臺灣地區中醫醫院之現況

The Current Status of Chinese Medicine Hospitals in Taiwan

我國宣布將於民國83年實施全氏健康保險，屆時中醫醫療亦納入全民健康保險體系中，中醫醫療院所必須擔負起中醫診療的重責，但是環觀園內中醫醫療機構的營運狀況、組織型態、人員配置、儀器設備等資料泰半闕如。因此，在開辦全民健康保險之際，自需對台灣地區的中醫醫療院所有一番瞭解。本調查目的在分析中醫醫療機構現況，包括業務統計、門診服務、醫師組織與功能、病歷、中藥局、護理服務，並針對中醫醫療的評估要項提出建議。本調查結果發現中醫醫院多在起步階段，各項業務統計資料不完整，醫療服務以門診診療為主，多無各類委員會組織，病歷專業人員不足，藥局從業人員以不具藥師資格者為主，護理服務人員以不具護理師或護士資格者佔多數。綜合醫院中醫部之業務統計資料較完整，醫療服務以門診診療為主，多有各類委員會組織，病歷專業人員不足，藥局人員以藥師為主，護理人員亦以正規護理人員較多。

It was announced by government that National Health Insurance (NHI) will be put in force in 1994. The Chinese medicine will be included in the program of NHI. Chinese medicine hospitals will bear heavy burdern in Chinese medicine treatment. We find most information and data about the operation of Chinese medicine hospitals, including organization and personnel structure, instruments, equipment and facility, etc., are still not available. The objectives of this survey shall be analysing on current status of Chinese medicine hospitals. The results show I hat private Chinese medicine hospitals do not have sufficient operational statistical data. Their medical services are mainly outpatient treatment. They do not have appropriate kinds of committee. There is shortage of qualified medical record librarians and pharmacist. Nursing aides are majority of nursing staffs. In general hospitals, the statistical data of Chinese medicine department are comparatively complete where therapeutic services are mainly in outpatient treatment. There are various kinds of committee the patients' records are handled by professionals; workers in dispensary are pharmacists who have studied and reached the standard of Chinese medicine courses most nurses are graduated from nursing schools.