全面e化之醫療社工資訊系統

Abstract

本篇論文主要是以台大醫院社工室為例，在服務導向架構的健康協定第七層中介軟體架構下發展一個e化的智慧型醫療社工資訊系統。本系統首先會在整合台大醫院醫療資訊系統下設計自動分派個案的功能，並提供社工員個案管理的功能。在以病人及其家庭為中心的設計下，社工員可以有效掌握病家全戶的相關資訊，使其能以病家全戶為考量而提供給病人更適合的服務。隨著病人評估記錄全面的數位化後，可結合病人之家族圖譜輸出社會工作及其他各式評估表。在病人醫療補助的部份，系統將可計算出補助百分比建議值以提供給社工員作為參考。為了達成流程的無紙化與數位化，系統將根據社工室不同的服務內容設計固定格式的電子化病人評估記錄系統，並提供自動輸出社工員工月報表及相關統計表單的功能。將來可視需要在電子化評估表中加入電子簽章以利作為電子病歷之用。

The study is primarily aimed at developing an Intelligent Medical Social Work Information System in the MSW office in NTUH based on the Health Level Seven (HL7) middleware framework of Service-Oriented Architecture (SOA). We will first design the function of Case Assignment integrating with NTUH HIS, and provide the MSW with the function, Case Management. So as to accomplish paperless and digitalized work flow, the system will be designed with Patient Assessment Record in fixed and digitalized format according to the different service contents in the MSW office, and provide the function of automatically outputting each MSW’s monthly working report. In the Patient-and-Family-Centered Design (PFCD), not merely can the MSW productively get hold of the information on the household, but they can provide patients with further better and more proper services based on the consideration of the patient’s household. Subsequent to the comprehensively digitalized Patient Assessment Record, we can combine the map of the patient's family to the output of social-work assessment form. In addition, the percentage of subsidy can be calculated by the system to provide the reference for the MSW. The digitalized assessment can add electronic signature so as to achieve the goal of electronic health records in the future.