-765。
16. 張德明、吳芳楨、 劉淑芬，「以模糊推論建構營養膳食諮詢系統中配菜功能」，中華民國營養學會雜誌，第29卷第1期，民國93年，頁59-71。
17. 洪建德、王斐斐，「電腦輔助營養諮詢」，中華民國營養學會雜誌，17卷1&2期，頁59-71。
18. 蔡文正、龔佩珍，「民眾對基層診所評價與就醫選擇影響因素」，台灣公共衛生雜誌，22卷3期，頁181-193。
19. 張德明、吳芳楨、 劉淑芬，「以模糊推論建構營養膳食諮詢系統中配菜功能」，中華民國營養學會雜誌，第29卷第1期，民國93年，頁59-71。
20. 鍾正康，「為自已設計一個運動處方」，竹師體育，第2卷，民國92年，
頁22-28。
21. 黃永任，「健康成年人的運動處方」，中華體育,第12卷第2期，民國87年，頁53-60。
22. 林怡秀、王顯智，「健康促進之健康風險評估」，大專體育，63期，民國91年，頁159-164。
23. 王英偉，「成人週期健康表之應用」 慈濟醫學雜誌，第1卷第3期，民國78年，頁49-52。
英文文獻
1. Anderson, K. M., Odell, P. M., Wilson, P. W., & Kannel, W. B. (1991). Cardiovascular disease risk profiles. American Heart Journal, 121(1 Pt 2), 293-298.
2. Bach, P. B., Kattan, M. W., Thornquist, M. D., Kris, M. G., Tate, R. C., Barnett, M. J., et al. (2003). Variations in lung cancer risk among smokers. Journal of the National Cancer Institute, 95(6), 470-478.
3. Cimino, J. J., Patel, V. L., & Kushniruk, A. W. (2002). The patient clinical information system (PatCIS): Technical solutions for and experience with giving patients access to their electronic medical records. International journal of medical informatics, 68(1), 113-127.
4. Colditz, G. A., & Rosner, B. (2000). Cumulative risk of breast cancer to age 70 years according to risk factor status: Data from the nurses` health study. American Journal of Epidemiology, 152(10), 950.
5. Colditz, G., Atwood, K., Emmons, K., Monson, R., Willett, W., Trichopoulos, D., et al. (2000). Harvard report on cancer prevention volume 4: Harvard cancer risk index. Cancer Causes and Control, 11(6), 477-488.
6. Deber, R. B., Kraetschmer, N., & Irvine, J. (1996). What role do patients wish to play in treatment decision making? Archives of Internal Medicine, 156(13), 1414-1420.
7. Delaney, B. C., Fitzmaurice, D. A., Riaz, A., & Hobbs, F. D. (1999). Can computerised decision support systems deliver improved quality in primary care?. interview by abi berger. BMJ (Clinical research ed.), 319(7220), 1281.
8. Douketis, J. D., Feightner, J. W., Attia, J., & Feldman, W. F. (1999). Periodic health examination, 1999 update: 1. detection, prevention and treatment of obesity. Canadian Medical Association.Journal, 160(4), 513.
9. Dubey, V., Mathew, R., Iglar, K., Moineddin, R., & Glazier, R. (2006). Improving preventive service delivery at adult complete health check-ups: The preventive health evidence-based recommendation form (PERFORM) cluster randomized controlled trial. BMC family practice, 7, 44.
10. Emmons, K. M., Koch-Weser, S., Atwood, K., Conboy, L., Rudd, R., & Colditz, G. (1999). A qualitative evaluation of the harvard cancer risk index. Journal of health communication, 4(3), 181-193.
11. Freedman, A. N., Seminara, D., Gail, M. H., Hartge, P., Colditz, G. A., Ballard-Barbash, R., et al. (2005). Cancer risk prediction models: A workshop on development, evaluation, and application. Journal of the National Cancer Institute, 97(10), 715-723.
12. Garg, A. X., Adhikari, N. K., McDonald, H., Rosas-Arellano, M. P., Devereaux, P. J., Beyene, J., et al. (2005). Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. JAMA, 293(10), 1223-1238.
13. Gómez, E., Cáceres, C., López, D., & Del Pozo, F. (2002). A web-based self-monitoring system for people living with HIV/AIDS. Computer methods and programs in biomedicine, 69(1), 75-86.
14. Hripcsak, G., Cimino, J. J., & Sengupta, S. (1999). WebCIS: Large scale deployment of a web-based clinical information system. AMIA Symposium, , 804-808.
15. Kannel, W. B., McGee, D., & Gordon, T. (1976). A general cardiovascular risk profile: The framingham study. The American Journal of Cardiology, 38(1), 46-51.
16. Kim, M. I., & Johnson, K. B. (2002). Personal health records: Evaluation of functionality and utility. Journal of the American Medical Informatics Association, 9(2), 171-180.
17. Kohlmeier, L., Mendez, M., McDuffie, J., & Miller, M. (1997). Computer-assisted self-interviewing: A multimedia approach to dietary assessment. The American Journal of Clinical Nutrition, 65(4 Suppl), 1275S-1281S.
18. Kuo, Y. F., & Chen, L. S. (2001). Personalization technology application to internet content provider. Expert Systems with Applications, 21(4), 203-215.
19. Kwon, O., Yoo, K., & Suh, E. (2005). UbiDSS: A proactive intelligent decision support system as an expert system deploying ubiquitous computing technologies. Expert Systems with Applications, 28(1), 149-161.
