建構台灣中醫特色居家醫療模式

New Model of Traditional Chinese Medicine Home Health Care in Taiwan

台灣的居家醫療在105年開始實施，中醫藥具有獨特性、有效而且醫療費用相對低廉，是一種強調全人照顧的醫療，但在108年前卻沒有全民健保給付。因為目前的居家醫療模式需要有醫院、醫師、藥師、護理師及社工人員組成團隊等因素，讓中醫師要參與這些計畫困難重重，實際服務及照顧病人的實例並不多。我們採取描述性研究方法，利用衛福部健康保險署之公開統計資料及中醫師公會全聯會中執會的數據，分析108年開辦後至109年第二季之申報資料，發現總共有407人接受中醫居家治療，服務1803人次，共申報大約一千萬左右的醫療點數。109年衛福部中醫藥司規劃中醫研究一個具有中醫特色的居家醫療模式，讓中醫能夠提供可用及預防治療的新居家醫療模式。

The home health care was begun at 2016 in Taiwan. The Traditional Chinese Medicine (TCM) has its unique, effectiveness and lower cost. Although it is suitable for holistic health care system, but the home health care using TCM wont accepted and paid by national health insurance until 2019. Its difficult to do the current model for the TCM physicians, because the team of home health care must include hospital physicians, nurses, pharmacists, social workers, etc. Descriptive study method was used and the statistical data from the public information on the internet. According to this research we found that 403 patients, 1803 visits accepted TCM home health care and spent nearly ten million NT dollars during a year (2019-2020). In 2020, the Department of Traditional Chinese Medicine, Ministry of Health and Welfare provided funds to establish a new model for integrated TCM to serve the future home health care. This research project also hope to form a feasible community and preventive medicine.