- 期刊
建立綠色永續腎臟照護－以臺北醫學大學部立雙和醫院為例
Establishing Green and Sustainable Kidney Care: A Case Study of Taipei Medical University-Shuang Ho Hospital
摘要
台灣醫療機構碳排放量約占4.6%，高於全球平均值。台灣透析發生率及盛行率長居世界之首，透析治療碳排量更是一般病人10-20倍。雙和醫院腎臟科團隊將減碳轉化為創新的動力，透過數位轉型，發展綠色永續腎臟照護，減少碳排。在醫院的醫療廢棄物，主要透過推動循環經濟，經由回收後循環再利用來再生醫療用物品，可降低碳排放並同時節省醫療成本。腎臟科的數位轉型部分，開發以病人為中心之整合性智慧系統，包括：「急性腎傷害電子警訊系統」與「急性腎臟疾病追蹤系統」，應用演算法與歷史資料庫比對，自動定義出急性腎傷害，並主動提醒臨床團隊並落實持續監測照護；「慢性腎臟病地圖系統」提供儀表板介面，主動分級慢性腎臟病期數及導入多團隊照護。透過雙和醫院腎臟科全面性的數位轉型與進行疾病預防工作，不僅提升了醫療品質與照護效能，還推動醫療產業的永續發展，實現經濟、環境與社會效益的平衡發展。
並列摘要
The carbon footprints of Taiwan's healthcare systems account for approximately 4.6%, which is above the global average. Taiwan has the highest incidence and prevalence rates of dialysis worldwide, with dialysis treatment generating carbon footprints 10-20 times greater than those of general patients. The nephrology division at Shuang-Ho Hospital has transformed carbon reduction into a driving force for innovation, developing green and sustainable kidney care through digital transformation to reduce carbon emissions. In terms of medical waste management, the hospital promotes a circular economy approach, divided into external and internal cycles. By recycling and reusing materials to manufacture medical supplies, the hospital reduces carbon footprints and saves healthcare costs simultaneously. For digital transformation in nephrology, the division has developed a patient-centered integrated smart system, including an "Electronic Alert System for Acute Kidney Injury" and an "Acute Kidney Disease Tracking System." These systems apply algorithms and historical databases to automatically identify acute kidney injury, actively alert clinical teams, and ensure continuous monitoring. Additionally, the "Chronic Kidney Disease Mapping System" provides a dashboard interface for proactive staging of chronic kidney disease and integrates multi-disciplinary care. This comprehensive digital transformation and focus on disease prevention not only improve quality and efficiency but also promote the sustainable development of the healthcare system, achieving an advancement of economic, environmental, and social benefits.