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研究生:陳俐瑾
研究生(外文):Lichin Chen
論文名稱:以資通訊技術強化健康照護的連續性--以糖尿病照護為例
論文名稱(外文):Facilitating the Continuity of Healthcare with Information Communication Technology --- an Empirical Study Applied in Diabetes Care
指導教授:賴飛羆賴飛羆引用關係
指導教授(外文):Feipei Lai
口試委員:莊立民趙坤茂譚慶鼎陳中平汪大暉陳俊良張延任張孟洲
口試委員(外文):Lee-Ming ChuangKun-Mao ChaoChing-Ting TanChung-Ping ChenTahui WangChuen-Liang ChenYen-Jen ChangMeng-Chou Chang
口試日期:2014-05-30
學位類別:博士
校院名稱:國立臺灣大學
系所名稱:生醫電子與資訊學研究所
學門:工程學門
學類:生醫工程學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:英文
論文頁數:104
中文關鍵詞:糖尿病連續性照護健康資訊技術自我健康管理疾病管理遠距照護資料倉儲
外文關鍵詞:Diabetes mellituscontinuity of carehealth information technologyself-managementdisease managementtelehealthcaredata warehouse
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近年來隨著疾病型態的改變,不同於以往的急性治療,慢性疾病已經成為民眾主要的健康問題。治療的型態同樣不再以單一事件的治療、看診為基礎,漸漸的需要將病人於不同時間的狀態予以綜合評估,且整合不同的醫療專業,提供更為連續性的健康照護。我國國民健康局於民國90年10月起陸續推出子宮頸癌、乳癌、肺結核、糖尿病、氣喘等五種疾病的個案管理加成給付及疾病套裝組合方案,提升個案管理的推行誘因,顯示醫療服務的轉型與整合性醫療的重要性。研究發現,透過資訊技術的輔助,可以強化照護的連續性,近年來更成為各家醫院面對醫療型態轉變的重要工具。
觀察照護的連續性主要可區分為病患的觀點與照護者觀點。以病患的觀點而言,照護的提供是以人為中心,提供衛教且增加病患的健康意識以及自我健康照護的能力。在衛教的過程中提供醫療專業的輔助、生活型態改變的建議,並且於平時與病患保持聯繫,定時追蹤且瞭解病人的健康狀況。以醫療照護者的觀點而言,照護的連續性代表著醫療團隊之間達到跨領域的合作,整合不同專業的人員的知識,提供病人整合型的照護。過程中每位成員與成員之間的合作、溝通與訊息分享皆是重要的環節,並且透過妥當的流程設計達到無縫式 (Seamless)的醫療照護。同時,不同於過去定點式的照護 (Point of care),連續性照護強調以長時間的觀點觀察醫療照護的品質與過程,透過整合與跨時間的追蹤與接軌,以瞭解整體照護過程的品質與病患照顧的結果。
糖尿病是一種慢性疾病,且已經成為國人的十大死因之一,糖尿病的照護大量的仰賴病患的自我健康照護以及生活型態改變。糖尿病併發症的預防需要整合多重專業的醫療人員之間的合作、溝通與訊息分享,進行疾病的篩檢、檢驗、衛教,同時需要跨時間的追蹤病患狀態。本研究利用資訊技術,針對連續性照護的四大特性,強化糖尿病照護中的連續性。本研究利用資通訊技術分別針對連續性照護中,病患與醫療照護人員的觀點進行輔助,並且最後透過一臨床試驗以及資料倉儲的相關技術進行整合性、長時間的病患照護觀察與評估,呈現出病患於自我健康照護的行為改變與血糖的控制情形。
整體而言,研究結果顯示資訊技術運用於糖尿病照護,不論是輔助病患或是醫療照護人員,皆可獲得正向的輔助結果。對於病患而言,病患的血糖、血壓變化皆漸趨穩定、自我健康意識提升、有效的強化自我健康照護的相關知識;個管師與衛教師之作業流程獲得改善,輔助人員之間的溝通、訊息分享以及臨床指引的遵循;同時,整合性的分析顯示病患於院外輸入的資料的可信度,並且可以進階的分析衛教師面對病患問題時所進行的照護策略,長期而言可以作為發展臨床指引、現行照護行為的檢討、以及未來發展臨床決策支援系統的基礎。


Patients nowadays are increasingly seen by healthcare providers in a wide variety of organizations and places, which raises the concerns about fragmentation of care. Many believe that the fragmentation can be elaborated through greater integration of healthcare delivery and higher continuity of care. The continuity of care is advocated as a cornerstone or an essential element of general medical practice. It is defined as the coordination of patients and care providers in the care process and work together throughout the course of illness across settings. The discussions of the continuity of care are many. Two main perspectives can be defined, one is from the view point of patients and the other is from the perspective of care providers. From the perspective of patients, the continuity of care was viewed as a continuous caring relationship. The care is tailored into individual needs and the disease is managed in the content of the patients’ life based on the long-term relationship and the knowledge of patient’s condition and personal contents. From the perspective of healthcare professionals, the continuity of care is a process of seamless care delivery. It is a team-based approach, and involves in the coordination, communication, and information sharing among multidisciplinary providers. Meanwhile, the healthcare settings nowadays were usually lack of integration. When it comes to evaluate patient’s performances and outcomes, it is commonly done individually and rarely considered other healthcare services that the patients received. This study aimed to facilitate the two perspectives of continuity of care with technologies, empowering patients’ ability in self-management and enhancing the team work of disease management. Also, this study offers an opportunity to observe patient conditions and evaluate patient outcomes across settings through the integration of data, and was initially applied the care of diabetes.
