- 期刊
中醫傷科後續推拿手法可交由物理治療師（生）執行之可行性評估
Evaluation of Availability for post-manipulation Practice Performed by Physical Therapists in the Department of the Chinese Orthopadics and Traumatology
摘要
目前中醫醫療院所充斥著大量未具醫事人員資格的推拿人員，這些未具醫學背景的人員素質良莠不齊，除了威脅到民眾健康安全保障，也浪費了寶貴的健保資源。 過去衛生署有鑒於中醫傷科輔助醫療的人力未有相關「教、考、用」的建制，曾在民國九十年規劃「中醫護理學」七科九學分，其中亦包括「中醫傷科護理學」但受限於傳統上護理人員以護理工作為主，以及體力負荷影響，較少執行推拿手法，尚無法承接此部分之作業人力。 本計畫以問卷調查統計分析、醫病雙向田野調查訪談、以及邀集相關醫事（學）團體（如中醫師公會全國聯合會、中醫傷科醫學會、物理治療師（士）公會、護理師（士）公學會，暨學者專家、社會公信力團體代表……等，共同座談研商評估「物理治療師（士）於中醫師診治病人並執行示範推拿手法後，後續推拿處置，交由物理治療師（士）執行推拿處置的可行性」？並依據核心團體及學者專家的規劃舉辦三～四場示範講習會。 一、中醫傷科後續推拿手法交由物理治療師（士）執行在法規、學理上充分可行。 二、中醫師親自操作傷科手法，尤其是獨力完成傷科手技療法，是中醫傷科繼續存亡的命脈，應重視提高其傷科處置費之給付。 三、護理師（士）亦可以養成培訓，執行中醫傷科的後續推拿手法。 四、推拿助理，應鼓勵其進修高職護校在職班，取得護士資格。 五、日前中醫師公會全國聯合會決議籌設「中醫推拿學系」以解決中醫傷科輔助醫療人力的問題。恐步入「運動醫學系」的後塵，有「教」而無「考、用」的施展之地！
並列摘要
Aim To evaluate the availability for post-manipulation practice performed by physical therapists in the department of the Chinese Orthopadics and Traumatology. Method This study was to analyze the survey based on the quality of medical service from both patients and CMDs (Chinese Medical Doctors) in the department of the Chinese Orthopadics and Traumatolog at different hospitals and local clinics. Furthermore, representatives of National Association of CMDs, PTs, nurses and scholars were gathered to discuss the feasibility of this study. And, three to four conferences were held by CMDs, PTs and nurses for detailed demonstration in order to come to a conclusion. Results & Discussion 1. The post-manipulation practice performed by physical therapists in the department of Chinese Orthopadics and Traunatology was available and suitable in theories and principle. 2. The performance of CMDs through the whole manipulation practice should be encouraged. 3. The nurses were also suitably trained for post-manipulation practice. 4. The unqualified assistants needed further reinforcement in medical knowledge. 5. At present, the Association of Taiwan TCM had decided to establish a ”Department of traditional tramatology” in order to resolve further medical problems. On the other hand, students in the Department of Sports Medicine were capable of using their profession to help patients in the future.