新冠肺炎疫情對於醫院床位量能的挑戰

The Challenge of the COVID-19 Outbreak to Hospital Bed Capacity

近年來新興傳染病快速增加，2020年COVID-19疫情對醫療院所的現行業務以及防疫應變能力有極大的挑戰，醫院配合醫策會與衛福部進行實地查核醫院效能及盤點收治量能，因應防疫措施超前部署。彰基在疫情初期強化醫療區塊整合，使防疫專責病房與內科加護病房同在9樓，方便緊急病情變化時，可快速移動至加護病房；兒童醫院快速成立專責病房，並規畫親子同室滿足兒童照護需求；並針對需要接觸性隔離病房進行入住床位調整。疫情中期加強專責病房與周邊病房的運用，可彈性擴充醫療量能，83病房與93病房同屬第三醫療大樓，動線規劃與分艙分流措施可快速複製，中華路院區主恩病房與第五康復病房也同屬一樓層，加快擴增防疫專責病房的效率。疫情後期則以調整收治規範為原則，全面復歸日常床位運用。彰基持續以關注疫情發展，維持良好應變機制，才可以對付新興傳染病的不確定性，保全醫療量能，讓病人獲得妥善的醫療照護。

Emerging infectious diseases have increased rapidly in recent years, The COVID-19 pandemic in 2020 has greatly challenged the currentoperations of medical institution and their ability to fight the pandemic. The medical institution cooperated with the Joint Commission of Taiwan and the Ministry of Health and Welfare to conduct on-site inspections of hospital effectiveness and hospital surge capacity respond to pandemic preemptive preparedness. Changhua Christian Hospital (CCH) strengthened the integration of medical wards in the early stage of the pandemic, setting up a dedicated COVID-19 ward on the 9th floor near the Medical Intensive Care Unit (MICU) to facilitate rapid transfer to the intensive care unit in case of emergency. The Children's Hospital established a dedicated ward, and planned parent-child room sharing to meet the needs of children's care. The allocation of admission beds will be implemented for the isolation contact ward. Strengthen the use of dedicated wards and surrounding wards in the middle of the pandemic, flexibly expand hospital capacity. Since Ward 83 and Ward 93 are in the third medical building, the measures of traffic flow planning and segregating patients and staff can easily replicate. The Grace Ward and the Transitional Care Unit-5 of the Changhua Road Campus are also on the same floor, it may accelerate the efficiency of expanding the pandemic dedicated wards. In the late stage of the pandemic, adjusting the rules for patient admission and fully returning to pre-pandemic use of beds. CCH will focus on the pandemic development, maintain the excellent response mechanism to deal with the uncertainty of emerging infectious diseases, preserve the medical capacity, and ensures that patients receive proper medical services.