COVID-19疫情間醫師對醫療院所防疫信心之探討：以南部某醫院為例

Explore the Confidence of Physicians in Epidemic Prevention in Medical Institutions During COVID-19 Pandemic

依據世界衛生組織（world health organization, WHO）統計數據，截至2020年10月已有4,300多萬人確診新冠肺炎，造成1百多萬人死亡，確診個案遍及世界六大洲、1百多個國家，相較於2002年11月至2003年7月發生的SARS疫情影響的時間與嚴重性更為鉅大。醫院作為民眾健康最為關鍵的看門者，是承受最多暴露風險的場域，更應該制定詳細的防疫計畫，有效率的篩檢和隔離風險高的病人引流至急診或戶外門診，以保障醫院內民眾與醫療從業人員的安全。衛生福利部疾病管制署制定醫療機構因應COVID-19（武漢肺炎）感染管制措施指引，提供給台灣的醫療院所做為傳染病防治的指引。本研究探討以醫師的觀點來看個案醫院與其他醫院的防疫措施。結果顯示，醫師普遍對於台灣醫療院所的防疫措施有信心，特別是政府有明確規範的項目，對於個案醫院的信心程度更高於其他醫院。建議政府可透過區域網絡的力量讓防疫表現良好的醫院帶領當地醫療機構發展周全性防疫網絡。利用現有的醫療區域聯盟和轉診網絡挑選表現優異的醫院，透過聯盟和網絡的串聯，結合在地資源與風俗民情，分享防疫經驗並協助當地醫療機構共同發展全面性的防疫網絡，共同保護社區與民眾的健康。

According to the World Health Organization, more than 43 million people have been diagnosed as having coronavirus 2019 (COVID-19), resulting in more than 1 million deaths. Confirmed cases have spread across six continents and more than 100 countries. However, in Taiwan, the duration and severity of the impact of the severe acute respiratory syndrome epidemic in July 2003 was even greater than that of COVID-19. As the major gatekeeper for people’s health, hospitals are also the areas with the highest exposure risks. Detailed epidemic prevention plans should be formulated to efficiently screen and isolate patients who represent high risks to emergency or outdoor outpatient clinics to protect the safety of other patients and medical practitioners. The Department of Disease Control of the Ministry of Health and Welfare (Taiwan) formulated guidelines on infection control and prevention measures for medical institutions in response to COVID-19. This study explores the epidemic prevention measures of a case hospital and other hospitals from the perspective of physicians. The results indicate that physicians generally have confidence in the epidemic prevention measures of Taiwan’s medical institutions, especially the government’s clearly regulated items, and they have greater confidence in the case hospital than in other hospitals. The government should consider using the regional hospital network to enable hospitals with excellent performance in epidemic prevention to lead local medical institutions in developing a comprehensive epidemic prevention network. Through alliances and networks, local resources and practices can be combined to share epidemic prevention experience and assist local medical institutions to protect the health of those in the community.