| Summary: | 碩士 === 國立暨南國際大學 === 非營利組織經營管理碩士學位學程在職專班 === 106 === With the high incidence rate of diabetes and the considerable medical care costs generated from poor disease control, it would be a blessing for patients if the disease can be diagnosed and aggressive treatment can be applied as soon as possible. The Diabetes Health Promotion Center cares for diabetic patients by employing a multi-disciplinary team to provide patients quality medical care service, thus highlighting the importance of the Center and its professional team.
This study aims to understand the journey of the Diabetes Health Promotion Center formed by primary care clinics in Puli Township, and conduct an in-depth investigation on the professional relationships and partnerships of the Center as well as its current execution status and difficulties. Based on the research purpose, qualitative interview was adopted and a total of nine interviewees were invited to participate. The research results can be generalized as follows:
A.The Diabetes Health Promotion Center must invest money and time in personnel education and training, but the personnel also have to be familiar with the current status of diabetic patients before building harmonious doctor-patient relationships; regarding personnel retention, the Center has faced difficulties, such as being hard to agree on certain concepts, non-locals are unable to hold their positions for long, etc.
B.When primary medical institutions were forming Diabetes Health Promotion Team, for hardware, relevant apparatus must be purchased additionally and inspection resources must be self-connected; because chronic illness care used hard copies, the software had to be equipped with an exclusive information aiding system for smoother operations; however, in addition to the manpower and cost burdens generated under the NHI Review System and the troubling administrative works of the reviews, the Center also has to face practical challenges such as pressure from prescribing diabetic medications.
C.The operation of the Diabetes Health Promotion Team will have specific functions and divisions as well as multi-disciplinary care; by fully utilizing the advantages of team care through doctors, nurses, dieticians and pharmacists, the Team will enter the community, immerse in the community to let people gain correct prevention and control concepts; however, the dilemma they face in non-metropolitan areas is how to attract people to participate in activities. Another issue they must face while in the medical field is dealing with whether or not they will be acknowledged by authority figures. Finally, under the active care of the Team, the primary medical institutions will become model institutions in diabetes care, and the quality of primary care will also be elevated.
In the end, researcher suggests that governmental departments should provide relevant human resource integration of diabetes health educators when the primary medical institutions are forming the Diabetes Health Promotion Center, as well as to help them establish relevant software and equipment to perfect the resources these primary care require for them to offer patients more assistance.
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