探討國內技術混合照護模式的演進與現況

Exploring the Current State and Progress of the Skill-Mixed Model in Taiwan

國內急性醫療機構中，有輔助人員於照護單位內協助衛材的補充，或協助護理人員執行病人照護已行之多年。SARS疫情爆發後，因家屬陪病及院內交叉感染風波，技術混合照護模式始於醫療政策面被正式討論。2003年起，全責照護模式等計劃陸續試辦，以嘗試找出合適的照護模式；目前國內所試行之全責照護模式，與國外所行之技術混合照護模式相似。因此，本文將針對技術混合照護模式的起源、定義、目的、類型，以及此一照護模式對於護理人員的影響與病人照護優缺點等相關研究作深入的介紹，並探討目前國內施行的狀況及所面臨之困境。期望此文的討論和建議，能作為國內政策制定與醫療照護環境改善之參考。

For many years assistant personnel have been an integral part of Taiwan’s healthcare system, assisting nurses to take care of patients and helping out with various aspects of unit work. The skill-mixed model was discussed during the period of greatest SARS risk in Taiwan, when the tradition of family accompaniment in hospitals presented a real and present risk of nosocomial cross-infection. Since 2003, health care authorities have continued to attempt to implement an appropriate nursing model to improve overall delivery of healthcare. The nursing model implementation in Taiwan is similar to the skill-mixed model deployed in Western countries. Therefore, this article introduces the origin, definition, purpose and categories of the skill-mixed model, as well as related studies on the impact of the skill-mixed model on nursing and patient care outcomes. The article will further explore the current situation and difficulties of applying the skill-mixed model in Taiwan. This article can serve as a reference for health policy makers and be used to help improve Taiwan's healthcare delivery system.