Page 81 - TAIWAN TOBACCO CONTROL ANNUAL REPORT 2019

(b) 6 medical institutions received subsidies to form a Community Healthcare and Tracking Network in cooperation with regional psychiatric care networks, health bureaus, and hospitals in an effort to provide care for high-risk mental patients in communities (543 patients benefited from these services). The 4 undertaking hospitals have already established special outpatient departments for psychiatric care for mentally handicapped patients and an outreach service model and in cooperation with 23 institutions for the disabled and 38junior high and elementary schools. 401 patients benefited from these services (a total of 8,550 services were provided). These services improve the mood, behavior, and condition of mentally handicapped patients and enhance their life, social, and occupational functions. 4 hospitals received subsidies to form addiction cessation medical teams to provide drug and alcohol addiction rehabilitation services for inmates of 7 correctional agencies. Medical treatment services have been provided for 1,414 drug addicts and 1,622 alcoholics. 5,616 and 3,979 inmates received health education and psychotherapy, respectively. 887 inmates were referred for counseling prior to release and 3,131 inmates were tracked after release. In addition to rehabilitation and therapeutic services for drug addicts, therapeutic resources were referred prior to release to facilitate their smooth reintegration into society. 29 hospitals in 16 cities and counties were rewarded for the provision of oral health care services for 28,000 individuals. (c) Promotion project of the Patient Right to Autonomy Act: The Taiwan government announced the "Patient Right to Autonomy Act" on January 6, 2016, which was scheduled to be implemented on January 6, 2019, in order for the declarant with full disposing capacity to accept or refuse medical treatment by establishing a written "advance decision" via the "consultation on advance care planning". As of 2018, over 65 medical institutions and 300 beds conducted outpatient consultation trials, with 207 cases of trial consultation on advance care planning, 3 hospital trial briefs, and 36 publicity activities. 750 seed staff were trained, and 6 core lecturer courses were conducted in order for more people and medical staff to understand the patients' right to autonomy, as well as the procedures for advance care planning and consultation. (d) Conducted clinical staff training programs. About 20,000 new medical staff have received comprehensive clinical training each year via systematic clinical teaching, while population coverage in the past 3 years is around 85%. Subsidized qualified training hospitals and Chinese medicine hospitals for the training of new Chinese medical physicians, of which 44 qualified training hospitals were subsidized and 378 physicians were trained in 2018. We have subsidized 64 hospitals with 782 participants to apply for the general medical training program after they graduated from two years of dental school, and entrusted the Taiwan Joint Commission on Hospital Accreditation and Quality Improvement (TJCHA) for the application, review, and data maintenance of training institutions in order for the provision of teaching materials and knowledge sharing. (e) New policies for DTaP-Hib-IPV vaccine, PCV, live attenuated JE chimeric vaccine and Hepatitis A vaccine for young children have been promoted. From 2009 to 2018 over 14 million children benefited from these new vaccinations. The first and follow-up administration rate of conventional vaccinations for children below the age of 3 reached 97% and 93%, respectively, which ensures group immunity. 9 conventional vaccines were administered for children in 2018, ensuring effective prevention of the incidence and spreading of 14 different communicable diseases, as well as to expand the coverage of conventional vaccine subsidies for children to include PCV vaccinations for pre-school children and the elderly with the age of 75, with national subsidy of NT$410 million. The utilization rate of 6 million 79 Reducing the Demand for Tobacco