The proposed architecture framework in this study has generally a positive outcome in supporting the care of diabetes. Patients have shown more stabilized in the variation of blood pressure and blood glucose control. The program raises the self-awareness of patients and increases the ability of patients in self-management. The workflows of the case managers and the certificated diabetes educators have been reform, the communication and information sharing among providers had been supported, and that the system acts as a guideline to support the educators during education. The investigation of the education strategies of certified diabetes educators (CDE) is potential in the development of clinical guidelines and the validation of the effectiveness of current strategies. The analysis of longitudinal data and patient outcomes reveals patterns and phenomenon that was not previously noticed. The result shows that implementing information communication technology in diabetes care has a positive outcome and provides more insight and opportunities in observing patient outcomes.


口試委員會審定書 i
誌謝 ii
中文摘要 iii
ABSTRACT v
CONTENTS vii
LIST OF FIGURES ix
LIST OF TABLES xi
LIST OF APPENDIX xii
Chapter 1 Introduction 1
1.1 Continuity of care 1
1.2 Diabetes mellitus 2
1.2.1 Self-management in diabetes 4
1.2.2 Diabetes care in Taiwan and in a tertiary teaching hospital 8
1.2.3 Facilitating the continuity with technology 11
Chapter 2 Literature review 13
2.1 Facilitating continuity in patients’ perspective 13
2.1.1 Telehealthcare 13
2.1.2 Personal health records 14
2.1.3 Related work 15
2.2 Facilitating continuity in caregivers’ perspective 20
2.2.1 Disease management programs 20
2.2.2 Related work 23
2.3 Evaluate patient outcomes in an integrated vision 24
2.3.1 Data warehousing 24
2.3.2 Related work 25
Chapter 3 Methods 27
3.1 Facilitating continuity in patients’ perspective 27
3.1.1 System design and network architecture 28
3.1.2 Teleconsultant service 32
3.2 Facilitating continuity in caregivers’ perspective 33
3.2.1 Requirement analysis 34
3.2.2 Architecture model 35
3.2.3 System architecture 38
3.3 Evaluate patient outcomes in an integrated vision 39
3.3.1 Data processing and data warehousing 40
3.3.2 Evaluation and study protocol design 43
Chapter 4 Results 51
4.1 Facilitating continuity in patients’ perspective 51
4.2 Facilitating continuity in caregivers’ perspective 54
4.3 Evaluate patient outcomes in an integrated vision 61
Chapter 5 Discussion 70
5.1 Architecture framework and models 70
5.2 Beneficial for patients 72
5.3 Beneficial for care providers 76
Chapter 6 Conclusion 80
REFERENCE 82
ABBREVIATION 102


1.Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R. Continuity of care: a multidisciplinary review. BMJ: British Medical Journal 2003;327(7425):1219-21.
2.Enthoven AC. Integrated Delivery Systems: The Cure for Fragmentation-Page. Am J Manag Care 2009;15:S284-S90.
3.Lin YJ, Wan TH. Integrated Care and Management:Creating Values for Health Care Organizations: Wu-Nan Culture Enterprise; 2007. ISBN:9789571146171.
4.Gulliford M, Naithani S, Morgan M. What is'' continuity of care''? Journal of health services research &; policy 2006;11(4):248-50.
5.The Initiative for Pediatric Palliative Care, Continuity of Care: Definitions. 2007.
6.Bechtel C, Ness DL. If You Build It, Will They Come? Designing Truly Patient-Centered Health Care. Health affairs 2010;29(5):914-20.
7.REYNOLDS A. Patient-centered Care. RADIOLOGIC TECHNOLOGY 2009;81(2):133-47.
