{"id":265,"date":"2012-08-31T15:38:21","date_gmt":"2012-08-31T07:38:21","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/doctor\/?page_id=265"},"modified":"2025-08-29T08:17:36","modified_gmt":"2025-08-29T00:17:36","slug":"%e5%ae%b6%e9%86%ab%e7%a7%91","status":"publish","type":"page","link":"https:\/\/web.csh.org.tw\/web\/doctor\/?page_id=265","title":{"rendered":"\u5bb6\u5ead\u91ab\u5b78\u90e8"},"content":{"rendered":"\n

\u91ab\u5e2b\u9663\u5bb9\uff1a\u984f\u555f\u83ef<\/a>\u3001\u9673\u4fca\u5091<\/a>\u3001\u9673\u5ba3\u5fd7<\/a>\u3001\u694a\u535a\u4ec1<\/a>\u3001\u6797\u739f\u7393<\/a>\u3001\u9673\u5b9c\u6176<\/a>\u3001\u8a31\u51f1\u502b<\/a>\u3001<\/span>\u9b4f\u5b87\u7965<\/a>\u3001\u9ec3\u99a8\u8446<\/a>\u3001\u5f35\u60e0\u96ef<\/a>\u3001\u5f35\u6853\u744b<\/a><\/p>\n\n\n\n

