https://scholars.lib.ntu.edu.tw/handle/123456789/623324
標題: | 群體健康與永續環境之創新政策研究中心計畫期末成果報告 Centre of Innovation on Population Health with Sustainable Development Final Report | 作者: | CHANG-CHUAN CHAN | 關鍵字: | 精準健康 Precision health、群體健康 Population health、公共衛生 Public Health、永續發展目標 SDGs、新冠肺炎 Covid-19 | 公開日期: | 4-十月-2021 | 出版社: | 科技部 | 摘要: | 「國立臺灣大學群體健康與永續環境之創新暨政策研究中心計畫」(以下簡稱本中心計畫),本中心是由科技部及教育部補助的高等教育深耕計畫-特色領域研究中心計畫。原先規劃為五年期規劃(民國107年3月-民國112年2月),本中心計畫在執行期間因為2019年底全球新冠肺炎疫情大流行的影響,面對許多外在環境變化和計畫內部合作的挑戰而必須調整,致使本中心計畫不得不從五年縮短為三年半(民國107年3月-民國110年7月)。但是中心計畫仍然依照原先要處理當前全球面臨四個常見的公共衛生議題,包含全球暖化、工業化與都市化衍生的環境汙染、高齡化與少子化所產生的長照問題、資訊科技衝擊下社會行為的跨世代差異、群體健康權不平等所導致的醫療照護體系的改變,這些複雜且環環相扣的公共衛生議題加劇了族群的疾病負擔,特別是非傳染病的疾病負擔等方向進行。也大致上達到以臺灣群體健康為導向整合環境與個人面向成一個完整且多層次的系統,提供創新、且具實證基礎、完整的、持續的、和精準的衛生照護計畫與執行方案,以符合聯合國永續發展指標…等本中心計畫原定目標(圖一)。2019年底爆發新冠肺炎全球大流行 (COVID-19 pandemic),在彰化縣及連江縣以社區為基地的各個子項計畫的研究目標,在研究場域的時空情境已發生根本性改變的情況之下,本中心計畫勢必無法完全依照原訂目標和期程執行。2020年初總主持人詹長權在當時行政院副院長陳其邁的邀請下擔任行政院進行科學防疫的諮詢,當時即預估在本計畫未來兩年的執行期間(民國110年3月1日至112年02月28日)新冠肺炎全球大流行將仍然持續影響全世界,臺灣也必然面對在這一個無可逃避的公共衛生危機。從公共衛生的實務和專業倫理上考量COVID-19是本研究場域內的政府及人民目前及未來最重要的也最關切的公共衛生議題,本計畫研究目標及內容如果不能因應在地公衛需求做修正,不但無法達成原訂之計畫目標,甚至會延遲當地迫切需要的COVID-19防疫。中心計畫也順應在民國109年2月5日科技部組成的「中心計畫指導委員會」決議要求,在經費不變之下增加新冠肺炎相關的研究的工作,繼續協助彰化和連江兩個研究基地同步進行原定的群體健康研究計畫和新冠肺炎研究計畫。 過去三年半本中心的研究成果透過以下四大主軸說明。 第一個主軸建立在臺灣大學公共衛生學院為亞洲唯一通過美國公共衛生教育委員會 (Council on Education for Public Health, CEPH) 評鑑認證的公衛學院,也是美國公共衛生學院與學程學會 (Association of Schools and Programs of Public Health, ASPPH) 唯一的亞洲區正式會員,本中心總主持人公衛學院前院長詹長權教授當時也是ASPPH董事會 (Board of Directors) 唯一一位來自亞洲的成員。本中心良好的國際連結能夠透過美國與歐洲的全球衛生教育、研究及產業模式發展精準健康科學,成功建立國內首創的全英文全球衛生碩士/博士學位學程 (Global Health Program, GPH),至今共吸引來自全球14個國家共45名學生就讀,是我國教育國際化的標竿學程。本研究中心於三年來舉辦8場重要的大型學術研討會,特別是108年9月23-25日與美國公共衛生學院與學程學會 (ASPPH) 共同主辦第一屆ASPPH亞洲學術區域會議,有美國、日本、韓國、義大利、香港、澳洲、孟加拉、斯里蘭卡、尼泊爾、格瑞那達、印度、印尼、馬來西亞、泰國、越南等15個國家和地區的66位公共衛生學界領袖前來臺灣參加本次會議,要和國內300位公共衛生學者專家一起討論公共衛生教育的未來。本研究中心積極促進跨國學術交流,與美國史丹佛大學、日本東京大學等多所國際著名大學進行研究上的合作與深入交流。本中心計畫超前達成原先5年計畫書所規劃提出的中心營運架構(圖一)所揭示,從圖一左邊的「國際合作」達成圖一右邊的「全球衛生」和「人才培育」的中心研究目標。 第二個主軸是將臺大公衛學院建立成一個可以全方位進行群體健康研究的公共衛生研究基地,深耕社區使彰化縣和連江縣成為有堅實執行公共衛生量能的堅韌社會。經過本中心計畫三年半以來的經費支助,臺大公衛學院全新建立中心專屬辦公室、健康資料科學與統計中心、前瞻分析實驗室、多功能討論室以及在地社區之彰化縣合作辦公室等先進的公衛研究硬體建設。所建置健康資料科學與統計中心儲存社區世代資料及各子計畫收集之資料藉以進行整合形成健康大數據以朝永續發展的方向邁進。本研究中心延攬培育了各級公衛人才,包括3位專案計畫助理教授、4位博士後研究員和23位專任助理,以及4位博士生與17位碩士生的參與,其中13名於彰化縣從事醫藥衛生工作之在職學生,顯示本中心不單重視高階人才與年輕學者的培育。本中心和彰化縣衛生局一起合作進行以社區為基礎的整合性公共衛生服務 (Community-based Integrated Public Health Service; CIPHS),提供社區居民健康篩檢、地方公衛專業人員培養等的公共衛生研究服務成果斐然,這一項合作所建立的學界與社區資源共享與合作的彰化公衛模式受到ASPPH肯定,榮獲「2020美國公共衛生學院暨學程學會哈里森.C.史賓瑟傑出社區服務獎」 (2020 ASPPH Harrison C. Spencer Award for Outstanding Community Service),成為唯一一個美國以外國家的獲獎者。本中心計畫超前達成原先5年計畫書所規劃提出的中心營運架構(圖一)所揭示,透過圖一左邊的「深耕社區」和「群體研究」達成圖一右邊的「人才培育」、「產業發展」和「健康環境政策」的中心研究目標。 第三個主軸是透過科技部特色領域中心所支持社區研究計畫,發展創新的精準群體健康模式(研究架構見圖二)。本中心計畫所採用之研究方法為在由臺大公共衛生學院長期經營之彰化縣及連江縣社區進行深耕,從民眾個人遺傳及生活習慣特性、環境污染暴露、與醫療照護及健康導護相關社會行為,以及社區層次政策-社會-環境系統包含個人、家戶、鄉鎮、縣市至區域層次等因素建構創新多層次健康效應風險評估模式,並據以發展創新健康政策與介入方法(整合健康教育之初段預防、疾病篩檢之次段預防以及末段預防措施),及全民健保之下的醫療照護模式的替代方案(創新照護與導護)。