Liou Yiing-Mei, Chen Mei-Yen
Institute of Clinical and Community Health Nursing, School Health Research Center, National Yang-Min University, Taiwan, ROC.
Hu Li Za Zhi. 2012 Apr;59(2):5-10.
Health policies in many advanced countries have been revised and reformed to address increasing public healthcare demands and increasingly limited resources. Upgrading the quality and quantity of community healthcare is the most effective solution. Implementation of the National Health Insurance system in Taiwan has introduced instability into the medical system, as insurance premiums no longer correspond to healthcare demand, Taiwanese live inadequately healthy lifestyles, and expectations of the healthcare system continue to grow. Community nursing now faces many challenges at this historic crossroads. This paper tries to analyze factors in the domestic and international environment that affect Taiwan's national community healthcare. These include changes in population structure, adjustment of governmental policies, the implementation of nursing and medical regulations, and consensus among nursing professional groups. The authors hope to anticipate the trends and prospects and advantages and opportunities in community healthcare in the coming decade in order to help our community healthcare partners prepare a good foundation and establish a model for the national healthcare system and nursing profession.
许多发达国家已修订并改革卫生政策,以应对不断增长的公共医疗需求和日益有限的资源。提升社区医疗的质量和数量是最有效的解决办法。台湾地区实施全民健康保险制度给医疗体系带来了不稳定因素,因为保险费不再与医疗需求相对应,台湾民众的生活方式不够健康,且对医疗体系的期望持续攀升。在这个历史的十字路口,社区护理如今面临诸多挑战。本文试图分析国内外环境中影响台湾地区全民社区医疗的因素。这些因素包括人口结构变化、政府政策调整、护理及医疗法规的实施,以及护理专业团体间的共识。作者希望预测未来十年社区医疗的趋势、前景、优势及机遇,以帮助我们的社区医疗伙伴奠定良好基础,并为国家医疗体系和护理专业建立典范。