全國衛生所檢驗作業狀況調查結果

A Survey of Current Clinical Laboratory Practices of Primary Medical Care Units in Taiwan

廖素娥(Suh-Er Liaw Hwu) ； 劉嘉斌(Chia-Bin Liu) ； 蔡宗仁(Johnson Tsai) ； 李寧(N. Lee) ； 郭有淼(You-Miau Kuo) ； 楊炳炘(Yang P. C.) ； 杜啟安(Chi-An Tu) ； 唐皇(Tang Huang) ； 劉武哲(Wu-Tse Liu)

《中華公共衛生雜誌》 13卷4期 (1994/08) Pp. 300-307

https://doi.org/10.6288/CJPH1994-13-04-02

摘要

為瞭解國內衛生所的檢驗作業狀況，作者設計了一份“衛生所檢驗作業調查表”表內包含檢驗作業內容、執行情形、作業量、人事現況以及儀器設備等項。於1991年6月寄出336件給全省所有衛生所，至11月止兵收回215件，回收率64.0%。其中有執行檢驗作業的共123所，有73所是群醫中心，50所是一般衛生所。設有檢驗作業的衛生所，其檢驗部門及作業內容之普及性依序為生化學88所(71.5%)，一般檢驗學80所(65.0%)，血液學77所(62.6%)，血庫學54所(43.9%)及血清免疲學51所(41.5%)。將檢體全部委託其他單位代檢的主要部門是血清免疲及細胞學。檢驗的作業量依序為一般鏡檢學、生化學、血清免疲學、血液學、血庫學、細胞學及細茵學。檢驗作業的負責人有72所(58.5%)是醫檢師，有29所(23.6%)是醫檢生。基本的儀器設備中，使用年限在5年內的離心機有44台(39.7%)，顯微鏡有46台(38.7%)。由本調查結果得知國內衛生所的檢驗現況，在全民健保實施時，若需要衛生所執行配合醫療需要的檢驗作業時，務必要再多充實專業人力及硬體設備的投資。

關鍵字

衛生所 ； 一般衛生所 ； 群醫中心

並列摘要

In the process of developing a national health insurance program, the quality of clinical laboratory practices in primary medical care units (PMCUs) is vital. For this purpose, a survey including the quality of laboratory tests, test capacity, personnel, and current condition of instruments was designed. A questionnaire was sent to all PMCUs and the response rate was 64% (215/336), 36.6% of PMCUs (123/336) have laboratory testing. 73 of these belong to the group medical care centers (GMCCs), the others are general PMCUs. Biochemistry tests were the most common, 71.5% (88/123); microscopy tests came next, 65% (80/123). Hematology was next, 62.6% (77/123), then blood bank, 43.9% (54/123) and seroimmunology, 41.5% (51/123). Some PMCUs sent part or all of the specimens to nearby hospitals or other laboratories, especially those of the seroimmunology and cytology tests. The numbers of samples tested per year ranged from 0 to 35564. The largest number of samples was for clinical microscopy, followed by biochemistry, seroimmunology, hematology, blood bank, cytology and microbiology. In 72/123 units (58.5%) the laboratory staff were trained medical technologists and in 29/123 units (23.6%) they were trained medical technicians. As far as basic instruments were concerned, new microscopes had been purchased within the last 5 years in 46/119 units (38.7%); new centrifuges had been purchased within the last 5 years in 44/ 116 units (39.7%). Based on the survey data, suggested that the facilities and professional manpower of clinical laboratories in the PMCUs should be upgraded.

並列關鍵字

Primary medical care unit PMCU ； general primary medical care unit GPMCU ； group medical care center GMCC