頁籤選單縮合
題名 | A Need Assessment Study on Hospital Services in An-Nan District, an Underserved Community without a Hospital=在醫療資源缺乏的安南區創立新醫院的需求調查 |
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作者 | 鄭雅文; 顏裕庭; 黃文河; 孫緒媛; 黃明和; 牟聯瑞; Cheng, Yvonne; Yen, Ernest; Huang, Wen-ho; Sun, Rebecca; Huang, Min-ho; Mo, Lein-ray; |
期刊 | 秀傳醫學雜誌 |
出版日期 | 20000400 |
卷期 | 2:2 2000.04[民89.04] |
頁次 | 頁51-57 |
分類號 | 419.44 |
語文 | eng |
關鍵詞 | 醫院的醫療需求; 醫療資源缺乏地區; Hospital service; Underserved community; |
中文摘要 | 行政院衛生署於1991年設置醫療發展基金,鼓勵民間於醫療資源缺乏地 區設立醫療機構。台南市安南區是台灣最古老的社區,至今未設醫院,實為醫療 資源缺乏地區。1997年衛生署正式核准設立140床的綜合醫院,1998年安南地區 舉行了社區醫院需求調查。區長、民意代表及鄰長都熱烈擁護「安南醫院」的成 立,當地45家診所亦大都認為應該建設新醫院,但亦有33並不贊成醫院的設立。 「全民健保」的給付,以「醫院評鑑」為依據,為達到地區教學醫院的標準,安 南醫院擬籌設內、外、婦產、兒科、放射科與麻醉科;檢驗科、藥局、急診科亦 屬必須;麻醉科、病理科、眼科、耳鼻喉科、泌尿科與皮膚科則可依病患數之成 長而設立。家庭醫學科的成立為迎接「健康維護組織」、「總額預算」及「論人 計酬」等支付制度變遷的準備。新醫院病患主由社區診所的轉診而來,醫院因此 必須與所有社區醫師連成一體。由於長期沒有醫院,地方民眾對醫院服務的使用 習慣,就必須由醫院社區化的服務來培養。預防保健服務的提供,已成「無牆醫 院」的基石,社區醫學的教學與研究活動,將成為該醫院核心競爭能力的著力點。 |
英文摘要 | In 1991 the Department of Health (DOH) Executive Yuan, ROC, provided grants-in-aid to encourage the underserved community to build the hospital in provid ing comprehensive care for the underserved residents. A general hospital with 140 beds was formally approved to build in An-nan District, a community without a hospi tal for a population of 154,738 by the DOH in 1997. A community survey assessing the needs of the hospital services was conducted in October 1998. Community lead ers and the citizen representatives are enthusiastic in supporting the hospital project.All 45 physicians practicing in the community were interviewed, most of them wel comed the construction of the new hospital and showed their interest in affiliationwith the new hospital. Daily medical demands in the An-nan community were around2,500 patients, 1.5 of the total population. Although the new hospital is adequate toaccommodate admission needs of the An-nan people, it is crucial to receive supportfrom the local clinicians. In addition to establish clinical departments of internal medicine, obstetrics and gynecology, surgery, pediatrics, radiology and anesthesiology toserve as the back-up hospital for local clinicians, who largely provide primary care services, it is suggested to open the departments of family medicine and communitymedicine in order to provide community-oriented primary care in meeting healthneeds of the underserved An-nan population. Clinical clerkship programs for medicalstudents and specialty residency training programs are to be offered to train futurephysicians to serve the underserved areas. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。