本中心計畫利用回溯性世代資料建立整合性多層次健康效應風險診斷及評估模型並建立實證基礎,再以前瞻性世代研究設計進一步收集環境、流行病學以及健康行為等資料驗證上述模型。運用實驗設計與類實驗設計對環境污染控制政策、創新介入方法(跨理論整合式衛生教育、整合式及新型篩檢工具、門診病人,住院及出院以病人為中心照護及導護創新模式)進行創新政策與介入方法之效益及成本效益評估。並且以導入的創新政策、介入方案及經過修訂後的風險評估模式建構的健康照護模式來評估個人化健康效應改善(圖三)。 本中心計畫在21世紀先進公共衛生教學研究所需研究環境和設備的基礎上,如高階分析儀器、即時連線環境微感知器及大數據分析等軟硬體設施,和所培育出來可以執行從地方、國家到全球公共衛生問題的研究人才投入之下。透過高密度室內外空氣感知器佈置,精細解析馬祖及彰化學校、居住環境及長照機構空氣品質,提供過去傳統環境監測所無法知道的PM2.5時空分布;透過在市場中購得的食物及飲料發現傳統市場中蔬菜類農藥較生鮮市場多;海鮮類則檢測出有環境污染物;肉類則發現生鮮超市的動物用藥篩查陽性率稍高於傳統市場;發現黃豆篩查出黴菌毒素。透過兩社區不同型態的市場食材品項分析結果,建立各類食材安全指引或注意事項,以減低居民暴露食材中有害物質,維護居民健康福祉。透過對於馬祖及彰化整合式篩檢的縣民長期追蹤,運用彰化縣社區篩檢防治計畫,結合大腸癌篩檢及胃癌篩檢策略,評估糞便潛血加上幽門桿菌之二合一檢測效益,研究結果除提升民眾篩檢參與率及大腸癌偵出率外,也使胃癌發生率降低,顯示結合兩癌二合一篩檢防治有相當正向的效果。馬祖為胃癌發生率最高之地方,此計畫運用胃幽門桿菌大規模篩檢和根除治療方法,在長時間追蹤下大幅下降胃癌的發生率及死亡率。環境空氣汙染暴露風險評估中,運用大規模篩檢資料與全台PM2.5連續監測資料,探討其與口腔癌前病變/口腔癌之相關,並利用多層級馬可夫模型評估大腸癌癌症進展之風險,結果顯示PM2.5濃度越高與較高之口腔癌前病變/口腔癌風險有關、有較高糞便潛血陽性風險且增加大腸癌癌症進展的風險。中心計畫已完整處理中心營運架構(圖一)上方所揭示的「工業化」、「都市化」、「全球暖化環境」、「高齡化」和「少子化」等五大群體健康驅動因子的研究且有很好的研究成果,本研究中心以公共衛生為核心價值做導向努力在各個面向上達成了13項的產學合作。中心計畫已經超前達成超前達成員先5年計畫書所規劃提出的中心營運架構(圖一)所揭示,透過圖一左邊的「深耕社區」、「群體研究」和「創新研發」達成圖一右邊的「健康社會永續環境」、「產業發展」和「健康環境政策」的中心研究目標。 第四個主軸依2020年2月指導委員會決議進行COVID-19相關研究,本中心計畫完成科技部與教育部賦予的新冠肺炎公共衛生研究任務,總計發表COVID-19相關研究論文14篇,將COVID-19防治的臺灣模式透過學術讓世界了解。透過27場疫情說明會,提供中央及地方政府防疫政策參考和一般民眾正確的新冠肺炎知識,大量投入與新冠肺炎相關研究及服務,總主持人詹長權教授也多次參與國際線上會議。本中心在新冠肺炎防治上顯著貢獻包含:針對國家防疫政策提出:經空氣傳播、社交距離政策、學校延後開學、媽祖遶境延後等非藥物性介入防疫建議;倡議核酸廣篩、血清抗體疫調等科學防疫手段來輔助行政防疫之不足。入境檢疫及本土個案居家檢疫的建議也在過去一年來紛紛被政府採納為現今的防疫措施。本計畫於2020年協助彰化縣衛生局率全國之先採用血清抗體檢驗方式進行疫情調查,發現當時彰化縣新冠肺炎的高風險高暴露族群(確診的接觸者、檢疫隔離者、醫護人類)的抗體陽性僅有萬分之八,以實際資料直接證明當時彰化縣的新冠肺炎無症狀的感染率不高,武漢株新冠病毒在彰化縣社區傳播的風險不高。全國各縣市和中央疫情指揮中心在今年5月份起的這一波alpha變異株的流行期間,也紛紛採用彰化縣去年和今年採取的血清抗體檢驗來輔助疫情調查,釐清許多起社區感染的路徑、適時壓抑住社區感染的擴散。提供科學防疫諮詢協助建立《彰化模式 - 精準疫調和廣泛篩檢》和《精準防疫的高雄模式》兩個精準疫調模式(附錄1、精準疫調模式),在這一波alpha病毒株的流行期間已被中央指揮中心及各縣市採納為標準的防疫措施,幫助地方政府控制今年5月份起的這一波alpha變異株的新冠肺炎社區流行。本中心計畫各子計畫也積極進行COVID-19之相關研究,包括針對COVID-19對醫師執業的影響進行問卷調查以作為相關政策參考,以及利用問卷調查來了解COVID-19對醫療機構及醫療人員之韌性評估。健康資料科學與統計中心於疫情期間投注人力蒐羅全球衛生健康大數據資料,目前已涵蓋WHO、UN、Our World in Data三大資料庫的全球衛生資料庫,也收納各國官方釋出之COVID-19疫情資訊與相關檔案,可以提供較完整之健康大數據資料庫供科學防疫使用。 本中心計畫在執行期間面對許多外在環境變化的挑戰而必須調整,2019年底爆發新冠肺炎全球大流行之後,原本規劃以社區為基礎的介入性研究因為疫情控制而無法如期進行。在2020年6月在媒體、科技部未經查證下爆發所謂「彰化縣血清抗體調查事件」,其實「彰化縣血清抗體疫調資料分析研究」是中心計畫在民國109年2月5日科技部組成的「中心計畫指導委員會」決議要求增加的新冠肺炎相關研究的建議工作項目之一:「探索此新興傳染病毒之傳播模式及流行病學特徵及預測國際及國內流行之趨勢」,也是本中心計畫109年度計畫向教育部提出的修正計畫書所增列的新冠肺炎研究方向中的:「運用病毒抗體檢測,針對新冠肺炎對於健康及環境衝擊以及對於未來疫情的評估」的工作項目。在這一項研究中臺大僅針對彰化提供有關新冠肺炎的去個人資訊後的調查資料的統計分析和流病判斷,中心計畫人員只負責資料分析及報告撰寫,完全沒有實際參與由彰化縣當地衛生醫療單位所執行的:「該縣確診和高危險群檢驗對象的通知、血樣採集與儲存、抗體檢驗、原始資料之彙整等地方衛生單位的例行疫情調查工作」。而中心計畫的這一個研究內容也符合民國109年8月11日由臺灣大學行為與社會科學研究倫理委員會審查通過之研究倫理(IRB)的範疇(附錄16、彰化縣血清抗體調查倫理委員會相關文件)。雖然這個研究案符合教育部和科技部核准的研究項目,也符合臺大研究倫理委員會通過的研究工作項目。但是此一件錯誤報導的事件不但對本中心計畫的持續進行造成不可回復的干擾,是本中心計畫提前解約的原因之一。 本中心計畫提前解約的原因之二是發生了子計畫七主持人違背學術專業倫理的不當作為。自民國109年8月初起子計畫七主持人逾越權責多次脅迫計畫研究人員及研究助理開啟中心計畫總主持人電腦密碼,企圖進入學校系統逕行變更中心計畫總計畫主持人,同時也脅迫中心計畫總計畫所聘任的專任研究助理搬離開總計畫主持人研究室辦公,並且逾越權責該將該助理納為己用。109年10月中旬本中心計畫研究助理在進行線上系統聘僱由教育部經費支助的一名博士級兼任助理時,赫然發現由教育部所核發的中心計畫已經在總主持人的計劃管理系統上消失。