傳統的醫療會診系統著重於會診便利性與整體醫療系的整合，但並無法把需要高複雜度運算的醫療項目在會診進行中進行討論。本論文基於網格運算基礎上，設計一個具有網格運算功能的遠距醫療會診系統，以最低成本的方式，透過實驗與驗證，進而瞭解在會診的進行中，可以將高複雜度運算的醫療討論項目，讓各位醫生能夠進行討論的可行性。鑑於網格環境上電腦的異質性與多樣性，我們提供 Node Score方法來標示目前網格電腦的運算能力，同時並分析工作型態，針對不同的工作類型進行適當地切割與分配的安排，以達到工作的最小返回時間與網格結點間的負載平衡。本會診系統提供了基本的會診系統功能，如影像圖片操作區、醫療影像格式 DICOM的存取、會診人員管理資料庫、安全性考量，並使用 RAT與 VIC視訊會議軟體來達到視訊與聲音的功能。

　　Traditional telemedicine consultation systems focus on the convenience of the consultation system and the integration of the overall medical treatment system, but some operations which need high-complexity computing cannot be executed smoothly when the consultation systems are in proceeding. Based on Grid technologies, a telemedicine consultation system with the function of Grid computing is proposed in this thesis. Through the experiments and verifications, we can understand it is possible that some operations which need high-complexity computing could be performed in the consultation system. In consideration of the various computing capability in Grid environment, the Node Scores are used to identify the current computing capabilities of grid nodes. We also analysis the categories of jobs and split and dispatching them in appropriate way in order to minimize the turnaround time and the load balance of grid nodes. Proposed telemedicine consultation system provides basic functions such as image manipulation, the medical image, user account management, security, and video conference.

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