緊急救護資源濫用(酒醉路倒)-以臺中市政府消防局第七救災救護大隊中區分隊為例

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Title:	緊急救護資源濫用(酒醉路倒)-以臺中市政府消防局第七救災救護大隊中區分隊為例
Authors:	林俊宇
Contributors:	生物資訊與醫學工程學系碩士在職專班
Keywords:	到院前緊急救護、內政部消防署、酒醉路倒、Out-of-hospital emergency medical services、National fire agency, ministry of the interior、Drunken/homeless patients
Date:	2018
Issue Date:	2018-06-21 03:32:33 (UTC+0)
Publisher:	亞洲大學
Abstract:	台灣消防目前在到院前緊急救護之服務進步非常的大，消防員到場迅速、處置專業、服務親切、再加上使用免費，獲得民眾非常大的認同與好評，但也因此使得有些民眾開始不珍惜、甚至有濫用緊急救護資源的情形發生，內政部消防署每年統計之緊急救護件數節節攀升，在民國105年更是突破了110萬大關可見端倪，如此龐大的救護量容易排擠掉急需使用救護資源的人，實在有違消防單位設置救護車的最初目的，因此設法減少救護資源濫用之情形成了當務之急。全台消防分隊在緊急救護方面都有被濫用的情形，但因各分隊的轄區特性不同，各種不同濫用資源之比重也會有所差異，本研究的目的在於分析台中市政府消防局第七救災救護大隊中區分隊的酒醉路倒濫用情形和同大隊其他分隊相比確實比例會偏高，影響其結果的原因有轄區地理特性、轄區場所特性，日期對酒醉路倒案件的多寡也有影響，為了設法解決這些問題，當務之急是補足消防人力，訂定並確實執行救護車使用標準，推動復康巴士和民間救護車使用，濫用救護資源的街友加強與社會局聯繫和追蹤，警察局落實酒醉民眾管束，加強勿濫用救護資源宣導，希望能確實達到減少救護量之目的。 The Out-of-hospital emergency medical services (EMS) in Taiwan has been improving on every level. Faster, friendlier, more professional, and most of all, free. It has been well received by the public, but is also leading to the problems of wasting and abusing the resource. It is evident from the stats given by the fire bureau. The total number of EMS cases each year keeps rising, and in 2016, the number surpassed 1.1 million. Given limited resource, the massive numbers of non-urgent cases can easily overwhelm the ones who are truly in need of EMS, which is against the original purpose of placing ambulances in fire departments. It is an urgent matter that we find a way to reduce the abuse of EMS resource. Abuse of EMS resource is a problem in every branch of fire department, but due to the different characteristics of each area, the type of abuse also differs. This research paper focuses on the drunken/homeless persons, who abuse the EMS resource in the jurisdiction of Zhongqu Branch. Trying to find a reason for the high ratio of drunken/homeless cases comparing to other nearby jurisdictions through geological and area analysis. And found out the geological condition and facility component and certain dates have an effect on the number of drunk/homeless cases. To solve this problem, we have to fill the personnel shortage soon, and come up with a standard with ambulance usage. We can also promote the use of Rehabus and private ambulance. And last we should work with social services and the police to track down the people abusing the EMS resource and try to educate them to prevent the abuse from happening again. With these actions, we hope to truly reduce the numbers of EMS cases.
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