8.Burge F, Haggerty JL, Pineault R, Beaulieu M-D, Levesque J-F, Beaulieu C, Santor DA. Relational Continuity from the Patient Perspective: Comparison of Primary Healthcare Evaluation Instruments. Healthcare Policy 2011;7(Special Issue):124-38.
9.Medical News Today. All About Diabetes.2013; Archived at: http://www.medicalnewstoday.com/info/diabetes/.
10.Shoback DGG, Dolores. Greenspan''s basic &; clinical endocrinology. New York: McGraw-Hill Medical; 2011. ISBN:0-07-162243-8.
11.Wikipedia. Diabetes mellitus. 2013; Archived at: http://en.wikipedia.org/wiki/Diabetes_mellitus.
12.Lin YH, Chen RR, Guo SHM, Chang HY, Chang HK. Developing a web 2.0 diabetes care support system with evaluation from care provider perspectives. Journal of Medical Systems 2012;36(4):2085-95.
13.Glasgow R. Engagement in a diabetes self-management website: usage patterns and generalizability of program use. Journal of medical Internet research 2011;13(1):e9.
14.Bourbeau J, Nault D, Dang-Tan T. Self-management and behaviour modification in COPD. Patient Education and Counseling 2004;52(3):271-7.
15.Chang H-Y, Chiou C-J, Lin M-C, Lin S-H, Tai T-Y. A population study of the self-care behaviors and their associated factors of diabetes in Taiwan: results from the 2001 National Health Interview Survey in Taiwan. Preventive medicine 2005;40(3):344-8.
16.Chiou S-T, Lin H-D, Yu N-C, Hseuh H-K, Lin L-H, Lin L-T, Chen T-J, Lai M-S. An initial assessment of the feasibility and effectiveness of implementing diabetes shared care system in Taiwan-some experiences from I-Lan County. Diabetes research and clinical practice 2001;54(1):S67-S73.
17.Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. Journal of the American Medical Association 2002;288(19):2469-75.
18.Holbrook A, Thabane L, Keshavjee K, Dolovich L, Bernstein B, Chan D, Troyan S, Foster G, Gerstein H. Individualized electronic decision support and reminders to improve diabetes care in the community: COMPETE II randomized trial. Canadian Medical Association Journal 2009;181(1-2):37-44.
19.Greenhalgh P. Shared care for diabetes. A systematic review. Occasional Paper (Royal College of General Practitioners) 1994(67):i-viii.
20.Lin YH, Chen RR, Guo SHM, Chang HY, Chang HK. Developing a web 2.0 diabetes care support system with evaluation from care provider perspectives. Journal of Medical Systems 2011:1-11.
21.Li C-L, Lin N-Y, Wang H-H, Hsu C-C, Hurng B-S, Chang H-Y. A population study on changes in diabetes self-care behaviors in Taiwan between 2001 and 2005. Preventive medicine 2010;50(5-6):308-9.
22.Wang J, Zgibor J, Matthews JT, Charron-Prochownik D, Sereika SM, Siminerio L. Self-Monitoring of Blood Glucose Is Associated With Problem-Solving Skills in Hyperglycemia and Hypoglycemia. The Diabetes Educator 2012;38(2):207-18.
23.Zgibor JC, Peyrot M, Ruppert K, Noullet W, Siminerio LM, Peeples M, McWilliams J, Koshinsky J, DeJesus C, Emerson S. Using the American Association of Diabetes Educators Outcomes System to identify patient behavior change goals and diabetes educator responses. The Diabetes Educator 2007;33(5):839-42.
24.Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, Maryniuk M, Peyrot M, Piette JD, Reader D. National standards for diabetes self-management education. Diabetes Care 2012;35(Supplement 1):S101-S8.
25.Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-Management Education for Adults With Type 2 Diabetes A meta-analysis of the effect on glycemic control. Diabetes Care 2002;25(7):1159-71.
26.AADE. AADE7&;#8482;. 2013; Archived at: http://www.diabeteseducator.org/ProfessionalResources/AADE7/.
27.Tseng CH, Chong CK, Heng LT, Tseng CP, Tai T. The incidence of type 2 diabetes mellitus in Taiwan. Diabetes research and clinical practice 2000;50:S61-S4.
28.Roglic G, Unwin N, Bennett PH, Mathers C, Tuomilehto J, Nag S, Connolly V, King H. The burden of mortality attributable to diabetes. Diabetes Care 2005;28(9):2130.
29.Kersbergen AL. Case management: A rich history of coordinating care to control costs. Nursing Outlook 1996;44(4):169-72.
