武漢肺炎流行期間衛生福利部所屬醫院在社區防疫中之定位與貢獻

The Contribution of the Hospitals Belonging to Taiwan’s Ministry of Health and Welfare in the COVID-19 Pandemic

武漢肺炎自2020年一月下旬農曆春節期間台灣各醫院開始應變以來，衛生福利部所屬醫院便全員動員起來，從急診疑似個案採檢站的設立、感染管制動線及流程的建立、防護裝備盤點整備、人員的教育訓練、院內應變會議及指揮體系命令的傳達、及病人的收治，衛生福利部所屬醫院都是站在最前線與衛福部一同奮戰，因與衛福部的從屬關係，使得中央的領導統御與命令貫徹執行。疫情開始流行後，因應包機接送國人返國，檢疫所便快速建立，衛生福利部所屬醫院肩負協助角色，等於在醫療之外，又擔負起檢疫角色，防止疾病進入社區，同時在14天檢疫期確定後，因應部分國人返國家裡無足夠檢疫空間，防疫旅館於焉產生。衛生福利部臺中醫院又進場輔導本市業者做好防疫的工作。這樣醫院醫療，社區防疫(檢疫)雙重角色便是衛生福利部所屬醫院在這場流行病中的重要角色，衛生福利部所屬醫院的存在也在這場疫病中看到價值。

All the hospitals in Taiwan have launched preparedness programs for the upcoming outbreak of the novel coronavirus disease 2019 (COVID-19, also called severe acute respiratory syndrome-coronavirus 2 infection [severe CoV-2 infection]) since the first case of novel COVID-19 infection was confirmed in Taiwan in January 2020. The hospitals of the Ministry of Health and Welfare immediately took several actions immediately, including establishing the quarantine station at the Emergency Department for quick nasal swab sampling, organizing transportation routes throughout their facilities for infection control, ensuring adequate personal protective equipment for clinicians, disseminating updated knowledge of COVID-19 for health-care workers, and proper isolating suspicious and confirmed patients with emerging infectious diseases. The hospitals of the Ministry of Health and Welfare should obey the orders and implement policies from the Ministry of Health and Welfare. When the COVID-19 pandemic started, the government initiated the chartered flight and quarantine centers for many Taiwanese coming back to Taiwan from various countries abroad. As one of the hospitals of the Ministry of Health and Welfare, we were responsible for providing medical care on the chartered flights and establishing quarantine centers and hotels. During this battle against COVID-19, the hospitals of the Ministry of Health and Welfare also played major roles in border quarantine control, community transmission control, and medical response and preparedness.