經聯絡臺大醫學院研發分處(以下簡稱醫研分處)始得知在醫學院教務分處的系統上中心計畫總主持人已被私自更換為子計畫七主持人,經詢問公衛學院辦公室人員得知子計畫七主持人於八月底時自行上簽呈至臺大校總區研發處(以下簡稱校研發處)更換計畫總主持人,在簽文尚未經校研發處核准前醫研分處錯將系統上主持人先行更改,經查詢才知道校研發長發現子計畫七主持人簽至研發處的公文因為未有中心計畫主持人詹長權核章同意便不予決行,後經各方連絡後子計畫七主持人才將此一違法簽文撤案,中心計畫的人士聘僱和經費核銷才能順利執行。子計畫七主持人逕自草擬變更主持人之簽文恐有涉及偽造文書之嫌。中心計畫發生這種種職場霸凌的事不但侵害本計畫研究人員及研究助理的工作權益,也讓研究人員且在不對等權力關係下難以安心、無法專心投入研究工作。子計畫七主持人此一脅迫研究助理做違背法律的事,不但違背了研究倫理也失去研究的誠實信用,更破壞了總計畫和子計畫間的合作互信關係,讓中心計畫難以根據專業整合各個子計畫來繼續執行未完成的兩年計畫。 儘管在這麼困難的情況下,三年來中心計畫執行計畫的研究成果仍然顯著。中心計以在地實證的方式診斷出影響民眾從個人層次到區域層次的包括環境污染、健康促進與照護體系三大面向的健康影響因素,也提出基於科學實證方法謹慎評估且具有經濟效益的群體健康的改善方案。中心計畫已經符合貴部當年核定計畫時所預期的計畫效益。特別是在(1)人才培育、(2)學術研究、(3)產學合作、(4)研究貢獻、(5)環境建置等方面皆已超前或已達成原訂的逐年研究目標。中心計畫在新冠肺炎方面傑出的研究成果更加顯現出,運用群體健康研究中心多層次客製化回溯、橫斷及前瞻性研究設計(圖三)到社區中的健康世代、亞健康世代、疾病世代,不但可以評估慢性疾病風險更可以因應急性傳染性疾病的研究需求。本中心計畫在新冠肺炎方面傑出的社會貢獻,驗證在這一個仍然持續中的新冠肺炎全球大流之際,本中心計畫對於促進臺灣和世界群體健康的重要性。本中心計畫在以上四大主軸研究成果的超前達標,更進一步彰顯科技部和教育部補助國立臺灣大學公共衛生學院環境與職業健康科學研究所詹長權教授主持之「國立臺灣大學群體健康與永續環境之創新暨政策研究中心計畫」為高教深耕計畫之正確性和前瞻性(教育部編號:107L9003、108L9003、109L9003。科技部編號:107-3017-F-002-003、108-3017-F-002-001、109-2634-F-002-044)。 “Centre of Innovation on Population Health with Sustainable Development” (the Center) is jointly funded by Ministry of Science and Technology (MOST) and Ministry of Education (MOE) as a Higher Education Sprout Project for 5 years (2018-2023). The duration of the Center must be shortened to 3.5 years by unexpectedly interruption of the 2019 Covid-19 Pandemic, which changed public health priority in our study communities and created unsustainable cooperation among the Center’s research team. Regardless of such mounting constrains, the Center has achieved most of its 5-year research goals, which deal with public health issues related to industrialization, urbanization, ageing and low fertility rates. In specific, the Center has set up public health platforms at two cooperative research communities - Changhua and Lienchiang County, using previously established retrospective cohorts of healthy and subhealthy cohorts to explore a multi-layered approach of innovative interventions and community collaboration models for environmental pollution control, community health promotion and prevention programs to improve population health and achieve sustainable goals in Taiwan. The 2019 Covid-19 pandemic is changing the world and has also changed the priority of public health agenda of research communities. Following the request from the then Vice Prime Minster, Dr. Chi-Mai Chen, and MOST, the Center added Covid-19 related isues to our research agenda and has delivered excellent outcomes academically, administratively, and socially to help contain the pandemic locally and globally. The state-of-art analystical laboratories and the powerful data center at National Taiwan University College of Public Heaalth (NTU-CPH) established by the Center has prepared for NTU to meet the challenges researching key global health issues of the 21st Century. The Center has four main research achievements. First, the Center helped NTU-CPH