臺大醫院支援醫療資源不足地區緊急醫療照護服務獎勵計畫10年經驗

A Ten-Year Experience of National Taiwan University Hospital in Implementing of the Medical Center Support Project

為加強離島及醫療資源不足地區醫院之緊急醫療照護能力，衛生福利部自2013年起開辦「醫學中心支援離島及醫療資源不足地區醫院緊急醫療照護服務獎勵計畫」，由醫學中心或重度級急救責任醫院指派專科醫師人力，支援偏鄉醫院並輔導其達成指定之緊急醫療照護能力。臺大醫院於計畫執行10年間（2013-2022年），總計派出41位急重症與特殊相關專科醫師至衛生福利部所指定之醫療資源不足地區醫院，輔導並協助提昇當地緊急醫療照護服務能力。文中將分享本院響應該計畫的10年經驗，並反思與提出建言請各界指正，俾使政府對於改善偏鄉或離島醫院緊急醫療照護品質之美意得以完善與延續。

To enhance the quality of emergency and critical care in hospitals located in remote and offshore areas, the Ministry of Health and Welfare launched “The Medical Center Support Project” in 2013. Under this program, medical centers and advanced emergency responsibility hospitals assigned specialized physicians to support rural healthcare facilities and guide them in achieving the designated goals for critical and emergency care. From 2013 to 2022, National Taiwan University Hospital (NTUH) dispatched a total of 41 physicians who are specialized in critical or emergency care to healthcare resource-limited areas. These physicians not only served as supportive team members, but also acted as mentors, providing their expertise to establish and strengthen the core competency of the hospital. Their valuable contributions play an important role in the certification and designation of these hospitals as Emergency Responsibility Hospitals. This article shares the ten-year experience of NTUH in response to “The Medical Center Support Project”, reflecting on the process and presenting recommendations for improvement. We welcome feedback and suggestions from all stakeholders to support the government’s ongoing efforts to enhance and sustain the quality of emergency and critical care in remote and offshore hospitals.