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Prospect of Telehealthcare in Taiwan
Feipei Lai 賴飛羆 Graduate Institute of Biomedical Electronics and Bioinformatics 8/28/2015
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Prospect of Telehealthcare in Taiwan
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任督二脈 醫師法 第 三 章 義務 第 11 條 醫師非親自診察,不得施行治療、開給方劑或交付診斷書。但於山地、離 島、偏僻地區或有特殊、急迫情形,為應醫療需要,得由直轄市、縣 (市 ) 主管機關指定之醫師,以通訊方式詢問病情,為之診察,開給方劑,並 囑由衛生醫療機構護理人員、助產人員執行治療。 前項但書所定之通訊診察、治療,其醫療項目、醫師之指定及通訊方式等 ,由中央主管機關定之。 健保給付 論人計酬 長照
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Long term care 長期照顧服務法: 立法院104年5月15日通過 長照制估2017年上路
邱文達指出,目前健保每年規模約5000億元,而長照服務約需1000億元,長照上路後,費用標準將與健保費用連動,精算後費用約為健保費的四分之一至五分之一 長照勢在必行 屬全民強制納保
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2017 年台灣老年化國家 14%
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Business Approaches Early discharge VIP & PR
Increasing turnover rate Virtual outpatient service – NTUH 7D 熱血仁醫 VIP & PR Rich, Serious & complicated first Clinical guidelines built in (Efficiency) Customized care – integrated with EMR (Value) CDSS (EKG, wound infection automatic screen)
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Strategy Practice ground for Taiwanese Industry Medical devices
Call center with medical information system Cloud facility
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PHR (screened & forward)
EMR (Gene) Life Style, Vital Signs, Environmental Condition Advice EMR Service Alliance Data & Information flow Cloud Computing Services Clinic S Hospital … HL7 CDA-CCD, CDSS PHR
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Data transmission response EMR & Dr First generation Asynchronous Non-immediate null Second generation Synchronous Office hours Third generation 24/7 Fourth generation Yes Fifth generation Ubiquitous (Wearable, IOT)
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Conclusion The Sun is rising at Santorini, Greece!
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What’s next? Smart hospital (IoT) Data mining (decision support)
Gene (personal care)
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