Page 6 - 104年06月消防月刊(全)

專題報導 Special Report

抑制救護資源濫用 ▓文／消防月刊編輯室

▓圖／消防月刊編輯室提供

「救護宣導」、「消防救護車收費」同步實施

Suppressing the abuse of ambulance resources

Emergency care public education and charges for fire department
ambulance use implemented simultaneously

壹、前言

從消防署統計資料可知（如表 1），94 年至 103 年近 10 年來，全臺消防救護車救護出勤未送醫
次數約佔 1/4，平均 4-5 趟救護中，會有 1 趟因民眾謊報、自行離去、民眾護送、中途取消、未發現、

拒絕送醫、民間救護車先行送醫及現場死亡等未由消防救護車送醫情形，救護人員稱為「空跑」案件，
而剩餘救護案件中，尚包括未符緊急醫療救護法施行細則第 2 條所規範的「緊急傷病患」案件，意即
不符消防救護車使用範圍的案件，亦包含在浪費救護資源範疇內。因此，無論是未送醫或未符法令規
範緊急傷病患案件皆是浪費國家社會所提供的救護資源，讓真正有需要的民眾生命受到威脅，權利受

到侵犯，亦讓執行的消防基層同仁疲於奔命。因此，如何解決或降低救護資源濫用，已成為近年來緊
急救護服務所關注的議題。

From the statistic of National Fire Agency over nearly 10 years between 2005 and 2014(See Table 1 below),
governmental ambulance service under non-emergency conditions accounting for 25 percent of the total, on average
one out of 4 or 5 ambulance dispatches is abused including false reporting, patient voluntarily leaving, being taken
by others, cancellation, not being found, refusing to be sent to the hospital, transferred by private ambulance or dead
already. These behaviors will be considered as abusing the service. The remaining cases that do not qualify the standard
of injured and ill patients in emergency in the “Enforcement Rules of the Emergency Medical Services Act Article 2”
also considers as waste of emergency medical services. Calling the ambulance under non- emergency condition will not
only violates the right of citizens needing immediate medical assistance, but also place an unnecessary burden on the
medical team. How to prevent medical resources from abuse has become a serious issue in emergency medical services
in recent years.

▓表1 94年至103年執行緊急救護次數及未送醫傷病患人數統計表
時間（年） 出勤次數 未送醫次數 未送醫比率
94 678,989 165,154 0.24
95 691,964 164,015 0.24
96 720,797 162,762 0.23
97 752,823 162,891 0.22
98 811,914 177,720 0.22
99 918,882 199,968 0.22
100 1,003,981 220,450 0.22
101 1,014,909 223,056 0.22
102 1,016,637 222,687 0.22
103 1,078,727 238,294 0.22

4 消防月刊 2015.6