30.Lin R-L, Lin F-J, Wu C-L, Peng M-J, Chen P-J, Kuo H-T. Effect of a Hospital-based Case Management Approach on Treatment Outcome of Patients with Tuberculosis. Journal of the Formosan Medical Association 2006;105(8):636-44.
31.Ofman JJ, Badamgarav E, Henning JM, Knight K, Gano JAD, Levan RK, Gur-Arie S, Richards MS, Hasselblad V, Weingarten SR. Does disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review. The American Journal of Medicine 2004;117(3):182-92.
32.Chan DC, Heidenreich PA, Weinstein MC, Fonarow GC. Heart failure disease management programs: A cost-effectiveness analysis. American Heart Journal 2008;155(2):332-8.
33.Markle A. The economic impact of case management. The Case Manager 2004;15(4):54-8.
34.Shumway M, Boccellari A, O''Brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial[small star, filled]. The American Journal of Emergency Medicine 2008;26(2):155-64.
35.Lai M-S. National health insurance and the way leading to better diabetes care in Taiwan. Is there a role of comprehensive analyses of the claims data? Journal of the Formosan Medical Association 2012;111(11):587-8.
36.Chang T-J, Jiang Y-D, Chang C-H, Chung C-H, Yu N-C, Chuang L-M. Accountability, utilization and providers for diabetes management in Taiwan, 2000–2009: An analysis of the National Health Insurance database. Journal of the Formosan Medical Association 2012;111(11):605-16.
37.Jiang Y-D, Chang C-H, Tai T-Y, Chen J-F, Chuang L-M. Incidence and prevalence rates of diabetes mellitus in Taiwan: Analysis of the 2000–2009 Nationwide Health Insurance database. Journal of the Formosan Medical Association 2012;111(11):599-604.
38.Chiou ST, Lin HD, Yu NC, Hseuh HK, Lin LH, Lin LT, Chen TJ, Lai MS. An initial assessment of the feasibility and effectiveness of implementing diabetes shared care system in Taiwan--some experiences from I-Lan County. Diabetes research and clinical practice 2001;54:67-73.
39.Branger P, Van’t Hooft A, Van Der Wouden J, Moorman P, Van Bemmel J. Shared care for diabetes: supporting communication between primary and secondary care. International journal of medical informatics 1999;53(2):133-42.
40.Pratt W, Unruh K, Civan A, Skeels MM. Personal health information management. Communications of the ACM 2006;49(1):51-5.
41.Ball MJ, Carla Smith N, Bakalar RS. Personal health records: empowering consumers. Journal of Healthcare Information Management 2007;21(1):76-84.
42.Ball MJ, Weaver C, Abbott PA. Enabling technologies promise to revitalize the role of nursing in an era of patient safety. International journal of medical informatics 2003;69(1):29-38.
43.Newbold SK, Kuperman GJ, Bakken S, Brennan PF, Mendonca EA, Park H, Radenovic A. Information technology as an infrastructure for patient safety: nursing research needs. International journal of medical informatics 2004;73(7-8):657-62.
44.Merkouris A. Computer&;#8208;based documentation and bedside terminals. Journal of nursing management 1995;3(2):81-5.
45.Mei YY, Marquard J, Jacelon C, DeFeo AL. Designing and evaluating an electronic patient falls reporting system: Perspectives for the implementation of health information technology in long-term residential care facilities. International journal of medical informatics 2011.
46.Carneal G, Gervais ME. Linking the power of information technology and case management interventions: An assessment of recent medical-management trends. The Case Manager 2006;17(3):38-44.
47.Coleman JR. The paradigm switch for case managers: Some thoughts on the information technology challenges ahead. The Case Manager 1999;10(6):56-8.
48.Stutz L. Case Management as a Foundation for an Accountable Care Organization. Professional Case Management 2011;16(3):152-5 10.1097/NCM.0b013e318212fa6d.
49.Adams JM. Applying E-health to Case Management. Professional Case Management 2000;5(4):168-71.
50.Matthews P. Case Management Information Systems: How to Put the Pieces Together Now and Beyond Year 2000. Professional Case Management 2002;7(6):255-60.
51.Wyne K. Information technology for the treatment of diabetes: improving outcomes and controlling costs. Journal of Managed Care Pharmacy 2008;14(2):12-7.
52.de Mul M, Alons P, van der Velde P, Konings I, Bakker J, Hazelzet J. Development of a clinical data warehouse from an intensive care clinical information system. Computer methods and programs in biomedicine 2012;105:22-30.
53.Chen LC, Chen CW, Weng YC, Shang RJ, Yu HC, Chung Y, Lai F. An information technology framework for strengthening telehealthcare service delivery. Telemedicine and e-Health 2012;18(8):596-603.
