106年度委託科技研究計畫－運用資通訊科技以提升健康照護服務效能－分項5：健康資訊科技之國際合作研究

The gradual aging of the Taiwanese population has strained the government’s ability to provide healthcare for such a large number of elderly citizens. This challenge has caused various healthcare policies to be enacted urgently. People have become more aware of the advances in medical technology that can improve their lives and now have higher expectations for how their own personal healthcare data should be leveraged to meet these expectations. Personalized healthcare, information technology, and cloud computing have opened up all kinds of new healthcare applications and possibilities. Information and communication technology as well as ehealth may lower costs and unite once disparate industries. Electronic health records are expected also to empower patients, increase healthcare literacy, increase safety, and encourage patient compliance. Patients can also participate in their own health diagnoses and make informed decisions. Establishing an ehealth hub where various parties can share data is the main topic of this research proposal. This ehealth hub follows the Institute of Medicine’s 2007 promotion of Learning Health Systems. Charles P Friedman, a pioneer and professor with extensive experience in designing Learning Health Systems, was invited to be a mentor in this project. Through this international cooperation, sharing ideas, holding workshops, meetings, and incorporating the perspectives from different domains can be possible within this ehealth hub. Smoking is the largest avoidable cause of preventable morbidity and premature mortality worldwide. The prevalence of smoking worldwide is estimated at about one billion smokers, half of which will die prematurely as a consequence of their addiction. Smoking causes approximately 85% of the 3 cases of lung cancer and chronic obstructive pulmonary disease (COPD) and contributes to the development of many other lung diseases, such as Cancer of the trachea, bronchus and lung. We passed a European Union’s Horizon 2020 research about smoke free brain. Using the wearable technology plus a mobile App that is programmed to push tailored messages for health concern and readiness to quit, tips or sustaining abstinence, use of interactive self-assessments, helpful cessation information, and access to physical activity charts. These database will be collected to become knowledge, through LHS system to mechanical learning. With the advancement in the medical sciences, cancers are now considered as chronic disease rather than fatal illness. This moves the focus in the fight against cancer from sustaining life towards maximizing functional capacity and Quality Of Life (QOL). A critical element in this shift has been the rise of active rehabilitation in the management of cancer. We will cooperate with CATCH project which has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No. 722012. Furthermore, overall physical activity and health behavioural change is increasingly becoming important in cancer management. Technology advances such as gamification based on biofeedback, and neuromuscular electrical stimulation, can help address some of these information and communication technology into LHS cycle. To improve cancer patients physical activity, health behavioural and QOL. Keywords: Information and Communication Technology (ICT), eHealth, Learning Health System, Electronic Health Record, wearable technology, International Collaboration.