\u6cbf\u9769\u8207\u7d00\u8981<\/strong><\/p>\n\n\n\n

\n \u5e74\u4ee3\n <\/td>\n \u4e8b\u8e5f\n <\/td><\/tr>
\n 1985\n <\/td>\n \u91ab\u5b78\u9662\u91ab\u5b78\u7cfb\u958b\u8a2d\u300c\u5bb6\u5ead\u91ab\u5b78\u300d\u8ab2\u7a0b\n <\/td><\/tr>
\n 1987\n <\/td>\n \u91ab\u5b78\u9662\u91ab\u5b78\u7cfb\u53ca\u9644\u8a2d\u91ab\u9662\u8a2d\u7acb\u5bb6\u91ab\u79d1\u958b\u8fa6\u4f4f\u9662\u91ab\u5e2b\u8a13\u7df4\u8a08\u756b\n <\/td><\/tr>
\n 1988\n <\/td>\n \u958b\u8fa6\u4e2d\u90e8\u5730\u5340\u5bb6\u5ead\u91ab\u5b78\u7e7c\u7e8c\u6559\u80b2\u8ab2\u7a0b\n <\/td><\/tr>
\n 1989\n <\/td>\n \u958b\u8fa6\u5927\u57ce\u9109\u3001\u70cf\u65e5\u9109\u7fa4\u9ad4\u91ab\u7642\u57f7\u696d\u4e2d\u5fc3\n <\/td><\/tr>
\n 1990\n <\/td>\n \u91ab\u5b78\u9662\u91ab\u5b78\u7814\u7a76\u6240\u958b\u8a2d\u300c\u9ad8\u7d1a\u5bb6\u5ead\u91ab\u5b78\u300d\u8ab2\u7a0b\n <\/td><\/tr>
\n 1993\n <\/td>\n \u958b\u8fa6\u300c\u9752\u5c11\u5e74\u4fdd\u5065\u9580\u8a3a\u300d\u696d\u52d9\n <\/td><\/tr>
\n 1994\n <\/td>\n \u8ca0\u8cac\u91ab\u9662\u5065\u6aa2\u7d44\u696d\u52d9\n <\/td><\/tr>
\n 1997\n <\/td>\n \u7d93\u8a55\u9451\u6838\u51c6\u672c\u79d1\u8a2d\u7acb\u300c\u74b0\u5883\u8077\u696d\u91ab\u5b78\u5c08\u79d1\u91ab\u5e2b\u8a13\u7df4\u8a08\u5283\u300d\n <\/td><\/tr>
\n 2003\n <\/td>\n \u6210\u7acb\u9752\u5c11\u5e74\u4fdd\u5065\u4e2d\u5fc3\n <\/td><\/tr>
\n 2004\n <\/td>\n \u7372\u570b\u885b\u9662\u6838\u51c6\u6210\u7acb\u300c\u8001\u5e74\u91ab\u5b78\u9580\u8a3a\u793a\u7bc4\u4e2d\u5fc3\u300d\n <\/td><\/tr>
\n 2006\n <\/td>\n \u6210\u7acb\u300c\u8001\u5e74\u91ab\u5b78\u5c08\u79d1\u91ab\u5e2b\u8a13\u7df4\u8a08\u5283\u300d\n <\/td><\/tr>
\n 2008\n <\/td>\n \u6210\u7acb\u300c\u8077\u696d\u50b7\u75c5\u8a3a\u6cbb\u4e2d\u5fc3\u300d\n <\/td><\/tr>
\n 2009\n <\/td>\n \u6210\u7acb\u300c\u8001\u5e74\u91ab\u5b78\u66a8\u8001\u5e74\u5b78\u6559\u80b2\u7814\u7a76\u4e2d\u5fc3\u300d\n <\/td><\/tr>
\n 2010\n <\/td>\n \u984f\u555f\u83ef\u91ab\u5e2b\u69ae\u4efb\u793e\u5340\u5065\u5eb7\u7167\u8b77\u4e2d\u5fc3\u4e3b\u4efb\n <\/td><\/tr>
\n 2012\n <\/td>\n \u5065\u4fddIntegrated\n Delivery System (IDS)\u548c\u5e73\u5340\u5275\u7acb\uff0c\u958b\u8fa6\u9577\u7167\u64da\u9ede\u670d\u52d9\n <\/td><\/tr>
\n 2013\n <\/td>\n \u672c\u79d1\u90e8\u69ae\u7372\u6212\u83f8\u570b\u969b\u91d1\u734e\n <\/td><\/tr>
\n 2015\n <\/td>\n \u6210\u7acb\u9577\u7167\uff21\u55ae\u4f4d\uff0c\u6210\u70ba\u5168\u53f0\u4e2d\u7b2c\u4e00\u500b\u63d0\u4f9b\u670d\u52d9\u4e4b\u91ab\u5b78\u4e2d\u5fc3\n <\/td><\/tr>
\n 2016\n <\/td>\n \u8207\u53f0\u4e2d\u90fd\u767c\u5c40\u5408\u4f5c\u6210\u7acb\u9577\u7167\uff23\u55ae\u4f4d\n <\/td><\/tr>
\n 2017\n <\/td>\n \u958b\u8fa6\u793e\u5340\u91ab\u7642\u7fa4\n <\/td><\/tr>
\n 2018\n <\/td>\n \u958b\u8fa6\u5c45\u5bb6\u6574\u5408\u91ab\u7642\u670d\u52d9\n <\/td><\/tr>
\n 2019\n <\/td>\n \u672c\u79d1\u90e8\u518d\u6b21\u69ae\u7372\u6212\u83f8\u570b\u969b\u91d1\u734e\n <\/td><\/tr>
\n 2022\n <\/td>\n \u504f\u9109(\u548c\u5e73\u9109)\u6574\u5408\u91ab\u7642(IDS)\u69ae\u7372\u570b\u5bb6\u6c38\u7e8c\u884c\u52d5\u9280\u734e\u3001\u7de8\u5236\u64f4\u5927\u6b63\u5f0f\u52a0\u5165\u7de9\u548c\u91ab\u5b78\u79d1\u53ca\u5065\u5eb7\u7ba1\u7406\u4e2d\u5fc3\n <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u7279\u8272\u4ecb\u7d39<\/strong><\/p>\n\n\n\n

