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Construct Communication Shared Decision Making Bridge Based on Technology Social Network Concept

Chi Mei Hospital

Information
"The characteristic of a Shared Decision Making (SDM) system relies in the development of a model satisfying the modern medical operation and public communication in order to improve the medical decision making quality. Its design concept takes into the account of various elements of “auxiliary tool creation principle”, “steps for designing SDM auxiliary tools”, “define clinical issues requiring decision making”, “private cloud of SDM platform”, “foundation facility and service”, “platform and service”, “software and service”, “questionnaire design module”, “information security design”, “front-end WebAPP application program (user end)” and clinical execution procedure framework” along with the integration of contents of various aspects in order to satisfy clinical operation requirement. This system integrates the aspects of basic IT environment, mobile applications and security protection for the design of the SDM management platform. Different auxiliary tools (including texts, photos, images, multimedia, various types of files) are transmitted to patients and relatives (computers, smart mobile devices) via QR Code scan links. In addition, after patients and their relatives finish the reading of the auxiliary tools and complete the questionnaires as well as the decision making, the system is able to timely feed back such information to physicians. Physicians can then understand the needs and decisions of patients in order to conduct joint discussion with the healthcare team and to complete the medical decision. "
Benefits

"The integration of the demands of SDM platform with the clinical operation models and expectations provides greater development opportunities for the Shared Decision Making system, and the following achievements can be achieved: 1. Unlimited use of equipment: The open platform can be run on mobile phones, PC and tablet computers such that it is no longer limited to one device only. 2. Diverse teaching materials: The creation of the teaching materials can be presented in different formats including printed works, multimedia and playable files. In addition, different presentation methods for one identical subject can be achieved. With the diverse teaching materials, the quality of the teaching materials is also improved such that a virtuous cycle can be generated. 3. Variety of questionnaire formats: For patients of different subjects, different intention question methods are adopted, such as structured type, perception type, response type questionnaires. The system is able to provide various types of questionnaire methods in order to satisfy the needs of healthcare personnel. 4. Boundaryless: The construction of “QR Code”, “Line link” allows the platform to be mobilized and regional barriers can be overcome. 5. Timely communication: The management platform is also integrated with the HIS system. In the questionnaire for patient's decision intention, decision-making assistant coach messages to physicians can be included in order to allow physicians to obtain important information during clinic diagnosis. 6. Possibility of research: With the instant saving of information, when there is a need for future auxiliary tool improvement or other research needs, the clinical healthcare personnel can use the database to perform analysis. "

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