輔具回收或租賃服務意願：臺灣醫療器材廠商觀點分析

目前臺灣已有許多縣市已設置輔具中心，提供民眾相關輔具衛教及回收/租賃之服務。因應政府2017年起實施長照2.0需求，以及臺灣社會人口高齡化與環保意識興起，輔具使用率及替換率將會大幅上升，除了政府在醫療政策大力推動以及輔具中心協助民眾，屆時還會需要臺灣醫療器材廠商專業的協助，才能建立具有福祉、便民及環保的長照體制。但民眾因為長期(或短期)病症購買輔具使用，一旦痊癒後，可能繼續放置在家中，或轉送給有需要的病友，而大多數民眾只知道輔具中心有評估、租借輔具服務，卻不知道有回收再利用二手輔具的服務，造成醫療資源在無形中浪費，產生更多棄置的輔具，而醫療器材廠商是否能有提供二手輔具的回收/租賃服務的趨勢或已提供此服務的廠商有何看法？值得探討及研究。目前臺灣輔具中心的輔具回收/租賃機制，主要是以先承辦二手輔具之回收，並透過完整的清潔、消毒、殺菌程序後，再提供租賃或提供經濟弱勢民眾的免費媒合，以及提供社區式之服務(如輔具評估、輔具維修、輔具諮詢、輔具使用教導及對專業人員的教育訓練等服務)，間接影響到臺灣醫療器材廠商生存的空間，也增加臺灣醫療器材發展之阻力。

關鍵字

輔具中心；輔具租賃；輔具回收；醫療器材廠商

並列摘要

At present, many counties and cities in Taiwan have set up assistive equipment centers to provide people with assistance medical education and recycling / rental services. In response to the government ’s implementation of long-term 2.0 in 2017 and the aging of Taiwan ’s social population and the rise of environmental awareness, the usage rate and replacement rate of assistive devices will increase significantly. In addition to the government ’s vigorous promotion of medical policies and assistive centers to assist the public, It will need professional assistance from Taiwanese medical device manufacturers to establish a long-term system with well-being, convenience and environmental protection. However, the public purchase assistive devices for long-term (or short-term) illnesses. Once they are cured, they may continue to be placed at home or transferred to patients in need. Most people only know that assistive centers have evaluation and rental assistive services. I don't know if there is a service of recycling and reusing second-hand assistive devices, which causes medical resources to be wasted invisibly, resulting in more discarded assistive devices, and whether medical device manufacturers can provide the trend of recycling / leasing services for second-hand assistive devices or have provided this. What do service providers think? It is worth exploring and researching. At present, the assistive device recovery / leasing mechanism of the Taiwan Assistive Device Center is mainly to undertake the recovery of second-hand assistive devices first, and then provide rental or free media for the economically vulnerable after a complete cleaning, disinfection and sterilization process, Providing community-based services (such as assistive device evaluation, assistive device repair, assistive device consulting, assistive device instruction and professional education and training services), which indirectly affect the survival space of Taiwanese medical device manufacturers, and also increase Taiwan's medical device Resistance to development.