臺灣博碩士論文加值系統

緊急醫療救護服務，被視為評估先進國家發展的重要指標。根據消防署的統計，2011年緊急醫療救護服務出勤次數突破了1,000,000次，並且有逐年增加的趨勢。由這一統計結果可知，建立完善的緊急醫療救護服務系統是日趨重要。緊急醫療救護服務包含到院前緊急醫療救護服務及到院後緊急醫療救護服務，而緊急醫療救護派遣的效率直接影響了到院前緊急醫療救護服務的品質。因此，本研究設計一決策支援系統，期望可以提升緊急醫療救護派遣的效率，達到降低社會醫療成本之目的。
本研究參考了國內外緊急醫療救護派遣手冊，依照病徵的分類，整理出符合台灣緊急醫療救護服務現況之手冊，並以此手冊為依據，建置一緊急醫療救護派遣系統，用來輔助緊急醫療救護派遣員，在第一時間內下達快速並正確的指令。

Emergency Medical Services (EMS) is considered an important indicator to evaluate the development of advanced countries. In 2011, according to Taiwan National Fire Agency statistics, the number of emergency medical services dispatch exceeded 1,000,000 times [1]. The number has increased each year, so it is important to build a perfect emergency medical services system. Emergency medical services include pre-hospital emergency medical services and in-hospital emergency medical care. The efficiency of emergency medical dispatch direct affects the quality of emergency medical services. Therefore, this study designed a decision support system for enhancing the efficiency of emergency medical dispatch and relieves the burden on social medical expenses.
This study developed a dispatch manual with reference to domestic and foreign emergency medical dispatch manuals, which assorted by symptoms and suitable for Taiwan, and established an emergency medical dispatch system based on this manual to help emergency medical dispatcher give commands fast and correct at the first time.

誌謝 i
中文摘要 ii
ABSTRACT iii
CONTENTS iv
LIST OF FIGURES vi
LIST OF TABLES viii
Chapter 1 Introduction 1
1.1 Foreword 1
1.2 Motivation and Objective 3
1.3 Thesis Organization 4
Chapter 2 Background and Related Work 6
2.1 Emergency Medical Services 6
2.1.1 Emergency Medical Services in Taiwan 6
2.1.2 Pre-hospital Emergency Medical Care 8
2.2 Emergency Medical Dispatch Manual 9
Chapter 3 Methodology 20
3.1 The Collation of Emergency Medical Dispatch Manual 20
3.2 Emergency Medical Dispatch System 28
3.3 The Analysis of OHCA Database 32
3.4 Emergency Medical Dispatcher Training Program 35
Chapter 4 Results and Discussion 40
Chapter 5 Conclusion 45
Reference 46

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