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題名:History, Present Status, and Existing Straits of Physical Therapy in Taiwan     (28點)
台灣物理治療之歷史、現況與困境
著者:Hua-Fang Liao(廖華芳) ;Shwu-Fen Wang(王淑芬) ;Huei-Ming Chai(柴惠敏)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:物理治療 ; 歷史 ; 人力 ; 教育 ; 法律 ; 執業 ; Physical Therapy ; History ; Manpower ; Education ; Law ; Practice
刊名:Formosan Journal of Physical Therapy
卷期:36卷1期(2011.3)
頁碼:36-49
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

本文回顧台灣物理治療的發展,並闡述其現況,且對現存的困境加以探討。物理治療發展史可分 為敵蒙期( 1950's-1966) 、莫基期( 1967-1981 )、建構期( 1982-1998) 、穩固期( 1999 至今)等四期。 台灣物理治療雖濫觴於1950 年代且在1967 年即在臺灣大學設系,但直到1995 年方通過物理治療師 法來保障其權益。該法對物理治療帥的養成教育與醫療環境極具衝擊,進而改變其執業生態。截 至2010 年7 月底以前,台灣的百萬人口有146.8 名物理治療師,大多來至大學層級之培育。目前共 有9 所一般大學與2 所科技大學提供學士級物理治療師養成教育課程,每年招生的570 名。至於高 階教育,共有5 所大學設有物理治療碩士課程及4 所設有博士課程。中華民國物理治療學會與其他 各層級物理治療師公會每年提供超過50 個繼續教育課程給臨床治療師研習。從2007 年起,物理治 療師每六年需維持一定的繼續教育學分方能換照。而剛畢業者須在教學醫院進行二年期物理治療 師訓練。目前台灣物理治療面臨的困境是缺乏工作自主權、不公平的體保支付制度、以及病患無 法直接就診,導致潛在人力過剩的危機。在現行環境下的解決之道包括改革養成教育、倡導貫證 執業、建立自主的物理治療部門等等。物理治療師如能擁有工作自主權與病患直接就診權則有助 於物理治療服務晶質的維繫。(物理治療2011;36(1):36-49 )
This artic1e reviewed the development and present status of physical therapy (PT) in Taiwan 的 well as outlined the current encountered straits in PT practice and their possible solutions. 四le PT development in Taiwan was divided into four periods: 也e initiation period (1950's-1966), the foundation building period (1967-1981) ,也e construction period (1982-1998), and the consolidation period (1999-present). Although it was developed in the 1950's and 血e fìrst en缸子 level PT program was founded in 1967, the Physical Therapist Act was not promulgated until 1995. The amelioration of education and hea1th care environments following promulgation of the Act substantially impacts development of this profession,自.uther alters ecology of PT practice. By the end of July of 2010,出ere were 146.8 practicing physical therapists per mi11ion of population in Taiwan. Nine genera1 universities and two universities of technology offer en句level baccalaureate PT programs currently and enroll approximately 570 students per year. There 缸e fìve master and four doctorate PT programs providing advanced PT education to date. More 也an 50 professiona1 continuing education courses are held per ye缸For qua1ity assurance of PT practice, requests of credits of continuing education for license renewing every six ye紅and attendance of two-year PT residency training program 迦the teaching hospit必fornew licensed physical therapists commenced in 2007. Lack of autonomous practice, unavailable direct access, and unfavorable imbursement system are three existing 時訟的出at result in potential oversupply of PT manpower.τ'he possible solutions under the present hea1th care system and environment are suggested, inc1uding the reform of en句﹒level professiona1 programs, the utilization of evidence-based practice, and the foundation of an autonomous PT department in the hospita1. To be entitled to autonomous practice and direct access is highly suggested since an appropriate model of PT practice may enable the client to obtain a high-quality hea1th care. (FJPT 2011 ;36(1 ):36-49)


    

本卷期目次
Formosan Journal of Physical Therapy 36卷1期 (2011.3)
Using an Animal Study to Evaluate the Role of Thermal Effect in Therapeutic Ultrasound Mediated Transdermal Drug Delivery/ Jer-Junn LuhYi-Hui WuMing-Jhi TzengWen-Shiang ChenYi-You HuangFok-Ching Choni
毛巾包裹層數對於蠟療產生皮膚溫度變化的影響/ 吳育儒李志偉施教諭黃千惠
機構失智症老人計時起走測驗能力的相關因子及預測因子之先驅研究/ 江秀玲羅方妤李世代馬漢光胡名霞
History, Present Status, and Existing Straits of Physical Therapy in Taiwan/ Hua-Fang LiaoShwu-Fen WangHuei-Ming Chai
Walking Speed Adaptability and Speed-related Changes in Spatiotemporal Gait Parameters, Symmetry, and Variability of Hemiplegic Gait in Patients following Stroke/ Hui-Ya ChenYu-Hsiu ChuHsiu-I ChenWen-Chih LoSuh-Fang JengPei-Fang Tang
 
   
 
   

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