    \n
  • \u6559\u5b78\uff1a<\/li>\n<\/ul>\n\n\n\n

    \u5bb6\u5ead\u66a8\u793e\u5340\u91ab\u5b78\u90e8\uff0c\u5b78\u6821\u8ab2\u7a0b\u76ee\u524d\u6709\uff1a\u5bb6\u5ead\u8207\u793e\u5340\u91ab\u5b78\u6a21\u7d44\u3001\u6d41\u884c\u75c5\u5b78\uff0c\u8001\u5316\u91ab\u5b78\uff0c\u8001\u4eba\u7167\u8b77\u670d\u52d9\uff0c\u9ad8\u7d1a\u5bb6\u5ead\u91ab\u5b78\u7279\u8ad6\u3001\u9ad8\u7b49\u8001\u4eba\u5b78\u3001\u9ad8\u7b49\u8001\u4eba\u5c08\u984c\u7814\u7a76\u3002\u4f4f\u9662\u91ab\u5e2b\u8a13\u7df4\u90e8\u5206\uff0c\u5fb9\u5e95\u57f7\u884c\u57f9\u990a\u4f4f\u9662\u91ab\u5e2b\u5177\u5099\u7f8e\u570b ACGME(Accreditation Council for Graduate Medical Education)\u5efa\u8b70\u7684\u516d\u5927\u6838\u5fc3\u80fd\u529b\uff1a\u75c5\u4eba\u7167\u9867\u3001\u91ab\u5b78\u77e5\u8b58\u3001\u81e8\u5e8a\u5de5\u4f5c\u4e2d\u7684\u5b78\u7fd2\u8207\u6539\u5584\u3001\u4eba\u969b\u95dc\u4fc2\u8207\u6e9d\u901a\u6280\u5de7\u3001\u91ab\u7642\u5c08\u696d\u4ee5\u53ca\u5236\u5ea6\u4e0b\u7684\u81e8\u5e8a\u5de5\u4f5c\u3002\u5efa\u7acb\u53ef\u8fd1\u6027\u3001\u5468\u5168\u6027\u3001\u5354\u8abf\u6027\u3001\u6301\u7e8c\u6027\u53ca\u8ca0\u8cac\u6027\u7684\u91ab\u7642\u74b0\u5883\uff0c\u63d0\u4f9b\u751f\u7269\u3001\u5fc3\u7406\u8207\u793e\u6703\u5c64\u9762\u4e4b\u5168\u4eba\u7167\u8b77\u8a13\u7df4\u3002\u540c\u6642\u52a0\u5f37\u70ba\u6c11\u773e\u8a55\u4f30\u5065\u5eb7\u9700\u6c42\uff0c\u9069\u7576\u5730\u5b89\u6392\u7167\u6703\u6027\u91ab\u7642\u670d\u52d9\u3001\u5c08\u79d1\u7167\u9867\u548c\u4f4f\u9662\u7167\u9867\u3002\u4e26\u7d50\u5408\u57fa\u5c64\u91ab\u7642\u55ae\u4f4d\u8207\u793e\u5340\u4e4b\u7cfb\u7d71\uff0c\u767c\u73fe\u8207\u89e3\u6c7a\u793e\u5340\u5065\u5eb7\u554f\u984c\uff0c\u767c\u63ee\u793e\u5340\u5c0e\u5411\u57fa\u5c64\u91ab\u7642\u4e4b\u7cbe\u795e\u3002<\/p>\n\n\n\n

    \u672c\u79d1\u90e8\u662f\u53f0\u7063\u9996\u5bb6\u7372\u570b\u5bb6\u885b\u751f\u7814\u7a76\u9662\u88dc\u52a9\u6210\u7acb\u300c\u8001\u4eba\u91ab\u5b78\u9580\u8a3a\u793a\u7bc4\u4e2d\u5fc3\u300d\uff0c\u9996\u6279\u901a\u904e\u8001\u5e74\u91ab\u5b78\u5c08\u79d1\u91ab\u5e2b\u8a13\u7df4\u4e4b\u91ab\u9662\uff0c\u63d0\u4f9b\u8001\u4eba\u5468\u5168\u6027\u8a55\u4f30\u3001\u8001\u4eba\u9810\u9632\u4fdd\u5065\u3001\u8001\u4eba\u6162\u6027\u75c5\u7167\u8b77\u53ca\u6cbb\u7642\u3001\u9aa8\u8cea\u758f\u9b06\u7279\u5225\u9580\u8a3a\uff0c\u5c0d\u65bc\u8001\u5e74\u91ab\u5b78\u76f8\u7576\u91cd\u8996\uff0c\u63a8\u52d5\u4e0d\u907a\u9918\u529b\u3002<\/p>\n\n\n\n

