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Taiwan is difficult to solve the "medical shortage" dilemma

Taiwan is difficult to solve the "medical shortage" dilemma

  Long-term hours, high surgery, more disputes, low income, less young physicians, Taiwanese physicians have less humanity, physicians have a problem. As the Taiwan population aging accelerated in recent years, the "medical shortage" problem caused social concerns.

  "Medical shortage" is increasingly highlighting the Taiwan Health Research Institute pointed out in its latest assessment report. It is estimated that by 2022, the number of internal physicians will reach 3,527 people, surgical and obstetrics and gynecology are lack of 1519 people and 216, and pediatrics At a maximum of 361 people, the emergency human shortage will reach 604. Xiong Zhao, a group health science research institute, Taiwan Health Research Institute, believes that the important basis for this judgment is the speed of aging in Taiwan’s population.

The Taiwan departments released statistics in April this year. As of the end of March this year, the proportion of people over 65 years old in Taiwan has reached the total population, and the announcement officially entered the "old society", and it is expected to break through 20% after 8 years, enter "super old age society". "There are approximately 1300 graduates cultivated by Taiwan’s annual cultivation, while the old population is increased at almost 10,000 people almost 10,000 months. The demand for physicians will only get more and more large, especially in internal medicine." Xiong Zhao said. The most common chronic diseases, such as heart disease, diabetes, cancer, etc., requires medical treatment. According to estimates, the number of patients with the old agenda in the age of 65 is a total of 5 times the number of people aged 30 to 50. The old people continue to increase, and the internal medicine is the largest, and it is also a hiking area of ??physicians.

Xiong Zhao revealed that the Taiwan physician recruitment rate was only 60% in 2013.

Since 2013, the annual support of the five major sectors (new Taiwan coins, the same), the internal medicine is still only 80% of the recruitment, and the number of new physicians is difficult to meet real medical needs. Compared to the densely populated big cities, the "medical shortage" in the island area of ??Taiwan is more serious.

Li Jin, a Phi Town, Huili Town, Hualien County, Li Jin, a weekly needed to take a ride to the countryside, and two times. "The mountains have limited medical resources. Some residents have to take a 2-hour car at home. If they can’t come, they can only pass me.

"Li Jin San said that Taiwan’s land island, and the number of doctors per thousand people is 1/3 of the average of 1/3 of the average, and the medical people in some areas can even reach 1:4300.

"In fact, the recruitment of physicians in the eastern Taiwan region is very difficult. The young doctor is not willing to come, we have to continue to do it." Let the 70th Li Jin San’s most worrying is that the Nammy medical career is successful. Indeed, the age of patients with visiting patients is increasing, and the physician team is also aging.

Some industry insiders analyze the age of the whole practitioners, including 5,765 in 2015 from 2015 to 6180 in 2015; 30-year-old physicians accounted for less than 15% from 2013 It is now 17%.

The physician aging will continue to deepen in the case where the total number of medical students has changed. "High risk" is more worry-free, and the structure imbalance of young physician team is more worrying than the shortcomings of the total physician.

  In Taiwan, the medical department graduates entering the hospital for one to two years, it is necessary to start the department, and to the specialist. Which specialist choosed, the young physician is very concerned about the topic of the school, and even summed up the so-called "mouth" on the network. "" Nine medical doctors, there is swelling and nuclear medicine. "Guo Yaoren, Minister Guo Yaoren, Minister of Surgery Department of Kaohsiung Medical University, Shijiren. When he was elected at the same year, the dermatology is an absolute cold door. Many medical students’ dreams are a surgeon. "Now, the young people seem to have a full blood of the blood wants to come to surgery, but many physicians are hesitant.

"The 53-year-old Guo Yaoren is still the main knife doctor of hospital oral cancer. This kind of surgical consumption is very expensive, and the technical difficulty is extremely difficult, but only a few young physicians are willing to learn with him.

"The four major cities in the inside and outside have undertaken more than 80% of the diagnosis and treatment tasks, but now it is a cold door to the young doctor." Guo Yaoren talked about the status quo. As the main departments of severe medical care, small to cold to lung cancer, and "breathing" is almost all of the categories of thoracicology.

However, according to the statistics of the Taiwan Thoracic and Critical Academic Association, participate in the number of chest and severe specialist exams, from nearly 80 people a year, sharply 38 people in 2016, 19 people in 2017. "Thoracicology clinic is very small, choosing this profession, is equal to waiting for a lifetime to wait in the hospital to support the ward, and the surgery is often the most investment department of the hospital.

"Chairman of the Thoracic and Cultural Medicine Association, the deputy dean of Kaohsiung Chang Gungyuan Physician 15 years, responding to a variety of bursts is home to the house: "Lunch has been eaten from 3 pm, dinner is often not eaten, this is the uncertainty of emergency, as long as the patient will have to handle. "Li Zhihuang said, the hardships of the emergency, all of the colleagues have psychological preparation, but frequent medical disputes and medical violence have caused great mental stress to everyone. According to official statistics, the medical violence in 2014 continues from 2014. Climb, from 207 to 353 in 2017.

  Wang Minghao, a narcotics of the Anesthesiology Department of Taiwan University Medical College, has handled many medical disputes, including considerable part of the final resort to court judgment.

In Taiwan less than 50,000 practitioners, there are about 500 people in the court and the courts of the Court and the Prosecutaneous, most from internal medicine, surgery, obstetrics and gynecology, pediatrics and emergency department.

"When the biggest troubles of defendants are not imprisoned or sentenced, it is a long litigation process for physician energy and enthusiasm. Although the countermeasure is more difficult to solve the problem of five major medical physicians, improve medical quality, Taiwan Health Department It has been the most attractive concern that "the" medical accidents "and" medical accidents and dispute demonstrations "are especially concerned about" medical accidents ". According to the planning of the Taiwan Health Department, all hospitals employed in the hospital will be included in September 2019 "Labor Benchmark". In this way, the physician will drop to 80 hours a week, and the interval interval is at least 11 hours.

Is it possible to solve the physician overgrown in law? Zhao Linyu, a chairman of Chiayi Christian Hospital, Zhao Linyu: "There are a lot of hidden worries, and it is difficult to achieve ideal effect under existing conditions." According to the estimation of the Taiwan Health Research Institute, if the doctor drops to 80 hours a week, in the case of the medical quality, the optical teaching hospital needs to increase 900 attending physicians, calculating the absence of Taiwan’s absence is only more. Although the person in charge of the Health Department should establish a strict evaluation system to urge the hospital to implement the "Labor France", based on the existing human, Zhao Linyu does not believe that the evaluation system will allow the hospital to comply with the "Labogen". "The regulatory period hospital will definitely make it, but the doctor should have to add." The same is that people who are disappointing have the "medical dispute care group" to help solve the medical dispute. Liu Shuqiong, Chairman of Taiwan Medical Reform Foundation found that in the investigation By 2017, 17% increased by only 18%. "Most Let Liu Shuqioni feel dissatisfied with medical disputes, hospitals often push responsibility to the first line of medical staff, and" medical accidents and dispute depends on "medical accidents Law, actually continued to make medical staff as the subject of dispute mediation. "The medical institute is also the medical institute. It is also the medical institute. Why is the responsibility to give a physician?" She advocates that the hospital should ask the hospital to provide care and employee assisting programs to the medical disputes, safeguarding the review error And the grassroots medical care of the medical accident can be free from the disposal. (Editor: Liu Jiezhen, Yang Mu) Sharing let more people see.