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衛生所之社區精神衛生工作的挑戰與機會

Opportunities and Challenges for Community Healthcare Center Psychiatric Care

摘要


過去公共衛生護理人員一直是台灣社區精神病患的主要照顧者,但在量變與質變的社會情境下,公共衛生護理人員是否仍合適擔任此工作或者該由誰來擔起照顧之責的問題,仍備受爭議。本文乃運用「STEP (social-technological-economical-political assessment)」分析模式,剖析巨觀環境變化對衛生所之社區精神衛生工作的衝擊、公共衛生護理人員於社區精神衛生業務的角色定位與未來發展問題,並提出相對應的策略與建言。

並列摘要


Public health nurses are the largest manpower component in community-based psychiatric care in Taiwan. However, controversies related to primary responsibility for such have erupted and must be addressed in order to ensure patients receive the most appropriate care and healthcare professionals are adequately trained and supported. This article used the STEP (social-technological-economical-political assessment) method to assess the macro-level contextual changes that have affected healthcare centers and public health nurses providing community psychiatric care as well as their role function and development. This study recommends several policy changes based on findings.

被引用紀錄


林幼喻、顏文娟(2022)。精神病患強制送醫團隊合作模式之省思精神衛生護理雜誌17(1),7-12。https://doi.org/10.6847/TJPMHN.202204_17(1).02
吳佳儀、李明濱、余春娣、林如玉、黃壬屏、陳錫中(2016)。社區精神暨心理衛生護理的新視野台灣醫學20(1),96-105。https://doi.org/10.6320/FJM.2016.20(1).13
黃玉珠、王育慧(2015)。伴我路遙遙-家屬及公衛護理師照護社區精神病患之現況與困境護理雜誌62(4),26-33。https://doi.org/10.6224/JN.62.4.26

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