      \n
    • \u7814\u7a76\uff1a<\/li>\n<\/ul>\n\n\n\n

      \u4e3b\u6cbb\u91ab\u5e2b\u6bcf\u4e09\u5e74\u6709\u4e00\u7bc7\u8ad6\u6587\u767c\u8868\u3002\u7e7c\u7e8c\u76ee\u524d\u79d1\u5167\u7814\u7a76\u8a08\u756b\uff1a\u9ad4\u7d44\u6210\u8207\u8870\u5f31\u7684\u76f8\u95dc\u6027\u7814\u7a76\u53ca\u7cd6\u80d6\u75c7\u76f8\u95dc\u7814\u7a76\uff0c\u4f4f\u9662\u91ab\u5e2b\u7814\u7a76\u984c\u76ee\uff0c\u7531\u5404\u4e3b\u6cbb\u91ab\u5e2b\u6307\u5c0e\uff0c\u4e26\u6bcf\u5e74\u53c3\u8207\u5bb6\u5ead\u91ab\u5b78\u79d1\u5e74\u6703\u505a\u767c\u8868\u3002\u76ee\u524d\u9032\u884c\u8a08\u756b\u6848\uff1a\u793e\u5340\u6574\u9ad4\u7167\u8b77\u670d\u52d9\u9ad4\u7cfb\u8a08\u756b\uff08\u548c\u5e73\u5340\n\uff21\n\u7ad9\uff09\u3001\u5065\u4fdd Integrated Delivery System\uff08 IDS \uff09\u8a08\u756b\u3001\u504f\u9109\u91ab\u7642\u8a08\u756b\uff08\u5f70\u5316\uff09\u3001\u5065\u5eb7\u4fc3\u9032\u91ab\u9662\u8a08\u756b\u3001\u7121\u83f8\u91ab\u9662\u8a08\u756b\u3001\u5c45\u5bb6\u6574\u5408\u7167\u8b77\u8a08\u756b\u53ca\u5206\u7d1a\u8a3a\u7642\u8a08\u756b\u3002<\/p>\n\n\n\n