54.Watson AJ, Kvedar JC, Rahman B, Pelletier AC, Salber G, Grant RW. Diabetes connected health: a pilot study of a patient-and provider-shared glucose monitoring web application. Journal of Diabetes Science and Technology 2009;3(2):345-52.
55.Lim S, Kang SM, Shin H, Lee HJ, Won Yoon J, Yu SH, Kim SY, Yoo SY, Jung HS, Park KS. Improved glycemic control without hypoglycemia in elderly diabetic patients using the ubiquitous healthcare service, a new medical information system. Diabetes Care 2011;34(2):308-13.
56.Klonoff DC. Using telemedicine to improve outcomes in diabetes--An emerging technology. Journal of Diabetes Science and Technology 2009;3(4):624-7.
57.Hess R, Bryce CL, Paone S, Fischer G, McTigue KM, Olshansky E, Zickmund S, Fitzgerald K, Siminerio L. Exploring challenges and potentials of personal health records in diabetes self-management: implementation and initial assessment. Telemedicine and e-Health 2007;13(5):509-18.
58.Whittemore R, Jaser SS, Faulkner MS, Murphy K, Delamater A, Grey M. Type 1 Diabetes eHealth Psychoeducation: Youth Recruitment, Participation, and Satisfaction. Journal of medical Internet research 2013;15(1):e15.
59.Tang PC, Ash JS, Bates DW, Overhage JM, Sands DZ. Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. Journal of the American Medical Informatics Association 2006;13(2):121-6.
60.Chiu H-Y, Chen C-M. Telenursing: The Integration of Information Technology and Community Health Nursing. Yuan-Yuan Nursing 2010;4(2):5-10.
61.Heinemann L. Measuring glucose concentrations: daily practice, current and future developments. Journal of Diabetes Science and Technology 2008;2(4):710-7.
62.Wagner EH. The role of patient care teams in chronic disease management. British Medical Journal 2000;320(7234):569-72.
63.Liu SY, Hsiao JL, Shen JL, Li HQ. A Research for Information Integration in Case Management System of Diabetes Mellitus. The Journal of Nursing 2006;4(2):169-79.
64.Huang EW, Hung RS, Chiou SF, Liu FY, Liou DM. Design and development of a tele-healthcare information system based on web services and HL7 standards. Software Tools and Algorithms for Biological Systems 2011:599-606.
65.Dorr D, Bonner LM, Cohen AN, Shoai RS, Perrin R, Chaney E, Young AS. Informatics systems to promote improved care for chronic illness: a literature review. Journal of the American Medical Informatics Association 2007;14(2):156-63.
66.McLean S, Protti D, Sheikh A. Telehealthcare for long term conditions. British Medical Journal 2011;342:374-8.
67.Koch S. Home telehealth--current state and future trends. International journal of medical informatics 2006;75(8):565-76.
68.Dhillion JS, Lutteroth C, Wunsche BC. Leveraging Web 2.0 and Consumer Devices for Improving Elderlies Health. Proceedings of the Fifth Australasian Workshop on Health Informatics and Knowledge Managemen (HIKM 2011); Perth, Australia2011. p. 17-24.
69.Mohktar MS, Basilakis J, Redmond SJ, Lovell NH, editors. A guideline-based decision support system for generating referral recommendations from routinely recorded home telehealth measurement data. 32nd Annual International Conference of the IEEE EMBS; 2010 Auguest 31 - September 4; Argentina: IEEE.
70.Jennett P, Andruchuk K. Telehealth:‘real life’implementation issues. Computer methods and programs in biomedicine 2001;64(3):169-74.
71.Kashem A, Droogan MT, Santamore WP, Wald JW, Bove AA. Managing heart failure care using an internet-based telemedicine system. Journal of Cardiac Failure 2008;14(2):121-6.
72.Mougiakakou SG, Bartsocas CS, Bozas E, Chaniotakis N, Iliopoulou D, Kouris I, Pavlopoulos S, Prountzou A, Skevofilakas M, Tsoukalis A. SMARTDIAB: A communication and information technology approach for the intelligent monitoring, management and follow-up of type 1 diabetes patients. Information Technology in Biomedicine, IEEE Transactions on 2010;14(3):622-33.
73.Gomez EJ, Perez MEH, Vering T, Rigla Cros M, Bott O, Garcia-Saez G, Pretschner P, Brugues E, Schnell O, Patte C. The INCA system: a further step towards a telemedical artificial pancreas. IEEE Transactions on Information Technology in Biomedicine 2008;12(4):470-9.