establish a Council on Education for Public Health (CEPH) accredited Global Health Program (GPH), which is the first one of its kind in Asia. About 50 students from over 15 countries have attended this all-English program to pursue their master or doctoral degrees in global health. The Center’s Principal Investigator (PI), Professor Chang-Chuan Chan, served in the board of Association of Schools and Programs of Public Health (ASPPH), the only Asian in the board. The Center has established a robust research and educational network with excellent universities in the world by holding conferences and workshops together and exchanging visits and scholars frequently. The Center has established NTU-CPH as an Asian hub for ASPPH and other prominent universities in Europe, US, and Japan, which can serve as foundation for Taiwan to continuously explore precision health science models through inter-disciplinary cooperation with regional and global partners in coming years. Second, the Center has established an excellent public health research infrastructure at NTU-CPH and robust public health practice centers in communities. To create a sustainable and professional working environment, at CPH we established our Center Office at the first floor, Health Data Science and Statistics Center on the fifth floor, and Frontier Analytical Laboratory on the tenth floor, and at Changhua County we also have a Community Collaboration Office. The Center has cultivated over 40 public health professionals, including post-docs, PhDs, and masters through the research carried out by the Center’s main projects and subprojects, including 13 doctors, nurses and officials from Changhua County Health Bureau. The successful cooperation between the Center and Changhua County Health Bureau in carrying out Community-based Integrated Public Health Service (CIPHS) earned NTU-CPH and Changhua County the 2020 ASPPH Harrison C. Spencer Award for Outstanding Community Service, the first one to award a program outside the US. Third, the Center has established community population health and subhealth platforms at two of our chosen communities – Changhua and Lienchiang County, using previously established retrospective cohort to explore potential sustainable innovative interventions and community collaboration models in multi-layered environmental pollution control, community health promotion, prevention, and health care. Through the arrangement of high-density indoor and outdoor air sensors, the air quality of Matsu and Changhua schools, residential environment, and long-term care institutions are analyzed in detail, and the temporal and spatial distribution of PM2.5 that cannot be known in traditional environmental monitoring stations in the past is provided; through the food and beverages purchased in the market we found that there are more pesticides in vegetables in traditional markets than in super markets. We also detected environmental pollutants