自1865年馬雅各醫師到台南開業行醫算起,西醫被引進台灣有120年以上的歷史。在這120多年之間,台灣地區醫療照護的進步非常迅速。隨著醫學教育的發展,特別是光復以彼,醫事人力和醫院診所都不斷的增加,而民眾醫療照護的可近性也因此明顯的提高。但儘管這樣,在醫療照護上仍然有許多值得我們再努力的地方(例如:改善不同社會經濟階層間利用醫療照護的差異,節制急遽上升的醫療費用,以及管理與提升醫療服務的品質)。本文將說明過去120多年來台灣地區發展醫學教育與醫療照顧資源的歷史與成就,並進一步探討目前我們迫切需要解決的醫療照護問題。
Western medicine was first introduced to Taiwan in 1865 when James L. Maxwell started his medical practice in Tainan. Over the past 120 years health care delivery in Taiwan has remarkably progressed. With the development of medical education, especially after World War II, the supply of health care manpower and organizations has rapidly increased, and consequently the access to health care in Taiwan has been greatly improved. Nevertheless, there remain problems to be solved in the field of health care delivery such as socio-economic differentials in use of health services, rapid growth of health care costs, and inadequacy of the quality of health care. This paper accounts the historical development of medical education and health care resources, and discusses the current issues of access, cost, and quality in health care delivery in Taiwan.
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