74.Basilakis J, Lovell NH, Redmond SJ, Celler BG. Design of a decision-support architecture for management of remotely monitored patients. IEEE Transactions on Information Technology in Biomedicine 2010;14(5):1216-26.
75.Darkins A, Ryan P, Kobb R, Foster L, Edmonson E, Wakefield B, Lancaster AE. Care coordination/home telehealth: the systematic implementation of health informatics, home telehealth, and disease management to support the care of Veteran patients with chronic conditions. Telemedicine and e-Health 2008;14(10):1118-26.
76.Tani S, Marukami T, Matsuda A, Shindo A, Takemoto K, Inada H. Development of a health management support system for patients with diabetes mellitus at home. Journal of Medical Systems 2010;34(3):223-8.
77.Vriesa AEd, Wala MHLvd, Bedijnb W, Jonga RMd, Dijkb RBv, Hillegea HL, Jaarsmac T. Follow-up and treatment of an instable patient with heart failure using telemonitoring and a computerised disease management system: A case report. European Journal of Cardiovascular Nursing 2011.
78.Pinciroli F, Corso M, Fuggetta A, Masseroli M, Bonacina S, Marceglia S. Telemedicine and e-Health. IEEE Pulse 2011;2(3):62-70.
79.Pagliari C, Detmer D, Singleton P. Potential of electronic personal health records. British Medical Journal 2007;335(7615):330-3.
80.Endsley S, Kibbe DC, Linares A, Colorafi K. An introduction to personal health records. Family Practice Management 2006;13(5):57-62.
81.Kahn JS, Aulakh V, Bosworth A. What it takes: characteristics of the ideal personal health record. Health affairs 2009;28(2):369-76.
82.Halamka JD, Mandl KD, Tang PC. Early experiences with personal health records. Journal of the American Medical Informatics Association 2008;15(1):1-7.
83.Kaelber DC, Jha AK, Johnston D, Middleton B, Bates DW. A research agenda for personal health records (PHRs). Journal of the American Medical Informatics Association 2008;15(6):729-36.
84.Ahern D, Phalen J, Eaton C. The role of eHealth in patient engagement and quality improvement. eHealth Solutions for Healthcare Disparities 2008:75-92.
85.Grant RW, Wald JS, Schnipper JL, Gandhi TK, Poon EG, Orav EJ, Williams DH, Volk LA, Middleton B. Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial. Archives of Internal Medicine 2008;168(16):1776-82.
86.Nazi KM, Hogan TP, Wagner TH, McInnes DK, Smith BM, Haggstrom D, Chumbler NR, Gifford AL, Charters KG, Saleem JJ. Embracing a health services research perspective on personal health records: lessons learned from the VA My HealtheVet system. Journal of General Internal Medicine 2010;25:62-7.
87.Zuckerman AE, Kim GR. Personal health records. Pediatric Informatics 2009:293-301.
88.Tran T, Kim HS, Cho H. A Development of Prototype Personal Health Record System based on Continuity of Care Document. Journal of Korean Society of Medical Informatics 2008;14(3):245-56.
89.Berndt DJ, Hevner AR, Studnicki J. The Catch data warehouse: support for community health care decision-making. Decision Support Systems 2003;35(3):367-84.
90.Pare G, Jaana M, Sicotte C. Systematic review of home telemonitoring for chronic diseases: the evidence base. Journal of the American Medical Informatics Association 2007;14(3):269-77.
91.Galbreath AD, Krasuski RA, Smith B, Stajduhar KC, Kwan MD, Ellis R, Freeman GL. Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure. Circulation 2004;110(23):3518-26.
92.Goldzweig CL, Towfigh A, Maglione M, Shekelle PG. Costs and benefits of health information technology: new trends from the literature. Health Affairs 2009;28(2):w282.
93.Beth C, Kristine F, Kay J, Trisha DAM. Effectiveness of IT-based diabetes management interventions: a review of the literature. BMC Family Practice 2009;10(1):72-9.
94.Verhoeven F, Tanja-Dijkstra K, Nijland N, Eysenbach G, van Gemert-Pijnen L. Asynchronous and synchronous teleconsultation for diabetes care: a systematic literature review. Journal of diabetes science and technology 2010;4(3):666-84.
95.DePalma JA. Telehealth in the community: A research update. Home Health Care Management &; Practice 2009;21(3):205-7.
96.Coye MJ, Haselkorn A, DeMello S. Remote patient management: technology-enabled innovation and evolving business models for chronic disease care. Health affairs 2009;28(1):126-35.
97.McCrossan BA, Grant B, Morgan GJ, Sands AJ, Craig B, Casey FA. Home support for children with complex congenital heart disease using videoconferencing via broadband: initial results. Journal of Telemedicine and Telecare 2008;14(3):140-2.
