從遠程醫療的運作看中國大陸醫療改革- 以穿戴式裝置引入為例

Abstract

近年來遠程醫療成為中國大陸大力推動的政策，其不僅被賦予催化分級醫療的角色，在照護產業應用上亦被寄予厚望。本研究透過穿戴式裝置的例子，說明遠程醫療的推動仍面臨諸多挑戰。中央政府透過組建醫療聯合體、跨省技術等試點政策，大力推動遠程醫療。地方醫院基於保護醫療收益，對於遠程醫療抱持著不配合的態度，地方政府之間的競爭亦加劇了這樣的發展，推動過程面臨了明顯的瓶頸。與遠程醫療最相近的產品應用，當屬穿戴式裝置，本研究指出在穿戴式裝置依然以地區醫院為母體，鮮少有跨不同事業單位的大規模串聯。從政策與產業兩大領域來看，遠程醫療要全面性推廣仍有一段路要走，然而中國大陸強力推動產業的決心仍值得吾人關注。

In recent years, policy of telemedicine, proposed by Chinese mainland, played an important role in hierarchical medical system. The care industry has been highly expected. This study research data of the formation of medical treatment combination, interprovincial technology and other pilot policies which were proposed by central government with wearable device to describe the challenge of the promotion in telemedicine industry. In fact, local hospital keep an uncooperative attitude to develop remote medical care in order to protect the medical benefits. Furthermore, competitiveness between local governments made things worse. It is clear that the promotion of telemedicine is facing a bottleneck now. Wearable device, the closest product application in telemedicine industry, is used as keyword to search the data in dilemma of local hospitals. The result show that there is few small units across the large industry chain.From the policy and industry two major areas of view, comprehensive promotion of telemedicine is still a way to go, nonetheless, the Chinese mainland’s determination to promote the industry`s is still worthy of my attention.