校園慢性病學生的個案管理現況與未來方向

Case Management for School Students with Chronic Disease: The Current Situation and Future Direction

本文主在從流行病學資料的呈現，探討校園慢性病學生照護之重要性，及從校園目前執行現況中發現有學校護理人員本身、家庭、導師、學校與最高行政主管機關對慢性病個案管理的認知與管理的知識不足等缺失。嘗試從慢性病個案管理的管理原則，架構未來我國施行慢性病個案管理的原則與方向；並分別從實務、法現、資訊系統、政策與評鑑制度提出建議，以期建立適合我國之校園慢性病個案管理模式與計畫，提升慢性病學生之健康照護與生活品質。

This paper aims to investigate the importance of management of chronic illness in schools epidemiological data. By examining the current state of such management, we found that school nurses, family members, mentors and school administrators lack sufficient knowledge to conduct effective case management for students with chronic diseases. This paper seeks to indicate principles for the conduct of case management of chronic disease in Taiwan. Incorporating practices, regulations, information systems, policy, and evaluation systems, recommendations are made with the hope that a well-planned system of case management of chronic disease can be established in schools to further enhance the quality of health care and life generally for school children.