A Study of Medical System and Hospital Nursing Human Resource in China and Taiwan-Comparison of Two Medical Centers

• Main Authors: Chen Yen-Huseh, 陳燕雪
• Other Authors: Dr.Tam Chan
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/76727046270544200492

碩士 === 東海大學 === 工業工程與經營資訊學系 === 95 === From 2000 to 2005, the expense of medical care market in China had an increase of 42%, however, the total value was only 4% of its GDP, far lower than that of the USA (14%). Therefore, there is a great potential for the future development of medical business in China. On the other hand, many medical institutes and physicians in Taiwan went to China to search for further development because of the deteriorated financial situation, which occurred since the Bureau of National Health Insurance introduced a package compensation system. To cope with such stringent environment many hospitals in Taiwan were forced to decrease their staffs to save the management cost. However, such policy caused shortage of human resource in medical care and it would not only sacrifice the medical care quality but also affect patient safety. The current study is to investigate the problems of human resource in cross-strait hospitals. We try to delve into the following topics: 1. The cross-strait difference in medical environment and medical insurance system. 2. The cross-strait difference in hospital human resource employment. 3. The influence of cross-strait medical systems on the nursing education and nursing human resource. We found that people satisfaction to medical environment in Taiwan is higher than that in China. More government involvement and better public health care are also seen in Taiwan. However, stagnant economic growth, poor medical resource control, and keen competition in the medical care market are the problems. In addition, Taiwan is facing the rapid growth of economy and medical care market in china. As far as the nursing system is concerned, the quality of nursing education is inferior in China. On the other hand, the number of nurses in Taiwan will outstrip that in need. It is estimated that only about one-third of nurses who just graduate from school can find job. Both cross-strait medical personnel are confronted with the same problems in health care, such as more and more complicated medical environment, higher quality requirement in patient care, and over work loading. Imbalance in supplement and need of nursing staffs is seen in both cross-strait hospitals although the causes are different. At present, the nurse/patient ratio in cross-strait hospitals is far lower than that of the developed countries. We thus make the following suggestions: 1. Government should set a law to define a standard nurse/patient ratio. 2. The number of nursing student should be controlled and adjusted appropriately to avoid imbalance between supplement and need. 3. Provide suitable education opportunity for nursing staffs to promote nursing quality. 4. Increase formal positions for nursing staffs instead of short-term employment.