/ / / / /07-2134183 / / / / /07-2618387 / /07-2134183 / /07-2134183 / /07-2711997 / /07-2134160 / /07-7516087 / /07-2618131 1. 2. 3. 4. 5. 90 3 4 90 3 18 90 5 22 / J3
Pacific Blood Center Sprint Laguna Honda Hospital On Lok Senior Health Services Johns Hopkings Hospital Vancouver General Hospital Louis Brier Crescent Gardens Start Center Little Mountain Place Villa Cathay HIS
.. 1.. 1.. 1... 2 2 SPRINT. 4 5 6.... 7 Laguna Honda Hospita.. 7.... 7.. 16... 17
11 PHIS open system : web base Helen Lee Laguna Honda Hospital Sprint Louis Brier Crescent Gardens Start Center Little Mountain Place Villa Cathay
1 2 3 4 PCR TMA
AIDS PCR HIV DNA 99.9% Viral Load TMA 5 stem cell 6 7 56K Data Ware Housing Server server interface
8 scanner SPRINT 1 SPRINT Internet internet SPRINT 2 8λ*2.5G*4=80Gbps 96λ*40G*16=61,440Gbps 96λ*40G*96=4,368,640Gbps 3 SPRINT
SPRINT SPRINT INTERNET INTERNET PC 4 SPRINT 1876 web-based
1 CARE CARD CARE CARD CARE CARD 2 BC REAL TIME 3 CT-Scan, MRI, Cardio-Image X-ray PACS
Laguna Honda Hospital 64 1866 500 1457 40 39 1200 AIDS 800 600 On Lok Senior Health Services PACE PROGROM OF ALL INGLUSIVE CARE FOR THE ELDERLY 1971 Chinatown Chinatown-
North Beach Health Care Planning and Development Corporation CNBHCP CNBHCP Marie Louise Ansak On Lok Senior Health Services North Beach Chinatown 1441 Powell Street 1000 Montgomery Street 1333 Bush Street1 225-30 th Street 1426 Fillmore Street provided by Gildman Institute on Aging 2700 Geary Boulevard provided by Gildman Institute on Aging 4430 Mission Street Adult Day Health Center 1972-1975 Administration on Aging 3 3 Office of Human Development Services
1975-1979 Comimunity Care Organization for Dependent Adult CCODA 1980-up to date 1979 2 1980 2 Oltechnical report 1981 p3 740 55 83 72 51 40 5 88 6 6 89 800 72 7 3
On-Lok 1998 1560 days Medicare 1997 2014 days
1. 2. Skill Nursing Facility SNF Intermediate Care Facility ICF 3. 4. 5. 6. 7.
1 physician services Skill Nursing Care occupation therapy physical therapy recreational therapy social service family counseling meals & nutritional counseling medical services transportation 2 home care home health care personal care 3 institutional care nursing home inpatient care hospital care part-time staff
1 1 2 3 psychiatry 2 X multi-disciplinary ream core team expanded team medicare medical comprehensive medicare waiver package capitaled payment
medical private pay medicare 1982 Tax Equity and Fiscal Responsibility Act health maintance organization HMO Department of Health Services DHS medical 1980 CCODA 1 2
10 1999 21 1. 2. 3. 4. 2000 senior 65 45 1936 1959 1966 55-35 10 2010 65 11.8 12.3
2010 11.8 12.3 2020 17.0 65 1.35 80 2 18 55 36 5 35 82 25 9 14 84.2 74.9 36 24
HIS