98.Vitacca M, Bianchi L, Guerra A, Fracchia C, Spanevello A, Balbi B, Scalvini S. Tele-assistance in chronic respiratory failure patients: a randomised clinical trial. European Respiratory Journal 2009;33(2):411-8.
99.Sood S, Mbarika V, Jugoo S, Dookhy R, Doarn CR, Prakash N, Merrell RC. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemedicine and e-Health 2007;13(5):573-90.
100. Adeogun O, Tiwari A, Alcock JR. Models of information exchange for UK telehealth systems. International journal of medical informatics 2011;80(5):359-70.
101. Hebert MA, Korabek B, Scott RE. Moving research into practice: a decision framework for integrating home telehealth into chronic illness care. International journal of medical informatics 2006;75(12):786-94.
102. Chen LC, Lai F. Extensible Intelligent Telehealthcare Management Platform and Creative Services for Call Center Based on SOA. National Science Council, Executive Yuan, 2010.
103. Dorr DA, Wilcox A, Burns L, Brunker CP, Narus SP, Clayton PD. Implementing a multidisease chronic care model in primary care using people and technology. Disease Management 2006;9(1):1-15.
104. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health affairs 2001;20(6):64-78.
105. Ackerman MJ, Filart R, Burgess LP, Lee I, Poropatich RK. Developing next-generation telehealth tools and technologies: patients, systems, and data perspectives. Telemedicine and e-Health 2010;16(1):93-5.
106. Fonda SJ, Kedziora RJ, Vigersky RA, Bursell SE. Combining iGoogle and personal health records to create a prototype personal health application for diabetes self-management. Telemedicine and e-Health 2010;16(4):480-9.
107. Grant RW, Wald JS, Poon EG, Schnipper JL, Gandhi TK, Volk LA, Middleton B. Design and implementation of a web-based patient portal linked to an ambulatory care electronic health record: patient gateway for diabetes collaborative care. Diabetes Technology &; Therapeutics 2006;8(5):576-86.
108. Mougiakakou SG, Bartsocas CS, Bozas E, Chaniotakis N, Iliopoulou D, Kouris I, Pavlopoulos S, Prountzou A, Skevofilakas M, Tsoukalis A. SMARTDIAB: a communication and information technology approach for the intelligent monitoring, management and follow-up of type 1 diabetes patients. IEEE Transactions on Information Technology in Biomedicine 2010;14(3):622-33.
109. Chiang TL. Taiwan''s 1995 health care reform. Health policy 1997;39(3):225-39.
110. Ellrodt G, Cook D, Lee J, Cho M, Hunt D, Weingarten S. Evidence-based disease management. Jama 1997;278(20):1687.
111. Wagner E. The role of patient care teams in chronic disease management. British Medical Journal 2000;320(7234):569.
112. Meyer M, Kobb R, Ryan P. Virtually healthy: Chronic disease management in the home. Disease Management 2002;5(2):87-94.
113. Kohn LT, Corrigan J, Donaldson MS. To err is human: building a safer health system. National Academies Press 1999;6.
114. McKay JR. Continuing care research: What we have learned and where we are going. Journal of substance abuse treatment 2009;36(2):131-45.
115. Hynes D, Weddle T, Smith N, Whittier E, Atkins D, Francis J. Use of health information technology to advance evidence-based care: lessons from the VA QUERI Program. Journal of General Internal Medicine 2010;25:44-9.
116. Stanton MP, Dunkin JW, Williams Thomas LK. Designing a System of Case Management for a Rural Nursing Clinic for Elderly Patients With Depression. Professional Case Management 2007;12(2):83-90 10.1097/01.PCAMA.0000265342.57570.c7.
117. Schnipper JL, Linder JA, Palchuk MB, Einbinder JS, Li Q, Postilnik A, Middleton B. "Smart Forms" in an electronic medical record: Documentation-based clinical decision support to improve disease management. Journal of the American Medical Informatics Association 2008;15(4):513-23.
118. Coleman JR. MCO trends: Integration trends are resphaping MCOs--And may change CM as well. The Case Manager 1995;6(1):34-7.
119. Severson M. Case management diagnosis: rapid change. The Case Manager 1998;9(1):31-3.
120. Peleg M. The Role of Modeling in Clinical Information System Development Life Cycle. Methods Inf Med 2011;50:7-10.
121. Bernus P, Schmidt G. Architectures of information systems. Handbook on Architectures of Information Systems 2006:1-9.
122. Heeks R. Health information systems: Failure, success and improvisation. International journal of medical informatics 2006;75(2):125-37.
