國際接軌－－台灣實證照護之展望

Glocalization: The Outlook for Taiwan Evidence Based Health Care

以實證為中心的健康照護逐漸獲得臨床及社會大眾所注意，如何將實證研究的結果應用至第一線的健康照護，並及時更新醫療人員的醫學新知與技能，已是當前實證健康照護推廣的重要課題。從1996年到2014年近二十年，台灣實證健康照護的發展如火如荼的展開，我們可從這幾年蓬勃發展的實證醫學全國比賽以及相關的實證健康照護文獻得知，實證健康照護活動已蔚為大觀，國內實證健康照護的推廣，不再只侷限醫學，更橫跨了護理、藥學、公衛、管理等專業領域。有鑑於此，國內實證健康照護的發展日益深廣，且相關的組織如雨後春筍般的陸續成立。台灣除了國內的發展外，在國際上也積極參與各種與實證健康照護相關的活動，例如：考科藍合作組織、東亞考科藍聯盟、國際實證健康照護學會等，相信台灣在過去20年來各界共同努力推動實證健康照護基礎下，醫療品質可預期會更加進步。

Public attention to evidence-based health care (EBHC) has increased significantly in recent years. Key problems related to applying EBHC in current healthcare practice include the timely update of up-todate knowledge and skills and the methodology used to implement EBHC in clinical settings. EBHC has been introduced to the Taiwan healthcare system for the past two decades. The annual EBM (Evidence based medicine) National Competition is a unique and important EBHC activity in Taiwan. EBHC has been promoted widely in medicine, nursing, pharmacy, public health and other professions, and EBHC-related organizations such as the Taiwan Evidence Based Medicine Association (TEBMA), and Taiwan Evidence Based Nursing Association (TEBNA), have increased in number and grown in membership. In addition to domestic developments, Taiwan is also actively involved in global organizations, such as the Cochrane Collaboration, East Asian Cochrane Alliance (EACA), and the International Society for Evidence Based Health Care (ISEHC). In Taiwan, most medical professionals work cooperatively to promote EBHC, which facilitates the gradual improvement of healthcare quality.