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醫院推行實證醫學現況及推行模式之探討 – 以台北市區域級以上醫院為例

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醫院推行實證醫學現況及推行模式之探討 – 以台北市區

域級以上醫院為例

李雅惠;黃國哲;侯勝茂;許怡欣

Abstract

目標:本研究主要為探討醫院推行實證醫學之現況及推行模式,以作為醫院管理者推動實證醫學 之參考。方法:以台北市區域級以上醫院為研究對象,以電訪方式調查是否推動實證醫學,再針 對已推動實證醫學之5 位醫院關鍵人士進行深入訪談,訪談期間為 92 年 3 月至 4 月間。結果: 在15 家樣本醫院中,有 5 家醫院目前已推行。其推行內容以教育訓練為主,高階主管都相當支 持,但皆無相關獎勵措施。其推行上的阻礙主要為軟硬體不足及人員配合度之問題。結論:整體 而言,實證醫學在台北市區域級以上醫院仍處於教育與推廣階段,建議衛生主管機關積極鼓勵醫 院推行實證醫學,或成立全國性的實證醫學中心,輔導及協助欲推行實證醫學之醫院。另外,建 議醫院可考慮成立實證醫學推動小組或委員會,以整合資源並提供醫師必要的協助。

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