腫瘤個案管理師之進階照護角色與功能

Roles and Functions of Tumor Case Managers in Advanced Nursing Care

行政院衛生福利部統計近三十年來腫瘤為國人十大死因之首，有鑑於此，國家政策積極推動癌症連續性照護及多專科整合運作模式，提供病人高品質及合乎經濟效益之醫療照護服務。近來醫療體系陸續建立腫瘤個案管理照護制度，透過腫瘤個案管理師有效整合醫療資源，提升診療照護品質及正向醫病關係；身為進階腫瘤個案管理師，不僅須具備專業知識及技能，兼具剛柔並濟的人格特質，協調癌症診療團隊和諧運作，監測癌症診療遵循及保障病人就醫權益，為病人謀益及維護醫療品質。現況國內醫療院所對腫瘤個案管理師角色功能及管理職責無一致性，故依據腫瘤個案管理師教育培訓規劃及角色功能實務做一概述說明。

According to statistics from the Department of Health, Execute Yuan, cancer has been the leading cause of death for the past 3 decades in Taiwan. Consequently, the government has actively promoted a continuous cancer care and integrated multidisciplinary operational model for providing high-quality and cost-effective medical care services to cancer patients. Recently, a case-based cancer-care system has been implemented across the health care system, which has effectively integrated medical resources through tumor case managers, thereby improving medical care quality and enhancing physician-patient relationships. An advanced-tumor case manager must possess professional knowledge, skills, and specific personality traits that combine firmness and flexibility to coordinate teamwork and maintain regulatory compliance during cancer diagnosis and treatment, protect patient interests, ensure patient benefits, and enhance medical care quality. Currently, the role, function, and managerial duty of tumor case managers across domestic hospitals have failed to exhibit consistency. Therefore, we introduce their roles and functions in practice and the educational training plans currently used for tumor case managers.