打造健康管理新紀元－－從疾病治療照護到健康服務管理

To Create a New Era of Health Management is to Include from Health Promotion to Disease Treatment

傳統醫療服務提供者著重在急性醫療照護服務的提供，然而，在健保費用制約的時代下，醫療服務提供者必須重新思考在競爭激烈環境中，如何滿足顧客整體的健康照護需要，以增加醫療機構的競爭優勢。由於健保開放部分民眾自付醫療的空間，加上民眾教育及生活水準的提昇，對於個人健康資產的重視漸增，使得個人量身打造、精緻化、整體性的健康照護需求日益增加，坊間健康休閒養生風氣在台灣稍稍的開展，醫療界以專業的醫療背景為基礎，除了從事傳統的疾病診斷、治療外，必須由整體影響民眾健康因子加以考量，包括個人生物特性、行為、環境因子、衛生政策介入、醫療服務利用的可近性等切入，更積極提供整體的健康管理活動。新時代的健康管理概念，結合了傳統醫療與休閒養生的概念，而整體的健康管理活動必須涵蓋上游到下游整體性的健康照護，包括了健康風險評估及全身性健康檢查、多面相且完整的健康介入活動、及有效的健康管理系統等元素，目的除了預防疾病的發生，更積極地增進民眾整體健康。多元化的服務整合直接提供了民眾量身打造的個人健康服務，醫療人以現有急性醫療照護專業與資源為基礎，拓展健康管理服務的版圖，滿足照護顧客身、心、靈全面健康需求外，並確保各項服務的有效性，是未來健康產業發展的新趨勢。

Traditionally, medical service providers emphasize on acute care. The main guiding policy of National Health Insurance（NIH）is based on cost control that medical service providers are required to consider how to supply a comprehensive health care to satisfy the customer needs and to maintain a favorite position in the competitive market. According to NHI policies, health care organizations can provide many kinds of services that are not payoff by NHI system. Furthermore, Taiwan’s people have better education and quality of living than before, they pay more attention on personal health and asks for customized, exquisite, and comprehensive health care service. Nowadays, people in Taiwan tend to look for relaxing ways to keep healthy. Therefore, health care providers need to create a new overall health management model, which bases on not only traditional medical care but also health improvement activities, which related to personal biology, behavior, environment, health policy, and medical service access, to keep people away from many risk factors of being unwell. We suggest that the new concept of health management be integrated with the health risk assessment and examination, multidimensional health interventions, and efficiency of health information system. It is useful as well to prevent from disease and improve overall health as to satisfy consumers. To develop the health management activities is a trend of health care in the future.