初探中醫走進長照機構的展望－以褥瘡為例

Preliminary Exploration of the Prospect of Traditional Chinese Medicine Entering Long-term Care Institutions -Taking Bedsore as an Example

廖道文(Liao Daw Wen) ； 顧婉瀛(Ku Wan Ying) ； 蘇袽圓(Su Ju-Yuan) ； 姚育菁(Yao Yu Ching) ； 黃耀文(Huang Yao-Wen) ； 陳博淵(Chen Po-Yuan)

《中醫內科醫學雜誌》 20卷1期 (2022/06) Pp. 1-9

https://doi.org/10.7102/JTCIM.202206_20(1).0001

摘要

111年3月臺灣開始實施〈全民健康保險中醫門診總額照護機構中醫醫療照護方案〉，中醫師前往照護機構為住民診療，提升醫療可近性。本文以褥瘡為例，初探中醫走進長照機構的展望，透過歸納整理褥瘡照護之中西醫觀點、中醫臨床褥瘡照護療效與相關健保給付支出，分析中醫進入照護機構之潛在優勢與效益。結果顯示，內服或外用中藥或中西醫同治，療效比常規褥瘡護理更佳。中醫治療褥瘡有助修復傷口、縮短病程與降低成本，減少後續西醫清創、皮瓣移植所需的巨額支出。然而，有鑑於本方案剛起步，目前僅能從相關文獻及健保資料初步評估預期照護效益，並就醫療費用支出面探討中醫進入照護機構之展望。因此，尚需仰賴更多中醫師共同參與，共創全民健康福祉。

關鍵字

中醫 ； 長照 ； 照護機構 ； 褥瘡

並列摘要

Since the launch of new program, Traditional Chinese medical physicians are enabled to step into care institutions providing medical services, which increases health care accessibility to people with physical or mental incapacity in long-term care service institutions. Taking bedsore for example, the study aims to investigate the benefit and prospect of Traditional Chinese medical physicians entering long-term care service institutions. We analyzed the underlying advantages and effectiveness of this thing by collecting and sorting out information about bedsore care from viewpoints of both western and Traditional Chinese medicine, clinical effectiveness of Traditional Chinese medicine on bedsore care and related cost of health insurance. Results showed Chinese medicine alone or coupled with modern medicine is better than normal bedsore nursing care. Traditional Chinese medicine treatment to bedsore helped to repair wounds, shorten disease course, and reduce huge spending about debridement and skin grafting provided by modern medicine. However, considering that the program was just implemented, we could just preliminarily evaluated its expectation effects from related literatures and health insurance database, and explored the prospect of Traditional Chinese medical physicians entering long-term care service institutions from the aspect of medical expenses. Thus, it still needs more Traditional Chinese medical physicians to get involved to promote public welfare.

並列關鍵字

Traditional Chinese medicine ； Long-term care ； Care institution ； Bedsore

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