| Summary: | 碩士 === 長庚大學 === 資訊工程研究所 === 95 === According to the experience of SARS, when high infective diseases such as SARS and bird flu, etc. take place, if it lacks an effective control and isolating system to respond this sudden condition, the epidemic situation will be diffused extensively, which might cause the disaster severer than that of tsunami or earthquake. And an effective disaster prevention system should be able to be integrated to local public health system closely at ordinary time, in order to take various healthcare works. When the epidemic situation is broken out, this system should be able to be introduced into case notification and isolating visit immediately, so as to really implement the work of epidemic prevention.
This research proposes A New System Development Model Apply to Quarantine Period Monitoring and Home Visiting of High Infective Diseases through the technological integration and application of different Information Technologies (IT). This system provides 5 main function blocks: (1) The report form module is used to solve the problem that the setup of notifying system is too slow. The XML is used to define the content of report form, which makes the modification of the form be more flexible. The interface of notifying system is combined to create the engine, let non-information personnel can use relevant operation interface to set the module, and design a set of notifying system to collect the notifying information fast; (2) A real-time reporting platform, which is used to solve the problems such as the lack of a set of integrated medical system upon the occurrence of epidemic situation. The real time platform uses Web-Based to create the management interface, which enables the medical personnel to log in to this platform through different devices, carry on the watching of information, and utilize XML standard protocol to exchange the data between every system; (3) A homecare subsystem. Health condition of isolator can not be controlled very well in the past, which causes the loophole on epidemic prevention. For the remote healthcare mode, except the wireless physiological signal measuring device is used to record and feedback daily physiological signal data of isolator, the system provides the amusement function at the same time, which enables the isolator to carry on the functions such as transfer of text information, transfer of file, video information etc. with the remote doctors and nurses at home. For the video information, 123±3 Frames with 16.7±0.1KB can be transmitted per minute; (4) The Health Geographic Information System (H-GIS) is used. It was unable to combine the observation information of isolator with the Geography Information System in the past. Facing to high infective disease, the information of geographical relationship of infected person is unable to be grasped. So the traditional Geography Information System (GIS) technology is used to show the geographical information such as the residence environment of isolator, medical unit or civil administration unit etc. at the street, land mark etc. The position for home of case, medical resources of community and regional health epidemic prevention unit etc. can be shown by picture, and enables the epidemic prevention group to grasp the geographical space information of isolator concretely, and sends outside with favorable personal scheduling; (5) For the design of mobile home visiting system, improve the visiting person who has to write down the visiting information two times, which causes the information to lack the instant property and unable to utilize resources of the network effectively. The mobile home visiting system lets the visiting personnel to carry the mobile device while conducting the visiting activity, and record the home isolation visiting information in the mobile device. When the emergent condition is occurred or the visiting work is completed, the information can be transferred back via the internet network immediately, it is very convenient for the visiting personnel to get or report the newest home isolating condition at any place, any time immediately. For the transfer speed of information, it only takes 1.6±0.3s to complete the transfer of 61.1KB file.
This research has already created the healthcare system in Yunlin long-term care center. At present, 4988 cases have been collected. It is believed when the epidemic situation breaks out in the future, if the functional block of this system is activated. It will help the epidemic prevention group to take precaution against natural calamities, and let the disaster receives effective control and reduce the injury caused by the calamity.
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