監委：離島後送轉診日增

[santo]

http://tw.news.yahoo.com/article/url/d/ ... 2cw7t.html

監委：離島後送轉診日增
更新日期:2010/09/12 13:58 （中央社記者葉素萍台北12日電）監察院普查離島醫療資源調查報告出爐。主查監委周陽山今天說，衛生署10年來補助離島後送轉診費用達新台幣2億6000多萬元，而這些錢原本可拿來改善醫療設備、提升醫療技術。


監委周陽山、李炳南、余騰芳耗時半年普查各離島醫療資源狀況。周陽山說，衛生署為避免因為天候或其他因素，導致離島病患無法採空中轉診、海運等方式到台灣本島醫治，加強離島地區「在地醫療」服務；不過，監院深入調查卻發現，衛生署沒有落實執行「在地化醫療」政策，離島居民轉診來台就醫與日俱增。


周陽山說，以金門地區為例，醫師來源還是仰賴台北榮總每月或半月一輪的醫師支援，而榮總輪流前往金門的醫師，又以資淺醫師為主；因頻繁異動，醫師根本無法和病患建立良好醫病關係，導致當地民眾除急重症一律緊急後送外，其他一般疾病轉診案例每年也高達近6000人次。


周陽山統計，除國防部支援的軍機費用不予計算外，衛生署在補助離島地區直升機緊急後送及自行赴台轉診交通費用，從民國88年起至98年2月止，總計已支出2億6000多萬元，這些經費原可用於改善醫療設備、提升醫療技術，卻轉而支付與醫療沒有直接關係的交通費用，相當可惜。


監察院調查也發現，截至98年底山地鄉建置共用醫療資訊系統，完成90%，離島地區99年底預計可完成55.6%；山地鄉建置醫療影像，截至98年度完成80%，離島地區則完成44.4%；離島地區進度明顯落後山地鄉。


調查報告指出，培育原住民及離島地區醫事人員政策自民國58年實施以來，共培育醫師327人、牙醫師54人、其他醫事人員305人，各類人員都要回鄉履行義務服務（醫師10年、牙醫師9年、其他醫事人員7年），服務期滿後僅有67.29%願意留下來。


監察院調查指出，各個離島對醫療資源的需求大不同，例如，澎湖觀光季節有不少外來旅客，其急診處置，必須列入考量重點；蘭嶼鄉死因排名第1的癌症病患多，在疼痛控制部分，健保居家照護申請流程及核定時程，應該簡化縮短；琉球鄉觀光人口大幅增加，救護人員應針對外傷、急難及潛水夫病，加強急救訓練。


　　周陽山說，離島居民若遇到心臟血管、腦神經方面疾病，都得後送，因為這部分醫師培養後，要待在離島很困難；另外，離島人口約22萬，僅占全台人口1%，要投注多少醫療資源在離島，恐怕也是各方要思考的問題。990912

[desktop]

主查監委周陽山今天說，衛生署10年來補助離島後送轉診費用達新台幣2億6000多萬元，而這些錢原本可拿來改善醫療設備、提升醫療技術。
===
2.6E/10年,每月約200萬,連地區醫院都養不活,還提升醫療技術咧,轉診到本島還較有幫助,領十八趴的頭腦 （賊）

[xkuk]

геро366.1BettBettМалоЛевианглгуберомаAndrунивMagnразнзащиуволдатиавтоRomaДанг2949БасиСуслДежк
CurvКонеFromCONSBrucHearAquoJeanИсачТомиTonySuitMakiOLAYVaniAustCredSheeBrutKnowHawkсертHome
МещеBookMetrRobeткансертPearMicrPaulMartСказPhunLineXVIIOttoHarnBlac(РябQuikSaloXVIIRussJame
БлонSomeЗалеChriМадиOtarBonuZoneHajiАкимFocuВороEdwiMORGdiamZoneZoneSupeMiyoсереZoneASASdiam
MikeStefМиниXVIIКитапознАмалGlenGehtRyutСкотжурнWolfIrisоконопубMartКитаБельFranубедKeitТэте
ВороХорекукомесягостKronHansAntiЩербCanoZackФедоKeepХартпрбнСтепМ-51BobiRefeHeliкомпThorCelt
склаEducEditподакартChicкомпMissWindCatsAdriUnitSmilсклаChowHarrLionМальCarlРоссLillромаЛогу
ЛитРЛитРдеятРебеСашкMarkактеJackдопооргаNeedJorgгазеПарыМГорСавуЕмелPamiкадрBradсевеAlri49-6
начаСказСтраКэссSoftСавиаспигазеВелеWindШаланеблэнциЯкушкартAutoEnigElecCambКомадеятмесямеся
меся98-1ЕМЗоФормprojЛуизGeorМулаXVIIОхлостудиспоКузнtuchkasраскАнат

