台灣糖尿病共同照護網推行現況與挑戰

The Present Practicing Situation and Challenge of DM Shared Care Program in Taiwan

10.29494/LN.200612.0003

劉棻(Fen Liu)

糖尿病 ； 共同照護 ； DM ； Shared Care

領導護理

7卷2期（2006 / 12 / 01）

28 - 34

繁體中文

台灣「糖尿病共同照護網」由民國85年推行至今，雖然醫療成本明顯的下降，醫療資源也被合理的運用，但最重要表現照護品質的健康指標卻未有明顯的改善。吾等分析歸納原因如下：未落實個案管理模式、健保資源分配不均、缺乏一致的照護及認證標準及缺乏照護品質監控機制。若能針對問題加以改進，「糖尿病共同照護網」才可發揮最大效用，造就病患、醫療院所及政府機關三贏的局面。

From 1996 to now, the medical cost declined, and the medical resources were utilized rationally because of the pursuance of the Taiwanese DM Shared Care Program. However, the most important health indices which represented the quality of care didn't improve obviously. The possible reasons included: (1) the indefinite execution of case management model, (2) the unjust assignment of health insurance resources, (3) the lack of uniform caring and qualified standard, (4) the lack of healthcare indicator system. If the above problems can be improved, it will make full use of the DM Shared Care Program.