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建立中醫醫療品質規範之相關問題與對策 莊逸洲長庚大學 |
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| 中醫有悠久的歷史，但是在系統性的醫療品質規範方面發展尚未如近代西方醫學。總額預算實施以來，健保局與中醫全聯會已著手中醫門診品質指標的監測，中長程指標的針灸、傷科治療規範也已完成。然而，目前中醫醫療品質的基本規範與長期醫療品質的提昇仍然有待形成共識與具體行動。中醫醫療品質規範與相關指標存在的幾個基本問題包括： 1.中醫醫療品質應有的規範為何？ 2.中醫醫療品質未來的發展目標為何？ 3.現有的中醫醫療品質指標有何缺失？應如何改進？ 本研究擬藉由文獻探討，專家諮詢，深入訪談與實證分析的方式，探討台灣中醫品質應有的規範與指標，分析其可行性，作為中醫藥委員會提昇中醫醫療品質的參考。 |
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| 關鍵字：中醫,醫療品質,品質指標 |
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Problems and Strategies on Regulating the Qualities of Chinese Medicine Yi-Chou ChuangChang Gung university |
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| Chinese traditional medicine has been practiced for a long time. However, there is little systematic regulation on on its quality of care as the western medicine does. Since the implementation of global budget, the Bureau of National Health Insurance and the association of China Clinical Traditional Medicine have created a series of quality indicators for monitoring purposes. Quality indicators also have been established for acupunture and Chinese Medical Wound. Nevertheless, there is not yet a clear concensus on what qualities should be regulated, how to regulate them, and what the altimate goals are for making such regulations. In particulat, problems arise from the following perspectives: 1.What qualities of Chinese medicine should be regulated? 2.What are the altimate goals regulating these qualities? 3.What are the shortcomings of current quality indicators, and how to improve thme? This study will draw from literature, expert opinion, patient-interviewing, and empirical analy |
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| 關鍵字：Chinese medicine,quality of care,quality indicators |
