急診壅塞，是無法解決的難題 ?還是不願面對的真相 ?【本期企劃】 試閱
Emergency Department Overcrowding: An Intractable Problem or an Unspoken Truth?
急診壅塞的問題在臺灣已經存在十數年，多年來已有不少學者提出解決急診壅塞的對策及建議，然而今年急診壅塞情形更是加劇，台灣急診醫學會與衛生福利部亦對此發出聲明及提出對策。本文認為解決急診壅塞的重點不在政策，而是制度失靈背後的結構矛盾與人性困境，急診壅塞必須從系統性根本：健保給付、評鑑制度、政治因素，以及法律保護四個面向去思考，並提供醫院及民眾誘因，才能增加改變的動機，進而影響就醫文化，保障病人安全。
Emergency department (ED) overcrowding has plagued Taiwan’s healthcare system for over a decade. Numerous scholars have proposed solutions and policy recommendations, yet the situation has only worsened in recent years. In response to the intensifying crisis, both the Taiwan Society of Emergency Medicine and the Ministry of Health and Welfare have issued statements and countermeasures. This article argues that the root cause of ED overcrowding is not merely policy failure, but rather the structural contradictions and human dilemmas underlying systemic dysfunctions. To address ED overcrowding effectively, a fundamental and systemic approach is required, examining the roles of national health insurance reimbursement, hospital accreditation standards, political pressures, and legal protections. Additionally, providing proper incentives for both hospitals and the general public is essential to drive behavioral change, shift healthcare-seeking culture, and ultimately ensure patient safety.
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