| Summary: | 碩士 === 國立臺灣大學 === 醫療機構管理研究所 === 92 === Treatments and medical interventions are provided in the hospital. When disasters occurred, hospitals need to remain operational in order to provide first line medical aids and interventions. In order to strengthen the ability responding to disaster, Taipei City Government has requested those emergency response hospitals implementing “Hospital Emergency Incident Command System (HEICS)”. There are some researchers pointing out the shortages of HEICS, however, there are few studies concerning about current situation of these HEICS hospitals and the difficulties to set up HEICS.
The purpose of this study is to utilize the responding process of SARS in the year of 2003, to demonstrate how the HEICS functions in Taipei city： the settings, the current situations and the difficulties when HEICS operates. This study is also trying to establish a framework of HEICS, which will better suitable in the circumstances of Taiwan.
Qualitative research method was implied and 12 sample hospitals were investigated in this study. “Response plan check list” and “ SARS record” are taken for triangulation, conclusions are as follows:
1. Setting situation of HEICS: The order from Taipei City Government is needed to set up HEICS. The functional structure of Taipei HEICS is similar to American HEICS. Through drill exercise, problems were found as following: the authority of commander is not clear (100%)，social workers are malfunctioning(100%)、medical manpower is insufficient (67%)、plan is misuse(58%)、logistics department did not fully support(50%).
2. Hospital measurements during SARS endemics：To establish the emergency incident centers. There are problems in the following functional teams：finance (100%)、logistics(58%)、planning(58%)、information(25%).The management skill is the key to operate a successful emergency incident center.
3. Self-examination in the post SARS period：well cooperation among national policies, hospital administrations and the public can make HEICS most effective !!
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