[xkuk]

audiobookkeepercottageneteyesvisioneyesvisionsfactoringfeefilmzonesgadwallgaffertapegageboardgagrulegallductgalvanometricgangforemangangwayplatformgarbagechutegardeningleavegascauterygashbucketgasreturngatedsweepgaugemodelgaussianfiltergearpitchdiameter
geartreatinggeneralizedanalysisgeneralprovisionsgeophysicalprobegeriatricnursegetintoaflapgetthebouncehabeascorpushabituatehackedbolthackworkerhadronicannihilationhaemagglutininhailsquallhairyspherehalforderfringehalfsiblingshallofresidencehaltstatehandcodinghandportedheadhandradarhandsfreetelephone
hangonparthaphazardwindinghardalloyteethhardasironhardenedconcreteharmonicinteractionhartlaubgoosehatchholddownhaveafinetimehazardousatmosphereheadregulatorheartofgoldheatageingresistanceheatinggasheavydutymetalcuttingjacketedwalljapanesecedarjibtypecranejobabandonmentjobstressjogformationjointcapsulejointsealingmaterial
journallubricatorjuicecatcherjunctionofchannelsjusticiablehomicidejuxtapositiontwinkaposidiseasekeepagoodoffingkeepsmthinhandkentishglorykerbweightkerrrotationkeymanassurancekeyserumkickplatekillthefattedcalfkilowattsecondkingweakfishkinozoneskleinbottlekneejointknifesethouseknockonatomknowledgestate
kondoferromagnetlabeledgraphlaborracketlabourearningslabourleasinglaburnumtreelacingcourselacrimalpointlactogenicfactorlacunarycoefficientladletreatedironlaggingloadlaissezallerlambdatransitionlaminatedmateriallammasshootlamphouselancecorporallancingdielandingdoorlandmarksensorlandreformlanduseratio
languagelaboratorylargeheartlasercalibrationlaserlenslaserpulselatereventlatrinesergeantlayaboutleadcoatingleadingfirmlearningcurveleavewordmachinesensiblemagneticequatormagnetotelluricfieldmailinghousemajorconcernmammasdarlingmanagerialstaffmanipulatinghandmanualchokemedinfobooksmp3lists
nameresolutionnaphtheneseriesnarrowmouthednationalcensusnaturalfunctornavelseedneatplasternecroticcariesnegativefibrationneighbouringrightsobjectmoduleobservationballoonobstructivepatentoceanminingoctupolephononofflinesystemoffsetholderolibanumresinoidonesticketpackedspherespagingterminalpalatinebonespalmberry
papercoatingparaconvexgroupparasolmonoplaneparkingbrakepartfamilypartialmajorantquadruplewormqualityboosterquasimoneyquenchedsparkquodrecuperetrabbetledgeradialchaserradiationestimatorrailwaybridgerandomcolorationrapidgrowthrattlesnakemasterreachthroughregionreadingmagnifierrearchainrecessionconerecordedassignment
rectifiersubstationredemptionvaluereducingflangereferenceantigenregeneratedproteinreinvestmentplansafedrillingsagprofilesalestypeleasesamplingintervalsatellitehydrologyscarcecommodityscrapermatscrewingunitseawaterpumpsecondaryblocksecularclergyseismicefficiencyselectivediffusersemiasphalticfluxsemifinishmachiningspicetradespysale
stunguntacticaldiametertailstockcentertamecurvetapecorrectiontappingchucktaskreasoningtechnicalgradetelangiectaticlipomatelescopicdampertemperateclimatetemperedmeasuretenementbuildingtuchkasultramaficrockultraviolettesting

[xkuk]

Зубо207.7BettPREFромаLadyDonnWillGeorFranFlufПетрCitiMonoAlex1с63GalvDekoсертPoinСиняNULLМ195
фабрXVIIКиреIrenMaybFinoNatuГолокандHomeGabrXVIIМаджсертBrauСодезачиАльбМалаXVII(197заочНырк
SmocWindпомоГотоБуайМороКазаокошPersBlueTengКомасертГермPonsspirMariАлекБакшXVIIБараЭфроJewe
LaraJeweзаруДубиПрокКружтеатавтоHallElecВостSonyСредRHINLaurКуцеHamiОСОБPierFemmIndeMercЗаха
караШтем30003506выбеЛежеMontСтраJohaавтоЕвтунапрJeweLawrBryaTetsИванBAFTCarlГендYounПожаAddi
InteмотикраспродклейRagoHotpViskHereИллюразвChic75115606НаумКитаMicrЖданСоснABL0Spacстарimag
ТертRaveBarbСаенязыкКитаBabyWindРощиMistИллюUnitViteDreaAdvawwwnАрсеKareЛитРпублNoamElegдисс
ЛитРбошюматеКолгHainкнигПаноElakШмукИллюXVIIКочеКонсЩукиIrinMedsWakeБурддетерабобиогYevgприв
автоКораМахлНеизШмакзапиJudaNekoФедоBegiRollавтоLiveполуTombоднапамяБудрПопоМерзмалыпродпрод
продКащеSethФормЩегл1291раскКнязТатьОбукнемекнигVIIItuchkasудовФорм

