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| 題 名 | 中醫基層醫療院所參與臨床研究模式之建立與影響評估--以中醫腦血管疾病後遺症門診照護計畫為例=The Establishment of Model for Assessing the Effectiveness of Clinical Research in Traditional Chinese Medicine Clinics: A TCM Care Plan for Stroke |
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| 作 者 | 施純全; | 書刊名 | 中醫藥年報 |
| 卷 期 | 3 2014.12[民103.12] |
| 頁 次 | 頁(63)1-(63)50 |
| 分類號 | 413.34 |
| 關鍵詞 | 中醫; 腦中風; 臨床研究; Traditional Chinese medicine; Cerebrovascular diseases; Clinical research; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 研究背景:台灣中醫師研究人才多數從事臨床醫療服務,其中將近 90%的中醫師於基層院所執業,較少有機會參與中醫藥研究發展,中醫師研究人才的相對流失,無疑將使中醫藥的研究規模及成果受到限制。 研究目的:本研究欲探討中醫師研究人力繼續從事中醫藥相關研究的影響因素,並以中醫腦血管疾病後遺症門診照護計畫為例,研訂中醫基層醫療院所參與臨床研究之運作模式。 研究方法:本研究主要以 (1)問卷調查及資料蒐集方式進行中醫師研究人力現況調查與分析並進一步探討中醫師研究人力繼續從事中醫藥相關研究的影響因素, (2)利用全民健保資料庫探討台灣腦血管疾病病人於各層級中醫院所的醫療利用情形,並比較其差異, (3)召開專家學者會議研訂中醫醫療院所參與腦血管疾病後遺症照護計畫臨床研究之組織架構、運作模式及推展方式。 結果:本研究結果發現台灣中醫師研究人力繼續從事中醫藥相關研究之影響因子主要有性別、年齡、學位別、主要執業場所別及是否為教職等;腦血管疾病後遺症門診照護計畫中各層級中醫院所的醫療利用差異性最小,專家學者會議共識,鼓勵中醫藥人才從事中醫藥研究有助於擴大中醫藥研究規模,促進中醫藥之發展。 結論與建議:結合通過評鑑合格醫院與曾接受臨床研究訓練基層中醫師之教學、訓練、臨床及研究資源,以全民健保中醫整合性照護計畫為議題,配合提供經費等誘因及鼓勵機制,有助於提高基層中醫師參與中醫藥相關研究之意願,及減少中醫藥研究人才之流失。建議進行大規模問卷調查,以瞭解基層醫療院所中醫師參與臨床相關研究計畫之意願及誘因,並公開徵求試辦計畫以利進一步推展。 |
| 英文摘要 | BACKGROUND: In Taiwan, the majority of physician of traditional Chinese medicine (TCM) practice clinical medical care and almost 90% of them work in primary clinics. TCM physicians have lower opportunity to participate TCM research until the present time. Undoubtedly, the loss of TCM research physician may lead to the limitations in TCM researching scale and contributions. AIM: This study was designed to investigate factors associated with the continuing research in TCM among TCM physicians. We considered the program of TCM ambulatory care for the late effects of cerebrovascular disease as an example to establish the operating model for TCM primary clinics participating clinical research. METHOD: We used questionnaire-based survey to collect the information of present manpower of TCM physician. The present study investigated the factors associated with TCM physician continue to participate TCM research. By using National Health Insurance Research Database, this study investigated factors associating with TCM use among stroke patients in different levels of hospital. We hold conference including experts and specialists to draw up organizing scheme, operating model and development for TCM facilities to participate clinical research of the caring plan for the late effects of cerebrovascular disease. RESULTS: Sex, age, academic degree, practicing facilities and teaching certificate in university were factors associated with TCM physician continue participating TCM research. No major difference in the utilization between various levels of TCM facilities under the program of ambulatory care for the late effects of cerebrovascular disease. From the results of expert-and specialist-conference, we have a common consensus. To encourage TCM physicians to participate TCM research may benefit expanding the scale of TCM research and promote the development of TCM. CONCLUSION: It may increase primary TCM physicians to participate TCM research and decrease the loss of TCM researching investigators by (1) combing accredited hospitals and primary TCM physicians who had been underwent clinical researching training; (2) to provide financial support and encouraging plan under the integrated TCM care program of National Health Insurance. We suggest that the population-and questionnaire-based interview is needed to understand the aspiration and reasons why TCM physician participating clinical research. To request pilot program openly may enhance the progression. |
本系統中英文摘要資訊取自各篇刊載內容。