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題 名 | 臺灣地區醫院的消逝對社區醫療安全網絡的影響=The Decline of the Taiwan District Hospitals and Its Impacts on the Community Health Care Safety Network |
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作 者 | 黃鴻茗; 宋鎮照; | 書刊名 | 臺灣社區工作與社區研究學刊 |
卷 期 | 3:1 2013.04[民102.04] |
頁 次 | 頁1-22 |
分類號 | 412.775 |
關鍵詞 | 地區醫院; 社區; 醫療安全; 區域醫院; 醫學中心; District hospitals; Community; Health care safety; Area hospitals; Medical research center; |
語 文 | 中文(Chinese) |
中文摘要 | 當住家附近的地區醫院招牌悄然消失,這現象在以前只會被當作是社會變遷的過程而已。但當不幸生病的是自己的家人,而這病人必須被後送到較遠的大醫院醫治,卻又因為大醫院常態的壅塞和沒病床問題,讓病患得在急診室等病床數天時,此時大家才會意識到地區醫院的重要,意識到地區醫院消逝的問題,與社區醫療安全網絡的重要性。本文藉由對地區醫院與大醫院的相關對象訪談、文獻回顧與分析、與急診病患、家屬的實境觀察等的研究方法,來比較地區醫院退場前後對社區住民醫療安全的重要性。特別是在地區醫院退場後,社區的急性醫療的急診、開刀、住院、檢查需求,以及日常的醫學教育、疫苗接種、與健檢等工作的推動,到日間照護、慢性、長期、在地化的醫療照護,都隨著地區醫院的退場瞬間瓦解。而接替與彌補地區醫療安全網絡的規劃,至今卻也遲遲未見,這對台灣社區的醫療安全網絡發展的威脅極大。 |
英文摘要 | In Taiwan, it was not worthy of you to take notice of the disappearance of the District Hospitals around until your sick family was sent to the bigger hospitals, like Area Hospitals or Medical Research Centers, far away from our community. Also it was usually predictable to stay in emergency room for waiting ward admission about several days here. All these are terribly threatening local community people's medical care right. More importantly, the community medical care safety network has come to a crisis for local people's health. By way of interviewing with the related hospital staffs and supervisors, emergency room patients and their families, in addition to using empirical observation methods, literature review and analysis, we gave the comparison before and after the disappearance of district hospital in community. There were not only emergency medical services, operation, admission, laboratory examination but also the medical education, vaccination, promotion of the community health screening work, day care, chronic and long-term medical care. However, all these cares are almost destroyed completely. And the worst, there were no responsible policies or strategies for resuming district hospitals till now. Under such circumstances, the community health care safety network would be threatened and challenged in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。