台灣醫師繼續教育制度實施情況之研究

A Study on the Influencing Factors of All-Inclusive Package Tours’Formulation of Medical Tourism in Taiwan

劉碧優(Pi-Yio Liu)

指導教授 ： 張鐵軍

朝陽科技大學/管理學院/企業管理系/碩士(2010年)

摘要

摘 要
醫師繼續教育(Continuing Medical Education；CME)即「醫師執業生涯中一切有助維持、增進醫師專業健全的教育活動」，它可能直接或間接影響醫師臨床表現及醫療結果。臺灣在2002年醫師法修訂前，業已實施專科醫師繼續教育多年，係以專業自律作為貫徹教育的動力，但受到法源依據不明，各專科醫學會間缺乏統合以及管制的因素影響，就社會日益高漲之維繫醫師專業健全、確保醫療品質訴求，回應始終有限。及至2002年1月我國公佈醫師法第八條第二項之修訂，規定醫師應接受繼續教育並做為定期更新執業執照之基本條件，自此臺灣正式邁入國家參與管制的強制性醫學繼續教育。
基此，本研究旨在探討台灣實施「醫師繼續教育」制度以來，是否對偏遠地區或診所醫師造成學分採計上之問題，以及醫師對辦理時間、課程內涵、實質效益、主辦機構等之實質感受與看法，並以重要事件法(CIT)進行重要事件的歸類與分析，本研究共寄發200份問卷，有效問卷計161份，回收率80.5﹪。
根據研究結論得知，醫師繼續教育因醫師法之強制規定，容易造成醫師參加繼續教育只為積分累積與定期換照為目的。其次，醫師繼續教育提供者應藉由課程的安排達到醫師自我學習的目的，避免醫師繼續教育的實施流於形式。再者，醫師繼續教育提供者(如各地醫師公會或專科醫學會)應就課程內容與主題、師資的加強和多元化，以符合醫師關切醫療政策變動及臨床醫學實務新知交換之需求，因此相關醫學團體如醫學院，醫學會，醫師公會，醫教會，衛生局等應落實辦理醫師繼續教育，以促進醫師繼續教育之品質及成效。

關鍵字

醫療政策。 ； 滿意度 ； 教育提供者 ； 醫師繼續教育 ； 教育接受者

並列摘要

Abstract
Continuing Medical Education (CME) refers to “all kinds of educational activities that can help maintain and enhance physician’s competency during his career life”; CME might directly or indirectly affect physician’s clinical performance and medical results. Before the Physicians Act was amended in 2002, Taiwan has already implemented CME for physicians that hold diplomat certificate for many years; at the time physicians were motivated to complete the education by self-regulation. However, because there were no clear law regulations and all kinds of physician associations were not connected and well-managed, when more and more people in the society asked for maintaining physician’s professional competency and assuring medical quality, the reaction was limited. Until January 2002, Taiwan announced the amendments on the Physicians Act Article VIII-2, enforcing physicians to accept continuing education as a basic condition to renew physician licenses, Taiwan officially became one of the nations that implement enforced continuing medical education.
Hence, this research aimed at investigating whether the enforced CME system caused credit calculation problems to remote areas or clinic physicians in remote areas and how physicians feel and think about the CME’s processing time, course contents, actual effects, and host institutions. This research used Critical Incident Technique (CIT) to conduct the classification and analysis of critical incidents. 200 questionnaires were distributed, and with a collection rate of 80.5%, there were 161 effective questionnaires.
According to research conclusions, the Physicians Act enforced CME system could easily cause physicians to participate in continuing medical education only for purposes of credit accumulation and license renew. Moreover, the CME provider should try to satisfy physician’s self-study demand by carefully designing the curriculum to avoid CME becoming just a formality. Also, the CME provider (such as local medical association or association for specific specialty) should arrange course contents and subjects, enhance and diversify teaching forces to meet the needs of physicians in areas such as the changes of medical policies and the share of new clinical medical practices, etc… Therefore, medical groups like medical colleges, medical association, committee on medical science education, public health bureau, and other related groups should truly carry out the continuing medical education to enhance CME’s quality and effects.

並列關鍵字

Satisfactory Level ； Medical Policy ； Education Provider ； Education Acceptor ； Continuing Medical Education (CME)

參考文獻

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