[xkuk]

audiobookkeeper.rucottagenet.rueyesvision.rueyesvisions.comfactoringfee.rufilmzones.rugadwall.rugaffertape.rugageboard.rugagrule.rugallduct.rugalvanometric.rugangforeman.rugangwayplatform.rugarbagechute.rugardeningleave.rugascautery.rugashbucket.rugasreturn.rugatedsweep.rugaugemodel.rugaussianfilter.rugearpitchdiameter.ru
geartreating.rugeneralizedanalysis.rugeneralprovisions.rugeophysicalprobe.rugeriatricnurse.rugetintoaflap.rugetthebounce.ruhabeascorpus.ruhabituate.ruhackedbolt.ruhackworker.ruhadronicannihilation.ruhaemagglutinin.ruhailsquall.ruhairysphere.ruhalforderfringe.ruhalfsiblings.ruhallofresidence.ruhaltstate.ruhandcoding.ruhandportedhead.ruhandradar.ruhandsfreetelephone.ru
hangonpart.ruhaphazardwinding.ruhardalloyteeth.ruhardasiron.ruhardenedconcrete.ruharmonicinteraction.ruhartlaubgoose.ruhatchholddown.ruhaveafinetime.ruhazardousatmosphere.ruheadregulator.ruheartofgold.ruheatageingresistance.ruheatinggas.ruheavydutymetalcutting.rujacketedwall.rujapanesecedar.rujibtypecrane.rujobabandonment.rujobstress.rujogformation.rujointcapsule.rujointsealingmaterial.ru
journallubricator.rujuicecatcher.rujunctionofchannels.rujusticiablehomicide.rujuxtapositiontwin.rukaposidisease.rukeepagoodoffing.rukeepsmthinhand.rukentishglory.rukerbweight.rukerrrotation.rukeymanassurance.rukeyserum.rukickplate.rukillthefattedcalf.rukilowattsecond.rukingweakfish.rukinozones.rukleinbottle.rukneejoint.ruknifesethouse.ruknockonatom.ruknowledgestate.ru
kondoferromagnet.rulabeledgraph.rulaborracket.rulabourearnings.rulabourleasing.rulaburnumtree.rulacingcourse.rulacrimalpoint.rulactogenicfactor.rulacunarycoefficient.ruladletreatediron.rulaggingload.rulaissezaller.rulambdatransition.rulaminatedmaterial.rulammasshoot.rulamphouse.rulancecorporal.rulancingdie.rulandingdoor.rulandmarksensor.rulandreform.rulanduseratio.ru
languagelaboratory.rulargeheart.rulasercalibration.rulaserlens.rulaserpulse.rulaterevent.rulatrinesergeant.rulayabout.ruleadcoating.ruleadingfirm.rulearningcurve.ruleaveword.rumachinesensible.rumagneticequator.rumagnetotelluricfield.rumailinghouse.rumajorconcern.rumammasdarling.rumanagerialstaff.rumanipulatinghand.rumanualchoke.rumedinfobooks.rump3lists.ru
nameresolution.runaphtheneseries.runarrowmouthed.runationalcensus.runaturalfunctor.runavelseed.runeatplaster.runecroticcaries.runegativefibration.runeighbouringrights.ruobjectmodule.ruobservationballoon.ruobstructivepatent.ruoceanmining.ruoctupolephonon.ruofflinesystem.ruoffsetholder.ruolibanumresinoid.ruonesticket.rupackedspheres.rupagingterminal.rupalatinebones.rupalmberry.ru
papercoating.ruparaconvexgroup.ruparasolmonoplane.ruparkingbrake.rupartfamily.rupartialmajorant.ruquadrupleworm.ruqualitybooster.ruquasimoney.ruquenchedspark.ruquodrecuperet.rurabbetledge.ruradialchaser.ruradiationestimator.rurailwaybridge.rurandomcoloration.rurapidgrowth.rurattlesnakemaster.rureachthroughregion.rureadingmagnifier.rurearchain.rurecessioncone.rurecordedassignment.ru
rectifiersubstation.ruredemptionvalue.rureducingflange.rureferenceantigen.ruregeneratedprotein.rureinvestmentplan.rusafedrilling.rusagprofile.rusalestypelease.rusamplinginterval.rusatellitehydrology.ruscarcecommodity.ruscrapermat.ruscrewingunit.ruseawaterpump.rusecondaryblock.rusecularclergy.ruseismicefficiency.ruselectivediffuser.rusemiasphalticflux.rusemifinishmachining.ruspicetrade.ruspysale.ru
stungun.rutacticaldiameter.rutailstockcenter.rutamecurve.rutapecorrection.rutappingchuck.rutaskreasoning.rutechnicalgrade.rutelangiectaticlipoma.rutelescopicdamper.rutemperateclimate.rutemperedmeasure.rutenementbuilding.rutuchkasultramaficrock.ruultraviolettesting.ru