20. Kwon, O., Yoo, K., & Suh, E. (2005). UbiDSS: A proactive intelligent decision support system as an expert system deploying ubiquitous computing technologies. Expert Systems with Applications, 28(1), 149-161.
21. Lin, J. W., Chu, P. L., Liou, J. M., & Hwang, J. J. (2007). Applying a multiple screening program aided by a guideline-driven computerized decision support system - a pilot experience in yun-lin, taiwan. Journal of the Formosan Medical Association, 106(1), 58-68.
22. McCormack, J. P., Levine, M., & Rangno, R. E. (1997). Primary prevention of heart disease and stroke: A simplified approach to estimating risk of events and making drug treatment decisions.Canadian Medical Association journal, 157(4), 422-428.
23. Mendonca, E. A. (2004). Clinical decision support systems: Perspectives in dentistry. Journal of dental education; Journal of dental education, 68(6), 589-597.
24. Mendonca, E. A. (2004). Clinical decision support systems: Perspectives in dentistry. Journal of dental education, 68(6), 589-597.
25. Milone, S. D., & Milone, S. L. (2006). Evidence-based periodic health examination of adults. memory aid for primary care physicians. Canadian family physician Medecin de famille canadien, 52, 40-47.
26. Mulvenna, M. D., Anand, S. S., & Büchner, A. G. (2000). Personalization on the net using web mining: Introduction. Communications of the ACM, 43(8), 122-125.
27. Oosterhuis, W. P., Ulenkate, H. J., & Goldschmidt, H. M. (2000). Evaluation of LabRespond, a new automated validation system for clinical laboratory test results. Clinical chemistry, 46(11), 1811-1817.
28. Phillips, K. A. (2006). Personalized medicine for colorectal & breast cancer. Retrieved June 30, 2007, from the Pharmacogenetics and Pharmacogenomics Knowledge Base Website: http://www.pharmgkb.org/views/project.jsp?pId=52.
29. Rashbass, J. (2001). The patient-owned, population-based electronic medical record: A revolutionary resource for clinical medicine. JAMA, 285, 1769.
30. Regeniter, A., Siede, W. H., & Seiffert, U. B. (1996). Computer assisted interpretation of laboratory test data with `MDI-LabLink`. Clinica chimica acta;
international journal of clinical chemistry, 248(1), 107-118.
31. Rockhill, B., Byrne, C., Rosner, B., Louie, M. M., & Colditz, G. (2003). Breast cancer risk prediction with a log-incidence model: Evaluation of accuracy. Journal of clinical epidemiology, 56(9), 856-861.
32. Saadé, R. G., Tsoukas, A., & Tsoukas, G. (2004). Prototyping a decision support system in the clinical environment: Assessment of patients with osteoporosis OSTEODSS. Expert Systems with Applications, 27(3), 427-438.
33. Smith, A. E., Nugent, C. D., & McClean, S. I. (2002). Implementation of intelligent decision support systems in health care. Journal of management in medicine, 16(2/3), 206-218.
34. Sprague Jr, R. H., & Carlson, E. D. (1982). Building effective decision support systems Prentice Hall Professional Technical Reference.
35. Tange, H., Van Der Linden, H., Sas, P., Beusmans, G., Talmon, J., Van Oosterhout, E., et al. (2003). Towards a PropeR combination of patient records and protocols. Int.J.Med.Inform., 70(2-3), 141-148.
36. Turban, E., & Watkins, P. R. (1986). Integrating expert systems and decision support systems. MIS Quarterly, 10(2), 121-136.
37. Van Hoof, V., Wormek, A., Schleutermann, S., Schumacher, T., Lothaire, O., & Trendelenburg, C. (2004). Medical expert systems developed in j.MD, a java based expert system shell: Application in clinical laboratories. Medinfo, 11(Pt 1), 89-93.
38. Wang, L. Y., You, S. L., Lu, S. N., Ho, H. C., Wu, M. H., Sun, C. A., et al. (2003). Risk of hepatocellular carcinoma and habits of alcohol drinking, betel quid chewing and cigarette smoking: A cohort of 2416 HBsAg-seropositive and 9421 HBsAg-seronegative male residents in taiwan. Cancer Causes and Control, 14(3), 241-250.
39. Wilson, P. W., D`Agostino, R. B., Levy, D., Belanger, A. M., Silbershatz, H., & Kannel, W. B. (1998). Prediction of coronary heart disease using risk factor categories. Circulation, 97(18), 1837-1847.
40. Woolf, S. H., Battista, R. N., Anderson, G. M., Logan, A. G., & Wang, E. (1990). Assessing the clinical effectiveness of preventive maneuvers: Analytic principles and systematic methods in reviewing evidence and developing clinical practice
recommendations. A report by the canadian task force on the periodic health examination. Journal of clinical epidemiology, 43(9), 891-905.
41. Yang, H. I., Lu, S. N., Liaw, Y. F., You, S. L., Sun, C. A., Wang, L. Y., et al. (2002). Hepatitis B e antigen and the risk of hepatocellular carcinoma. The New England journal of medicine, 347(3), 168-174.
42. Zopounidis, C., Doumpos, M., & Matsatsinis, N. (1997). On the use of knowledge-based decision support systems in financial management: A survey. Decision Support Systems, 20(3), 259-277. |
| Description: | 碩士
國立政治大學
資訊管理研究所
93356007 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0933560072 |
| Data Type: | thesis |
| Appears in Collections: | [資訊管理學系] 學位論文
|
All items in 政大典藏 are protected by copyright, with all rights reserved.
|
