| Summary: | 碩士 === 國立臺灣大學 === 健康政策與管理研究所 === 106 === Abstract
Background:
The development of the Taiwan Public access defibrillation (PAD) originated on 2008/1/17 when the Department of Health convened the "First Aid Education Training Promotion" seminar. The meeting decided to include AED in the National CPR training which opened the PAD development prologue in Taiwan. Later on, after five years of discussion and efforts made by PAD experts from domestic and abroad, and from various fields of "the manufacturers, the government, science researchers, medical practioners and NGO", the legislature passed the third reading of the "Emergency Medical Rescue Act 14-1 and 14-2 Amendment pr-ovisions" (PAD Act and Exemption Act) on 2012 /12/25, and the President announced the implementation in 2013/1/ 16th. Taiwan PAD has been officially implemented for five years, it is necessary to collate and analyze the status quo, and interview the experts for their comments and evaluation on the relevant policies, as the reference for future revision of the relevant policies of PAD.
Research purposes:
This study is mainly to understand the status quo and problems of the development of PAD in Taiwan by conducting interviews with PAD experts in various fieldsrevarding their comments and evaluation of current policy interviews to provide a reference for future government health authorities to formulate new policies.
Methods:
This study used qualitative research (expert interviews) to enquire the opinions of PAD experts on the issues of Taiwan''s existing PAD policy, including: the mandate places to set PAD, AED management regulations, AED promotional activities, CPR+AED Education training, AED and EMS combination and application, AED login system, etc. Interviewed opinions were sorted and classified to draw the research result.
Results:
For Taiwan''s existing PAD mandate provisions places, 92%(23/25) of respondents thought it was necessary to redefine (broaden the scope and reduce the number of people limit); 80% (20/25) of respondents considered it necessary to regulate the density of AED, 16%(4/25) respondents considered that it was necessary to recommend the AED set density. There were 96% of respondents considered that the need for additional legal requirements for AED setting up venues. 84%(21/25) of respondents thought PAD should be fully or encouraged to register. 80% of respondents considered that a foundation (NGO) would be needed to help promote Taiwan PAD, academic research and to generate policy evaluation recommendations.
Conclusion:
According to the results of the study, the existing Taiwan PAD mandate places should be redefined. At the same time considering the size of space and human flow, it should be stipulated or recommended an AED density. In addition, we should combine EMS closely with the use of social media technology (mobile APP), recruit volunteer ambulance, get AED quickly, and perform CPR+AED first aid to improve OHCA survival rate.
Keywords: Automated external defibrillators (AED)、Public access defibrillation (PAD)、Cardiopulmonary resuscitation (CPR)、Out-of-Hospital Cardiac Arrest (OHCA)、Emergency Medical Services (EMS)、Return of spontaneous circulation(ROSC)、Sudden Cardiac Arrest(SCA).
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