現況與展望

Current Status and Objectives

 

台灣眼科現況

  台灣位處中國大陸之東南岸,面積約3.6萬平方公里,在西元2003年人口約2260萬人;平均壽命男性73.5歲,女性79.2歲。

  目前台灣有11所醫學院,每年有1300名醫學系畢業生;醫學教育經過在學校6年,實習1年,取得醫學士學位,其後才能接受住院醫師之訓練。眼科住院醫師訓練為期四年,現在有31所醫院可訓練住院醫師,每年有44位新進的住院醫師。

  臨床研究員的訓練,分為幾個次專科:青光眼,角膜,視網膜,眼神經學,眼眶及眼整型...等等;約有430(佔30%)名臨床研究員受訓於國外(美國、日本及歐洲)。在繼續教育方面,每六年需要200小時的課程,內容包含復習及新技術和器械的研習。

  在醫療服務方面,2006年約有1601名眼科醫師,平均15900人就有一位眼科醫師,比例偏高,但有相當大的城鄉差距。眼科病床有410床,分佈於87家醫療院所。指標手術一年白內障手術約110000~120000台,角膜移植術約700~900台,視網膜剝離手術約1200~1500台。眼科健保費用支出佔全民健保(西元1994年開辦)支出總額的2.87%。

  在學術方面,目前台灣眼科醫師從事研究的範疇,以流行病學、幹細胞研究、青光眼、眼神經科學為主,自1995年至2004年,共有1182篇論文發表,其中314篇發表於SCI之雜誌。著作則有11本專題著作及14本教科書。


中華民國眼科醫學會目標與展望

  短期的目標,有擴大舉辦第四十七屆年會、第九屆國際學術研討會與第七屆中日眼科聯合學術研討會(2006年12月台北)、參加第二十一屆亞太眼科學術會議(2006年6月新加坡)、第6屆ISOHK學術會議(2006年8月香港)、第3屆全球華人眼科學術會議(2006年8-9月北京)與AAO-APAO聯合會議(2006年11月)。

  近期推動「視力保健法」立法,監督「驗光師法」立法,立法院9月會期即將上演眼科有史以來前所未有的立法,統籌國家預算落實「視力保母在社區」。

  自全民健保以來,眼科業務獨立性強,佔支出總額2.87%,展望未來「虛擬眼科全民健保支付制度」之推動,旨在制定眼科醫令Guidline,為眼科醫師執行業務依據,落實同儕相約眼科自主。除了視力保健立法,開拓數位視保,落實眼科自主,發展自費多元空間,中老年視力照護,糖尿病與高度近視併發症是未來Vision 2020之工作重點,期望眼科同仁開拓視野,創新需求,為藍海出航啟帆。


Profile and Current Status

  There are thirteen medical schools in Taiwan, which educates about 1,300 medical graduates every year. Residency training begins after seven years of medical education and one year of post-graduate training. Ophthalmic residents are required to undergo a four-year training at an accredited educational hospital. Currently, a total of 30 hospitals can provide residency training and an average of 34 residents are trained annually.

  The training of sub-special fellowship is divided into all areas of ophthalmic specialties: glaucoma, refraction, cornea, retina, uveitis, pediatric ophthalmology, neuro-ophthalmology, orbit and oculoplastic surgery.

  Continued medical education for ophthalmologists requires at least 200 hours of course lectures covering all areas of clinical diagnosis, new advances in disease management, and innovations in research.

  Approximately 1768 ophthalmologists nationwide provide comprehensive eye care to general population of 23 million. Each year, there are around 110,000-120,000 cataract surgeries, 700-900 corneal transplants, and 1500 retinal detachment surgeries. The overall ophthalmic reimbursement accounted for approximately 2.9% of the National Health Insurance.

  Outstanding accomplishment in academic research produced a lot of publications. Between 2005 and 2015, more than 2225 papers have been published, of which, over 1312 have been published in SCI journal. There are also many textbook publications in the recent decade.


Society’s Short-term and Long-term Objectives

  The society is committed to actively participate in promoting the general eye care and to enhance academic research in ophthalmology. A crucial undertaking as part of the society's short-term objectives included community service for the underprivileged -which has been staged in rural communities across the nation since 2004. Recently the Society is promoting the legislation of the Vision Care Law and supervising the legislation of Optometrist Law.

  The society's long-term objective lies in promoting preventive medicine and advancing basic and clinical research, such as vision care for the elder and management for the complications of diabetes and high myopia. In addition to establishing a nationwide registry of ophthalmic diseases in Taiwan, the society also formulates practice guidelines for ophthalmologists to follow, so as to comply with the regulations of National Health Insurance.

刊登日期:2016-10-29