Lin Chiou-Fen, Kao Ching-Chiu
Department of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, ROC.
Taipei Medical University - Municipal Wan Fang Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2014 Apr;61(2):13-9. doi: 10.6224/JN.61.2.13.
The significant changes in nursing manpower utilization in Taiwan over the past two decades are due in large part to the implementation of the National Health Insurance program and the rising need for long-term care. The changes have impacted clinical nursing manpower utilization in two important ways. Firstly, there has been a substantial increase in overall demand for nursing manpower. In particular, the need for clinical nurses has nearly quadrupled during this time period. Secondly, the level of difficulty involved in patient care has risen dramatically, with factors including increased disease severity and increased care quality expectations, among others. These changes, coupled with demands on nursing manpower imposed from other sectors, underpin and further exacerbate the problem of nursing manpower shortages throughout the healthcare system. To raise the quality of the nursing work environment, the Ministry of Health and Welfare (MOHW) brought together Taiwan's key professional nursing organizations to promote 10 care-reform strategies, establish the nursing-aid manpower system, and create the nursing classification system as an approach to effectively attract nurses to take positions in the medical system.
过去二十年来，台湾护理人力利用情况的显著变化在很大程度上归因于全民健康保险计划的实施以及长期护理需求的增加。这些变化在两个重要方面影响了临床护理人力的利用。首先，护理人力的总体需求大幅增加。特别是在此期间，临床护士的需求几乎翻了两番。其次，患者护理的难度水平急剧上升，原因包括疾病严重程度增加和护理质量期望提高等因素。这些变化，再加上其他部门对护理人力的需求，构成并进一步加剧了整个医疗系统护理人力短缺的问题。为了提高护理工作环境的质量，卫生福利部召集了台湾主要的专业护理组织，以推动10项护理改革策略，建立护理辅助人力系统，并创建护理分级系统，作为有效吸引护士在医疗系统中任职的一种方式。