in seafoods that need to be studied further. Our Health Data Science and Statistics Center stores community-based integrated screening data from Changhua County Public Health Bureau and data collected by our subprojects at Changhua and Lienchiang County, including air quality and food exposure assessments, omics analysis, elderly frailty questionnaire assessment, interviews and questionnaire assessment of hospital managers, medical workers, and patients’ experience at Changhua County hospitals, and long-term care and discharge preparation data. All these data are continuously being collected, sorted, and combined throughout the study period. The Center used database to perform innovative and integrated research on colorectal cancer (CRC) and identified a causal link between environmental exposures of PM2.5 and CRC. A random clinical trial (RCT) in Changhua County identified that adding pepsin test to Helicobacter pylori test in stool samples improved gastric cancer prevention. Furthermore, a causal pie model was able to identify attributable risks of different pathogenic mechanisms for CRC. Our center also used the database to establish a precision prevention health care app for public health workers that can help them provide professional and personal health management advice to the people; a cloud information platform app for chronic diseases case managers that collects patients’ experience when seeking treatment and strengthens disease case managers’ competencies. On the issue of aging, our center collaborated with Changhua County Public Health Bureau to provide elderlies at Long-Term Health Care C service points with elderly integrated health checkups that screens elderly for physical, psychological, and social frailties. Fourth, the Center completed the public health research tasks of Covid-19 assigned by MOST and MOE, and publish a total of 14 research papers related to Covid-19, and let the world understand the Taiwan model of Covid-19 prevention through these academic publications. Through 27 weekly briefings on the Covid-19 pandemic, the Center provided the central and local governments useful scientific reference for epidemic prevention policies and the public correct knowledge of Covid-19. PI, Professor Chang-Chuan Chan, has also participated in many international online conferences to extend the Center’s contribution to Covid-19 controls internationally. The Center's significant contributions to the prevention and control of Covid-19 pandemic include: non-pharmaceutical intervention prevention recommendations such as air transmission, social distancing policy, school postponement, and Mazu detour in response to the national epidemic prevention policy; advocating broad nucleic acid screening and serum antibodies as key scientific epidemic prevention methods to complement administrative epidemic prevention measures. The Center’s recommendations of entry quarantine and home quarantine of local cases