救护行政资源使用之研究-以台湾台南到院前紧急救护为例.PDFVIP

救護行政資源使用之研究-以臺灣台南市到院前緊急救護為例 A Study of Utilization of Emergency Medical Services Resource- an Example of Pre-Hospital Emergency Medical Resources in Tainan City, Taiwan 黃于恬1 蘇俊聰2 Yu-tien Huang Chun-chung Su 摘要 依據台灣內政部消防署統計2005 年至2014 年全台消防機關緊急救護出勤次 數與送醫人數，每年均大幅成長，已造成消防機關人力無法負荷，並造成急診室 雍塞。本研究主要目的為瞭解台灣部分縣市制定濫用救護車收費辦法，及透過收 費辦法以抑制到院前緊急救護資源被濫用，但推行至今，卻成果有限。本研究探 討到院前緊急救護被民眾濫用之成因，首蒐集許多個國家到院前緊急救護現況及 收費制度，再佐以深度訪談執行到院前緊急救護各環節人員，以瞭解目前到院前 緊急救護現況，續提出研究建議，包含辦理政府跨局處聯繫轉介救護常客追蹤輔 導，建立單一處理交通事故單位，中央政府統一制定濫用救護車收費制度，設置 緊急救護諮詢專線及專業人員，落實緊急醫療指導制度，及改善保險制度。 關鍵字：行政資源、到院前緊急救護、救護資源使用 ABSTRACT Fire and rescue department statistics announced by the National Fire Agency, Ministry of the Interior, between 2005 and 2014 indicate an exponential increase in the number of emergency medical dispatches and emergency admissions each year, resulting in an inadequacy in fire and rescue and emergency room (ER) resources. The purpose of the study was to elucidate the reason for the record-breaking numbers of emergency medical dispatches each year. The data of in-depth interviews with relevant pre- hospital emergency medical personnel were then examined to elucidate current pre-hospital emergency medical conditions in Taiwan. In summary of the research findings, the researchers proposed the following suggestions: (1).Arrange 1 台灣環球科技大學公共事務管理研究所助理教授 。Assistant professor, Graduate Institute of Public Affairs Management at Transworld University, Taiwan. email: yutienh@ 2 台灣台南市政府消防局第一救災救護大隊關嶺分隊分隊長。Fire captain at Tainan City Government Fire Bureau, Taiwan. 1 inter-bureau communications and referrals to monitor and counsel frequent ambulance patients.