運用地圖化個案管理系統於社區醫院居家訪視之研究

Objective: Our community hospital in New Taipei City participates in a capitation plan. In order to promote public health and to address unmet needs, we proposed several plans involving home visits within the institute's responsible area of care. To facilitate data collection and to decrease time spent in staff processing, we combined the function of Google Maps with features of an instantaneous feedback system to support home visits. Methods: The system was designed based on PHP, MySQL. After a community-based case visit was completed, our system could mark each case with an icon according to their residential address on Google Maps. In order to understand the weaknesses and strengths of this system, a feedback questionnaire survey was sent to 110 relevant medical staff. A total of 101 questionnaire responses were returned. Results: A total of 1,647 cases with related geographic data were collected between March 2012 and December 2014. All the collected data were displayed in graphic format. The Haversine formula calculated the average distance between case residence and hospital to be 1.47km. Clinical users (N=26) also provided feedback about improvements in this system and noted that a mobile interface would be preferred (53.8%). Conclusions: This proposed system, combined with Google Maps, significantly improved the data presentation. According to the feedback, clinical users suggested that this system should provide a mobile interface to improve the users' experience.