together with the precision epidemic investigation measures, i.e. precision pandemic control model we established in the past year, have been adopted by all governments in Taiwan as standard anti-epidemic measures now to control a major Covid-19 outbreak of alpha variant in May this year. The Center's plan must be adjusted during implementation in the face of many external environmental changes. After the outbreak of the global pandemic of Covid-19 at the end of 2019, community-based interventional research originally planned could not be carried out as scheduled due to the urgent need for control of the epidemic locally and globally. In June 2020, the so-called "Changhua County Serum Antibody Investigation Incident" broke out without verification by the media and MOST. In fact, the "Changhua County Serum Antibody Epidemic Data Analysis and Research" was planned by the Center to respond to adding Covid-related research tasks recommended MOST on February 5, 2020. In this study, the Center only provided statistical analysis and epidemic assessments on the surveyed data of COVID-19 in Changhua. The Center were only responsible for data analysis and report writing, and did not actually participate in Changhua County’s routine epidemic investigation work, including notification of confirmed cases and high-risk plausible cases, blood sample collection and storage, antibody testing, and compilation of original data. The research content carried out by the Center also conforms to the scope of research ethics (IRB) approved by the National Taiwan University Behavioral and Social Science Research Ethics Committee on August 11, 2020. Although this research project is in line with the research scope approved by MOE and MOST, as well as approved by the National Taiwan University Research Ethics Committee. However, this misreported incident not only caused irreversible interference to the continuation of the Center's research plan, but also became one of the reasons why the Center's 5-year plan was terminated early by the PI, Prof. Chang-Chuan Chan. The second reason why the PI decided to terminate this Center grant early is that the Co-PI of Sub-Project 7 violated academic and professional ethics. Since the beginning of August 2020, the Co-PI of Sub-Project 7 has exceeded his powers and responsibilities for many times to intimidate project researchers and research assistants to use the PI’s computer password, attempting to enter the university’s grant managing system to change the PI from Prof. Chan to him. Fortunately, such an unlawful attempt by the Co-PI of Sub-Project 7 failed as all research assistants resisted to this unlawful intimidation. At the same time, a full-time research assistant hired by the PI to coordinate the Center was asked to move away from the PI’s office without PI’s consent. In mid-October 2020, when the Center’s research assistant worked on the online personnel system trying to hire a doctoral student