A Preliminary Study on the

in the : A Study of Outpatient Service.

Chieh-Hsin Hsieh, Ling-Ling Yeh, Shu-Hui Chuang*Undergraduate student Professor Assistant ProfessorDepartment of Healthcare Administration, Asia University

Background

To improve the healthcare quality and service efficiency, providers adopt information technology these years.

The hospital environment transform from labor demanding to auxiliary smart facilities.

In Taiwan, the aging society , we must consider whether the elderly can seek for doctors in the smart hospital.

Purpose

The aim of this study is to explore convenience among smart hospital facilities, and utilization of medical services, and association factors, according to their experience of healthcare utilization.

Materials and MethodsThis study conducted face-to-face interviews via a questionnaire. The participants were 50 elderly people aged above 65 years and those who were in the elder community care centers.

To interview the elderly the experience of outpatient visits using information technology : (See Table 1)

1. 86% of the elderly considered the registration counter is the most convenient.

2. 48% of the elderly considered the cashier counter is the most inconvenient.

To interview the elderly with simulation graphic of outpatient facilities in smart hospital, the elderly reflected: (See Figure1,2)

1. Most of the elderly reflected the facilities of information technology in smart hospital will bring great convenience to them(24%-90%), and the elderly (46%-100%) also had the willing to us those facilities

2. More than 50% of the elderly expressed they are not willing to use the self-service paymentmachine (54%) and mobile payment system (50%). The elderly could not trust the machines, and they felt insecurity.

In general, the association factors of willing to use facilities in smart hospital for the elderly included gender, education level, occupation, economic situation, experience of using smart phone and experience of using computer products.(See Table2)

Results

Table 1. Convenience of the experience of outpatient visits

Variable N %

OutpatientConvenient 46 92

Inconvenient 4 8

Registration counterConvenient 43 86

Inconvenient 7 14

Clinic areaConvenient 39 78

Inconvenient 11 22

Cashier counterConvenient 26 52

Inconvenient 24 48

Inspection, examination

Convenient 29 58

Inconvenient 21 42

Pharmacy departmentConvenient 39 78

Inconvenient 11 22

Table2. Factors related to willing to use facilities in smart hospitalVariable Smart

Patient Guide

Self-service Registered Machine

Intelligent Counter

Interactive Information Kiosk

Mobile Queuing status System

Intelligent Clinic check-in System

Vital Sign Measurement Self-service Kiosk

Self-service paymentMachine

Mobile Payment System

Drug Information System

Telehealth Care System

Sex ＋ ＋ ＋ ＋Age ＋ ＋ ＋ ＋ ＋ ＋Education Level ＋ ＋ ＋ ＋ ＋ ＋ ＋Occupation ＋ ＋ ＋ ＋ ＋

Economic Situation ＋ ＋ ＋

Experience of using smart phone

＋ ＋ ＋ ＋ ＋

Experience of using computer products

＋ ＋ ＋ ＋ ＋ ＋

58%

72%

52%

82%

66%

90%82%

26% 24%

70% 66%

42%

28%

48%

18%

34%

10%18%

74% 76%

30% 34%

SMART PATIENT GUIDE

SELF-SERVICE REGISTERED

MACHINE

INTELLIGENT COUNTER

INTERACTIVE INFORMATION

KIOSK

MOBILE QUEUING

STATUS SYSTEM

INTELLIGENT CLINIC CHECK-IN

SYSTEM

VITAL SIGN MEASUREMENT SELF-SERVICE

KIOSK

SELF-SERVICE PAYMENT MACHINE

MOBILE PAYMENT SYSTEM

DRUG INFORMATION

SYSTEM

TELEHEALTH CARE SYSTEM

◆FIGURE 1. CONVENIENCE OF SIMULATION GRAPHIC OF OUTPATIENT FACILI TIES IN SMART HOSPITALConvenient Inconvenient

66%

82%92%

100%92%

100% 100%

46% 50%

90%

66%

34%

18%8%

0%8%

0% 0%

54% 50%

10%

34%

SMART PATIENT GUIDE

SELF-SERVICE REGISTERED

MACHINE

INTELLIGENT COUNTER

INTERACTIVE INFORMATION

KIOSK

MOBILE QUEUING

STATUS SYSTEM

INTELLIGENT CLINIC CHECK-IN

SYSTEM

VITAL SIGN MEASUREMENT SELF-SERVICE

KIOSK

SELF-SERVICE PAYMENT MACHINE

MOBILE PAYMENT SYSTEM

DRUG INFORMATION

SYSTEM

TELEHEALTH CARE SYSTEM

◆FIGURE 2. WILLING TO USE FACILITIES IN THE SMART HOSPITALUse Not to use