        \n
      • \u670d\u52d9\uff1a<\/li>\n\n\n\n
      • \u6212\u83f8\u7279\u5225\u9580\u8a3a\uff1a\u63d0\u4f9b\u4e8c\u4ee3\u6212\u83f8\u670d\u52d9\uff0c\u514d\u639b\u865f\u8cbb\u3002<\/li>\n\n\n\n
      • \u9810\u9632\u91ab\u7642\uff1a\u63d0\u4f9b\u56db\u764c\u7be9\u6aa2\u7279\u5225\u9580\u8a3a\u3002<\/li>\n\n\n\n
      • \u9752\u5c11\u5e74\u4fdd\u5065\u9580\u8a3a\uff1a\u63d0\u4f9b\u904e\u52d5\u5152\u3001\u904e\u654f\u5152\u3001\u80a5\u80d6\/\u98f2\u98df\u969c\u7919\uff0c\u884c\u70ba\u3001\u9069\u61c9\u53ca\u5fc3\u7406\/\u7cbe\u795e\u969c\u7919\uff0c\u5404\u7a2e\u8eab\u9ad4\u75c7\u72c0\u3001\u75be\u75c5\u4e4b\u8a3a\u6cbb\uff0c\u6027\u6559\u80b2\u3001\u907f\u5b55\u53ca\u512a\u751f\u4fdd\u5065\u670d\u52d9\uff08\u5e78\u798f9\u865f\u9580\u8a3a\uff09\uff0c\u907a\u50b3\u3001\u667a\u80fd\u53ca\u8eab\u5fc3\u767c\u5c55\u969c\u7919\uff0c\u5404\u7a2e\u9ad4\u6aa2\uff08\u5982\u5165\u5b78\u3001\u51fa\u570b\u7b49\uff09\u8b49\u660e\u66f8\u53ca\u9ad4\u6aa2\u8907\u67e5\u3002\u4e0d\u5b9a\u671f\u8209\u8fa6\u75be\u75c5\u885b\u6559\u53ca\u5065\u5eb7\u6aa2\u67e5\u6d3b\u52d5\u3002<\/li>\n\n\n\n
      • \u8077\u696d\u91ab\u5b78\u9580\u8a3a\uff1a\u63d0\u4f9b\u8077\u696d\u75c5\u8a3a\u7642\u3001\u8077\u696d\u75c5\u9632\u6cbb\u8aee\u8a62\u3001\u52de\u5de5\u4e4b\u4e00\u822c\u6216\u7279\u6b8a\u5065\u5eb7\u6aa2\u67e5\u670d\u52d9\u3001\u5de5\u5ee0\u9ad4\u6aa2\u3002<\/li>\n\n\n\n
      • \u793e\u5340\u91ab\u7642\uff1a\u63d0\u4f9b\u5c45\u5bb6\u7167\u8b77\uff0c\u70ba\u884c\u52d5\u4e0d\u4fbf\u60a3\u8005\uff0c\u63d0\u4f9b\u5728\u5b85\u91ab\u7642\u670d\u52d9\uff0c\u670d\u52d9\u6578\u8d85\u904e300\u6236\uff0c\u6c11\u570b106\uff5e108\u5e74\u8a2a\u8996\u4eba\u6b21\u8d85\u904e 1400\u4eba\u6b21\uff0c\u670d\u52d9\u5340\u57df\u904d\u53ca\u5927\u53f0\u4e2d\uff0c\u5305\u542b\u548c\u5e73\u7b49\u504f\u9060\u5c71\u5730\u5730\u5340\u3002\u672c\u90e8\u4ea6\u652f\u63f4\u4e2d\u5c71\u8b77\u7406\u4e4b\u5bb6\u53ca\u9577\u7167\u6a5f\u69cb\u91ab\u7642\u7167\u8b77\u3002<\/li>\n\n\n\n
      • \u5b89\u5be7\u91ab\u7642\uff1a\u8a2d\u6709\u5b89\u5be7\u7279\u5225\u9580\u8a3a\uff0c\u5b89\u5be7\u5c45\u5bb6\u7167\u8b77\uff0c\u63d0\u4f9b\u5728\u5b85\u8eab\u3001\u5fc3\u3001\u9748\u7684\u81e8\u7d42\u95dc\u61f7\uff0c\u76ee\u524d\u6536\u6848\u7e3d\u4eba\u6578\u8d85\u904e150\u4eba\uff0c\u8a2a\u6848\u4eba\u6b21\u6578\u903e 250\u4eba\u6b21\u3002\u70ba\u4e86\u9054\u5230\u793e\u5340\u5065\u5eb7\u4fc3\u9032\u4e4b\u76ee\u6a19\uff0c\u672c\u90e8\u4e3b\u6cbb\u91ab\u5e2b\u4ea6\u652f\u63f4\u504f\u9060\u91ab\u7642\u53ca\u504f\u9060\u5730\u5340\u9580\u8a3a\uff0c\u6bcf\u9031\uff15\u6b21\uff0c\u65bc107\u5e74\u5ea6\u5de1\u8ff4\u91ab\u7642\u4eba\u6b21\u905412,000\uff0c\u5de1\u8ff4\u91ab\u7642\u8a3a\u6b21\u8d85\u904e600\uff0c\u5230\u5b85\u8a3a\u7642\u4eba\u6b21\u8d85\u904e100\u4eba\uff0c\u6301\u7e8c\u767c\u5c55\u4e2d\u3002<\/li>\n<\/ul>\n\n\n\n

