建構緊急醫療與救護品質系統之三維架構比較 - 以台灣與美國為例

本研究以創新的三維框架（系統結構、運作效率、社會經濟決定因素）為基礎，比較分析台灣和美國的緊急醫療與救護車服務品質。研究採用混合研究方法，整合文獻與政府報告，探討兩國緊急照護系統、基礎設施和社會經濟因素的差異，及其與病人健康成效的關聯。研究發現，循證政策、持續品質改進、有針對性的介入措施、民眾緊急醫療教育和社區參與等措施，對於提升緊急醫療服務品質至關重要。本研究成果可供中央、地方政策制定者和緊急醫療服務體系參考。未來研究應探討三維框架在國際上的適用性，評估介入措施的影響，並進一步探索社會經濟文化因素對緊急應變的影響，為全球醫療品質改善做出貢獻。

This study offers a comparative analysis of ambulance service quality in Taiwan and the U.S., employing a novel three-dimensional framework: System Structure, Operational Efficiency, and Socioeconomic Determinants. Through a mixed method, it explores data and stakeholder insights to reveal disparities in care quality, geographic challenges, and the role of system structure and socioeconomic factors in patient outcomes. It underscores the need for evidence-based policies, continuous quality improvement, and targeted interventions to enhance ambulance services and health equity. Valuable insights are provided for policymakers, EMS leaders, and healthcare stakeholders, advocating for collaboration, knowledge exchange, and community engagement to address challenges. Future research should expand the framework's applicability, assess intervention impacts, and explore cultural influences on emergency response to ensure global access to quality care and improve patient outcomes.