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I Have a Dream : Medical System Without Border

想要整合全球的醫療系統提供所有人無時差且同等高品質的醫療服務和建議。
對民眾
1.隨時有醫生能提供諮詢(但不具診斷效力的建議)
2.完整和同步的醫學知識
對醫師
1.同等品質的再教育提供
2.完整和同步的醫學知識
對研究
1.病例都整合在一起,可以比較容易的研究
對醫療
1.跨院遠距手術合作,比如說超長時間的大手術

現有技術
1.電子化的醫療系統
2.Medscape可提供CME和建議醫師的服務,還有論文發佈
3.遠距醫療車


問題與反思
1.各國醫療體系差異大
2.各國可用資源差異大
3.如何架構?誰來架構?如何維持?
4.到底要整合到甚麼程度?無所不包還是僅只於
5.到底主要的對象是誰?提供民眾醫學新知及資源可近性和醫師再教育以及打破知識疆界
6.無時差的醫療系統有沒有需要性?
A和B院合作
A院晚上無須太多醫師值班,可由B院指導護理人員進行處置,如是否需要立即請醫師動手術之類。<---好像沒必要。
急診室倒是比較需要,不過是因為我們的醫療系統不夠完善才會顯得需要。
最好重要的是,跨院遠距手術合作。

總結
能在台灣做做看

目前需要做的
1.整合統一中文的醫學專有名詞(錯了就不要再用了)

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