        \u672a\u4f86\u5c55\u671b<\/strong><\/p>\n\n\n\n

        \u57f9\u8a13\u512a\u826f\u5e2b\u8cc7\uff0c\u63a8\u5c55\u5bb6\u5ead\u91ab\u696d\u3002\u64f4\u5927\u793e\u5340\u670d\u52d9\uff0c\u52a0\u5f37\u793e\u5340\u5c0e\u5411\u4e4b\u8a13\u7df4\u3002\u56e0\u61c9PGY2\u8001\u5e74\u91ab\u5b78\u8ab2\u7a0b\uff0c\u7e7c\u7e8c\u767c\u5c55\u8001\u91ab\u7684\u696d\u52d9\u3002\u52a0\u5f37\u81e8\u5e8a\u6280\u80fd\u8a13\u7df4\uff0c\u9769\u65b0\u8003\u6838\u65b9\u5f0f\u3002\u5960\u7acb\u826f\u597d\u9752\u5c11\u5e74\u91ab\u5b78\u3001\u8077\u696d\u91ab\u5b78\u53ca\u8001\u4eba\u91ab\u5b78\u5c08\u696d\u4eba\u54e1\u8a13\u7df4\u8a08\u5283\u3002<\/p>\n\n\n\n

        \u63d0\u6607\u7814\u7a76\u80fd\u529b\uff0c\u52a0\u5f37\u570b\u969b\u5efa\u6559\u5408\u4f5c\u6559\u5b78\u3002\u4e3b\u6cbb\u91ab\u5e2b\u6bcf\u4e09\u5e74\u6709\u4e00\u7bc7\u8ad6\u6587\u767c\u8868\u3002\u7e7c\u7e8c\u76ee\u524d\u79d1\u5167\u7814\u7a76\u8a08\u756b\uff1a\u9ad4\u7d44\u6210\u8207\u8870\u5f31\u7684\u76f8\u95dc\u6027\u7814\u7a76\uff0c\u53ca\u7cd6\u80d6\u75c7\u76f8\u95dc\u7814\u7a76\uff0c\u5404\u4f4f\u9662\u91ab\u5e2b\u7814\u7a76\u984c\u76ee\uff0c\u7531\u5404\u4e3b\u6cbb\u91ab\u5e2b\u6307\u5c0e\uff0c\u4e26\u6bcf\u5e74\u53c3\u8207\u5bb6\u5ead\u91ab\u5b78\u79d1\u5e74\u6703\u505a\u767c\u8868\u3002\u672a\u4f86\u7e7c\u7e8c\u63a8\u5ee3\u79d1\u5167\u7814\u7a76\u8a08\u756b\u6848\uff0c\u8207\u4eba\u529b\u7684\u8cc7\u6e90\u6574\u5408\u3002<\/p>\n\n\n\n

          \n
        1. \u4ee5\u500b\u4eba\u70ba\u4e2d\u5fc3\uff0c\u5bb6\u5ead\u70ba\u55ae\u4f4d\uff0c\u793e\u5340\u70ba\u7bc4\u7587\uff0c\u63d0\u4f9b\u6c11\u773e\u9031\u5168\u6027\uff0c\u5354\u8abf\u6027\u4ee5\u53ca\u7e8c\u6027\u7167\u9867\u3002<\/li>\n\n\n\n
        2. \u4ee5\u6c11\u773e\u5065\u5eb7\u70ba\u5c0e\u5411\uff0c\u9810\u9632\u4fdd\u5065\u70ba\u4e3b\u8ef8\uff0c\u5efa\u7acb\u4ee5\u75c5\u4eba\u70ba\u4e2d\u5fc3\u7684\u91ab\u7642\u670d\u52d9\u3002<\/li>\n\n\n\n
        3. \u4ee5\u6559\u5b78\u70ba\u9996\u52d9\uff0c\u63d0\u6607\u6559\u5b78\u54c1\u8cea\u8207\u5167\u5bb9\uff0c\u57f9\u990a\u91ab\u5fb7\u91ab\u8853\u91ab\u696d\u517c\u5099\u7684\u5bb6\u5ead\u91ab\u5e2b\u3002<\/li>\n<\/ol>\n\n\n\n

          \n\n\n\n\n\n\u4ee5\u81e8\u5e8a\u7814\u7a76\u70ba\u57fa\u790e\uff0c\u64f4\u5c55\u5bb6\u5ead\u91ab\u5b78\u7684\u6559\u5b78\u5167\u6db5\uff0c\u589e\u9032\u5bb6\u5ead\u91ab\u696d\u7167\u9867\u54c1\u8cea\u3002\n\n\n\n<\/p>\n\n\n\n

          <\/p>\n\n\n\n\n\n

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