麻醉醫療管理違失 糾正衛生署

[sun yc]

麻醉醫療管理違失　糾正衛生署
http://www.cna.com.tw/ShowNews/Detail.a ... pTypeSel=0

（中央社記者葉素萍台北5 日電）監察院調查發現，台灣每名麻醉專科醫師每年約執行2002件全身麻醉，麻醉專科醫師面臨超時、超量及超限工作、人力不足、區域失衡等窘況，行政院衛生署卻輕忽，今天遭糾正。

監察院通過監察委員程仁宏、洪昭男、楊美鈴、尹祚芊提案，糾正行政院衛生署，監察院要求2 個月內提改善措施。

程仁宏說，國內麻醉醫師超時、超量及超限工作，影響民眾就醫權益及醫療品質；根據衛生署從民國94至98年醫院評鑑結果，8 成以上受評醫院的麻醉醫師每年執行麻醉病例數超過1500例。

程仁宏再指出，根據94至98年這5 年健保特約醫院申報的麻醉總件數計算，平均每名麻醉專科醫師每年約執行2002件全身麻醉，相較於美國等先進國家每年僅允許執行約700至800例麻醉病例，台灣麻醉醫師工作超量情況令人憂心，如果再加計健保特約醫療機構非全身麻醉病例數、非健保特約醫療機構的麻醉病例數，平均工作量將更為驚人。

程仁宏表示，健保特約醫院平均每年申報的全身麻醉件數，計159 萬餘件，如果依照醫院評鑑基準，醫院每年麻醉病例數每1500次應配有1 名專任麻醉專科醫師，反推回去，台灣約需要1065名執業的麻醉專科醫師，但實際上每年執業麻醉專科醫師約798 名，國內缺額達267名。

程仁宏說，衛生署委託國衛院研究的報告載明「每10萬人口的麻醉專科醫師數量，台灣、美國、加拿大、日本比值依次是2.68、13.02、7.62、 4.77」；台灣麻醉醫學會統計顯示「國內每位麻醉專科醫師服務人口數分別為美國的4.2倍、日本的1.2倍及英國的2.7倍」。

程仁宏認為，種種數據凸顯國內麻醉專科醫師人力不足窘境，造成醫療機構讓薪資較低廉的麻醉護理人員執行大部分麻醉醫療業務，甚至發生麻醉專科醫師疲於穿梭地區醫院、基層診所間手術台操作或遙控麻醉護理人員操作，或逕以麻醉護理人員代麻醉等情事發生。

程仁宏說，東部地區麻醉專科醫師人力沒有明顯成長，甚至部分年度呈現減少的趨勢，顯示麻醉專科醫師人力區域失衡；另外，根據台灣麻醉醫學會調查研究成果，台灣麻醉致死率高於先進國家至少12倍以上，雖然衛生署認為，醫事團體調查研究的信度與效度不足，客觀性仍有疑義，但衛生署沒有確實掌握台灣麻醉醫療品質現況，也有失當。

[Calcium]

麻醉後插管失敗要賠四千萬........

[mowball]

平均每名麻醉專科醫師每年約執行2002件全身麻醉，相較於美國等先進國家每年僅允許執行約700至800例麻醉病例

如果做台灣800件可領美國800件的錢,
也沒有麻醉專科醫師會反對

但是健保下
灌一堆人進來
只是強迫減薪為1/2~1/3

[auricle]

台灣醫療風險/報酬的失衡也不是一兩天的事了!

你把衛生署長殺了也無濟於事啊 !

[vs]

台灣醫療風險/報酬的失衡也不是一兩天的事了!

你把衛生署長殺了也無濟於事啊 !

但是如果 [殺] 幾個小醫生 至少可安撫仇醫人士的心理

保住某人的官位, 官名 (挖鼻孔)

[image]

人家煮的是魚翅鮑魚干貝湯 當然一天燉兩鍋就可以下班了

[老烏鴉]

監察院現在講話是沒人理的!

[Nicholas]

台灣醫療風險/報酬的失衡也不是一兩天的事了!

你把衛生署長殺了也無濟於事啊 !

對阿!
現在年輕醫師很smart
你叫他走風險科
他寧可失業 （窮）

[xkuk]

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[xkuk]

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