遠距醫療計畫對偏遠地區醫療可近性的影響：以恆春旅遊醫院為例

The Impact of Telemedicine Treatment Programs on Healthcare Accessibility in Remote Areas: A Case Study of Hengchun Tourim Hospital

在2020年1月1日本院承接「2020年度臺東、花蓮及屏東恆春地區建置遠距醫療門診計畫」；為保障民眾就醫權益及積極推動分級醫療，並強化基層照護能力，再加上資訊科技基礎建設逐步完備的情況下，本院係以與高雄長庚醫院合作開辦之「遠距醫療門診」為對象，透過此計畫充實醫院服務量能，解決部分專科別醫師人力失衡情形，同步享有醫學中心等級診療資源。民眾尤其是高齡人口對於醫療需求日益增加，透過遠距診療服務，本院眼科及皮膚科看診人數超過成效指標，皮膚科達成率106.9%、眼科110.2%，回診率達90.4%，彌補了恆春地區專科醫師科別欠缺不足，以縮短城鄉醫療資源差異及交通差距，在偏遠地區的醫療服務可近性方面的差距，確保提供醫療照護和守護社區民眾的健康。

On January 1, 2020, the Kaohsiung Chang Gung Hospital commenced the ''2020 Telemedicine Outpatient Program'' in the Taitung, Hualien, and Pingtung Hengchun Districts. This was managed in cooperation with the ''Telemedicine Outpatient Clinic'', and aimed to enhance the capacity of hospital services. This program sought to protect the public's right to medical care, actively promote the hierarchy of medical care, and strengthen primary care capacity, coupled with the gradual completion of the information technology infrastructure. Through this program, the capacity of the hospital's services were increased, potentially elevating its medical resources to the same level as a medical center. In addition, it resolved the imbalance of physician manpower in some specialties. The public has shown an increasing demand for medical care, particularly the elderly population. Through the telemedicine service, the number of ophthalmology and dermatology consultations exceeded the performance targets. This resulted in a dermatology achievement rate of 106.9%, an ophthalmology rate of 110.2%, and a return rate of 90.4%. This compensated for the lack of specialists in Hengchun, and addressed the disparity in healthcare resources between urban and rural areas, the disparity in transportation, and the disparity in accessibility to healthcare services in remote areas. This effectively minimized the disparity between urban and rural medical resources, ensuring the provision of medical care and the protection of community health.