123. Silver M, Sakata T, Su HC, Herman C, Dolins SB, O Shea MJ. Case study: how to apply data mining techniques in a healthcare data warehouse. Journal of Healthcare Information Management 2001;15(2):155-64.
124. Tremblay MC, Fuller R, Berndt D, Studnicki J. Doing more with more information: Changing healthcare planning with OLAP tools. Decision Support Systems 2007;43(4):1305-20.
125. Lubowitz JH, Smith PA. Current Concepts in Clinical Research: Web-Based, Automated, Arthroscopic Surgery Prospective Database Registry. Arthroscopy: The Journal of Arthroscopic &; Related Surgery 2011:425-8.
126. Lee TT, Liu CY, Kuo YH, Mills ME, Fong JG, Hung C. Application of data mining to the identification of critical factors in patient falls using a web-based reporting system. International journal of medical informatics 2011;80(2):141-50.
127. Prat N, Akoka J, Comyn-Wattiau I. A UML-based data warehouse design method. Decision Support Systems 2006;42(3):1449-73.
128. Grant A, Moshyk A, Diab H, Caron P, Lorenzi F, Bisson G, Menard L, Lefebvre R, Gauthier P, Grondin R. Integrating feedback from a clinical data warehouse into practice organisation. International journal of medical informatics 2006;75(3-4):232-9.
129. Chen Y, Matsumura Y, Nakagawa K, Ji S, Nakano H, Teratani T, Zhang Q, Mineno T, Takeda H. Analysis of yearly variations in drug expenditure for one patient using data warehouse in a hospital. Journal of Medical Systems 2007;31(1):17-24.
130. Dinis R, Ribeiro A, Santos MY, Cruz J, Teles de Araujo A, editors. A Business Intelligence Infrastructure Supporting Respiratory Health Analysis. BUSTECH 2011, The First International Conference on Business Intelligence and Technology; 2011; Rome, Italy.
131. Schubart JR, Einbinder JS. Evaluation of a data warehouse in an academic health sciences center. International Journal of Medical Informatics 2000;60(3):319-33.
132. Chen L, Yu H-C, Li H-C, Wang Y-V, Chen H-J, Wang I-C, Wang C-S, Peng H-Y, Hsu Y-L, Chen C-H. An Architecture Model for Multiple Disease Management Information Systems. Journal of Medical Systems 2013;37(2):9931.
133. Krasner GE, Pope ST. A cookbook for using the model-view controller user interface paradigm in Smalltalk-80. J Object Oriented Program 1988;1(3):26-49.
134. Reenskaug T. MVC XEROX PARC 1978-79. 1978-79 [cited 2011 05-25].
135. Hsu CC, Chang HY, Huang MC, Hwang SJ, Yang YC, Lee YS, Shin SJ, Tai TY. HbA1c variability is associated with microalbuminuria development in type 2 diabetes: a 7-year prospective cohort study. Diabetologia 2012;55(12):3163-72.
136. Penno G, Solini A, Bonora E, Fondelli C, Orsi E, Zerbini G, Morano S, Cavalot F, Lamacchia O, Laviola L. HbA1c Variability As an Independent Correlate of Nephropathy, but Not Retinopathy, in Patients With Type 2 Diabetes The Renal Insufficiency And Cardiovascular Events (RIACE) Italian Multicenter Study. Diabetes Care 2013.
137. Kovatchev BP, Flacke F, Sieber J, Breton MD. Accuracy and Robustness of Dynamical Tracking of Average Glycemia (A1c) to Provide Real-Time Estimation of Hemoglobin A1c Using Routine Self-Monitored Blood Glucose Data. Diabetes Technology &; Therapeutics 2014;16(5):303-9.
138. Montori VM, Helgemoe PK, Guyatt GH, Dean DS, Leung TW, Smith SA, Kudva YC. Telecare for Patients With Type 1 Diabetes and Inadequate Glycemic Control A randomized controlled trial and meta-analysis. Diabetes Care 2004;27(5):1088-94.
139. Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K. Home telehealth for diabetes management: a systematic review and meta&;#8208;analysis. Diabetes, Obesity and Metabolism 2009;11(10):913-30.
140. Davis RM, Hitch AD, Salaam MM, Herman WH, Zimmer-Galler IE, Mayer-Davis EJ. TeleHealth Improves Diabetes Self-Management in an Underserved Community Diabetes TeleCare. Diabetes Care 2010;33(8):1712-7.
141. Mignerat M, Lapointe L, Vedel I. Using Telecare for Diabetic Patients: A Mixed Systematic Review. Health Policy and Technology 2014;3(2):90-112.


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