2024-05-182024-05-18https://scholars.lib.ntu.edu.tw/handle/123456789/715010Family Medicine is a clinical practice that integrates biological medicine with humanity sciences. It emphasizes the care of patients under the bio-psycho-social model and stresses the accessibility and accountability of medical care in order to provide a continuous, coordinative and comprehensive care. The goals of Family Medicine, when pursued by a medical college, is to train through educational experience the medical students to come to grips with the basic understanding of Family Medicine that includes theory comprehension and primary care practices; when pursued by a hospital, is to nurture Family Medicine physicians for primary care, with core-disciplines being in Internal Medicine, Surgery, Pediatrics and Obstetric and Gynecological training; and to offer continuous medical trainings for primary care physicians. The Department of Family Medicine, College of Medicine of National Taiwan University was established in August 1985, to meet the increased demand by the public for primary care that went along with social-economic progress in Taiwan and to collaborate with the national policy of enhancing primary care for the nation's health. Considering the current status quo of the medical care insurance and many other looming problems such as aging population, increase in medical costs and waste due to fast development in medical technology, complexity brought about by the sub-divisions of specialties, uneven distributions of physicians and hospitals across the country, evolution of the medical care insurance reimbursement system and family structure etc, it is imperative to call for a strategy in which family practice serves as the basis for primary care, working together with the community hospital or specialist service in medical centers, in view of a strong public support for a robust health care system where the general publics can benefit from an integrated, convenient and cost-effective medicine care, and encouraged by the fact that the medical network project is coming to its culmination and a referral system that has just been buttressed by a refined National Health Insurance policy, we have a good reason to be optimistic in developing a well-rounded medical care environment in Taiwan.家庭醫學是一門整合傳統生物醫學和近代心理社會科學的臨床醫學。強調以生物心理社會模式關心病人的健康問題，注重醫療照護的可近性與責任性，提供病人連續性、協調性、完整性的醫療照護。 家庭醫學科的主要目標，在醫學院以教育醫學生的家庭醫學基礎觀念，使學生了解家庭醫學的理論及基層醫療的實務為主；在醫院首重培養擔任基層醫療保健的家庭醫師，內容以內、外、小兒及婦產科為主，並為第一線基層服務的家庭醫師舉辦繼續教育課程。 臺大醫學院家庭醫學科74年8月成立，導源於台灣社會經濟的進步，民眾對基層醫療保健的需求愈來越愈高，同時配合政府加強基層醫療的政策，積極推廣家庭醫師制度。 考慮國內醫療保健制度現況及不久的將來可能產生的種種問題，如人口的老化、醫療技術快速發展導致醫療費用的高漲及浪費、次專科制度的細分帶來就醫的不方便、醫院及醫師分布不均、醫療保健給付制度的改變及家庭結構的變遷等，為解決這些問題，由家庭醫業作為基層醫療的基礎，結合社區醫院或醫院專科醫療的均衡發展，建立一個健全的醫療體系，使國民能享受到完整、最近、便利又經濟的醫療照顧，再配合醫療網的實現、轉診制度的建立及全民健康保險的推行，良好的醫療環境指日可待。Academic Institute