as a part-time reseach assistant, he surprisingly found that the PI of the Center has been mistakenly changed from Prof. Chan to the Co-PI of Sub-Project 7 in the MOE grant management system before it was approved by the University’s R&D vice-president. After contacting all parties involved, the Co-PI of Sub-Plan 7 was asked to withdraw the documents and the illegal act was stopped. The occurrence of this kind of workplace bullying in the Center not only infringes on the working rights of the researchers and research assistants in the project, but also makes it difficult for researchers to be at ease and they were unable to concentrate on their research work under unequal power relations. Such a workplace bully event resulted in the unwilling departure of several assistants from the College. The way the Co-PI of sub-project 7 coerced research assistants to do something against the law not only violated research ethics but also damaged research integrity and credibility needed for an excellent research center. This unlawful incident also undermined the cooperative and mutual trust among the PI and Co-PIs in the Center and made the PI unable to professionally integrate various sub-projects together to continue the unfinished two-year plan of the Center. Despite such difficult circumstances, the Center’s research outcomes in the past three years are still remarkable. The Center uses empirical data and scientific methods to diagnose health influencing factors, including environmental pollution, health promotion, and care system that affect people from individual to regional levels; and proposes cost-effective proposals to improve population health and health promotion programs. The Center has met all expected project goals in the grant proposal approved by both MOST and MOE, especially in (1) talent cultivation, (2) academic research, (3) industry-university cooperation, (4) research contribution, (5) environmental construction, etc. The Center’s outstanding research findings on COVID-19 are even more apparent that applying the Center’s multi-level customized retrospective, cross-sectional and forward-looking research design (Figure 3) to the healthy, sub-healthy, and disease cohorts in the community can assess and control not only chronic diseases but also newly emerging infectious diseases. The Center has achieved the above-mentioned four major research goals ahead of the schedule, which further demonstrates that both MOST and MOE are wise and correct to choose Prof. Chang-Chuan Chan at the National Taiwan University College of Public Health to conduct 5-year Higher Education Sprout Project, i.e. “Centre of Innovation on Population Health with Sustainable Development” (MOE No.: 107L9003, 108L9003, 109L9003. MOST No.: 107-3017-F-002-003, 108-3017- F-002-001, 109-2634-F-002-044). |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/623324 |
顯示於: | 環境與職業健康科學研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。