一個無所不在的情境感知式健康照護系統之設計與實作

Abstract

近年來，隨著經濟成長、人民生活水準的提高、醫學藥物進步，民眾的平均年齡已顯著的延長，銀髮族、樂活族(Lifestyles Of Health And Sustainability, LOHAS)人口逐漸增加，而國人疾病型態及死亡原因，也由原來的急性傳染病和急性疾病，轉變成慢性疾病，如心臟病、糖尿病、高血壓等。 本論文有鑑於觀光醫療和自然療法的未來需要，提出一個無所不在的情境感知式健康照護系統之設計與實作(Ubiquitous Context-aware Healthcare Service System, UCHS)，主要包含有情境感知式觀光醫療服務搜尋子系統(Situation-Aware Medical Tourism Service Search Subsystem, SAMTS3)、養生地圖導覽子系統(Healthy-life Map Guiding Subsystem, HMGS)、智慧型飲食治療服務決策支援子系統(Intelligent Curative Food Decision Support Subsystem, ICFDSS)、4D路徑緊急醫療救護指派子系統(4D Emergency Indication and Ambulance Dispatch Subsystem, 4DEIADS)，以提供一套整合的自然療法服務平台。此系統結合專家的醫療知識，同時考量各個療法對病症的正向影響和負向影響，並搭配語意網架構推論使用者的病徵，經研究實驗證明可有效且快速地推薦給使用者一個合適的自然療法綜合資訊服務，讓使用者可以達到吃喝玩樂享健康的願景。

The rise of the quality of life index together with the improvement of medical technology lead to a longer life expectancy. Thus a better health care program, especially for elderly, is needed. The common health problems facing those senior citizens are changed from acute diseases to chronic diseases, such as diabetes, hypertension, and etc. Along with these changes, medical tourism is becoming the trend of the future. In this paper, we propose a decision support systems, the Ubiquitous Context-aware Healthcare Service System (UCHS), which uses micro sensors integrate RFID to sense user’s life vital signal, such as electrocardiogram (ECG/EKG), heart rate (HR), respiratory rate (RR), blood pressure (BP), blood sugar (BS), and temperature and light. The UCHS is composted of Situation-Aware Medical Tourism Service Search Subsystem (SAMTS3), Healthy-life Map Guiding Subsystem (HMGS), Intelligent Curative Food Decision Support Subsystem (ICFDSS), and 4D Emergency Indication and Ambulance Dispatch Subsystem (4DEIADS) to provide relevant nature medicine recommendations to its user. The UCHS built upon an integrated service platform in which medical experts’ knowledge and all position and negative influence of the proposed therapy are inferred by using semantic network.