A.)PTCH in medical history
1. Investing in the treatment of infectious diseases such as leprosy and tuberculosis for public health work
The vast majority of leprosy patients in Taiwan in the early years were imprisoned in dark corners. Also, the first who reached out to help are these foreign missionaries. In the south of Taiwan, PTCH can be regarded as a pioneer in this area. Dr. Kristoffer Fotland, Dr. Olav Bjorgaas, Ms. A-Fong Dao and other medical personnel went to the village, and used double of their time and passion for visiting the patients, brought medicines to them, and made patients felt loved by the actual acts. Dr. Bjorgass open a specialized skin care clinic in Kaohsiung, which is dedicated to leprosy. In 1958, Dr. Bojorgaas built wards to treat children with Tuberculosis. After two years, Dr. Bjorgass established a Pediatric nursing home for Tuberculosis.
2. Specialized on Pediatric paralysis treatment, imported Oral Polio Vaccine(OPV), and became the 8th major correction center. It’s a remarkable record for orthopedics in Taiwan
Since 1959, the polio epidemic in Taiwan has been rampant. Dr. Fotland and, Dr. Bjorgaas and other medical staffs have been working around the clock in the middle, south, and east to find polio children crawling on the ground or abandoned, and bring them back to the hospital for free treatment. The fee was not collected until 1961, and they only charged a part of the payment.
Seeing that many children in all parts of the country were infected without the polio vaccine, Dr. Bjorgaas became more worried. He went to the World Health Organization (WHO) to request a vaccine but didn't work out. Then, he turned to the manufacturing company to lobby for the polio vaccine. Therefore, in 1962, PTCH was able to vaccinate 4,000 children in the Pingtung area free of charge from the drug company in the United States. This is the first large-scale polio vaccine in Taiwan.
Then the doctors set up a stent factory, self-made brackets for sick children to use so that children can stand up. The price of brackets is only one-third of the market price. Later, the sick children were found to have sequelae of scoliosis. In 1975, Doctors went to the orthopedic surgeons in Hawaii and Hong Kong to instruct scoliosis correction surgery to improve the treatment of polio patients. With the cooperation of doctors, more than 10,000 patients have stood up again. At the same time, PTCH has become one of the eight spine correction centers in the world and has written a remarkable record in the history of bone and surgery in Taiwan.
3. Promote the development of physical therapy in Taiwan. Established Taiwan's first medical and educational institution for polio in Pingtung.
In 1959, PTCH hired American orthopedic surgeon Dr. Burgess and physiotherapist Miss. Isham to perform orthopedic correction surgery and physical therapy for patients. In 1961, the country's first "children's sanatorium" dedicated to polio was established to treat patients from all over the country for free. In 1963, the "Children's Home" was created. The predecessor of the Pingtung Christian Victory House now gives children a chance to be educated. After that, the Department of Physical Therapy was officially established to expand physical therapy for polio patients and other patients. In 1976, the Children's Sanatorium, the Physical Therapy Department and the Scaffolding Factory were merged to form the "Disability Rehabilitation Center."
4.Open a new page for special education
To allow children to be independent in the future, in 1963, Dr. Bjorgaas sought the children's right to teach to the county government. The Pingtung County government appointed Ren-Ai Elementary School of Pingtung City to open a particular class for physical disabilities. This class is the first class in Taiwan, and it opens a new page of special education. In 1970, in line with the nine-year national compulsory education policy, Mingzheng junior high school of Pingtung City added a class, "Strong Class," for disabilities student from Ren-Ai Elementary School. Moreover, many children went to universities and research institutes, thanks to this class. Their lives were completely changed.
Seeing that many polio patients suffer from spine deformity, Dr. Bjorgaas asks experts to come to Taiwan to guide the corrective surgery. The postoperative recovery treatment is from less than three, four weeks to more than one and a half years. To let the children in the bend not ruin their studies, in 1977, the hospital and the Pingtung County Government Education Bureau initiated the first "bedside teaching" in Taiwan. Forty national elementary and junior high school teachers began to shuttle between the beds.
(二) Unchanging inheritance
1. The love of the aborigines is as pure as the sentence said: "PTCH is our hospital."
Since 1957, Norwegian Dr. Fotand, Dr. Bjorgaas, and foreign missionary medical staff have often given free treatments to the villagers from mountain tribes of Wutai, Kucapungane(Haocha) and Mudan. The Medical services in mountainous areas of PTCH was ignited until today. What is most gratifying to Dr. Bjorgaas is that the aboriginal friend said to him: "PTCH is our hospital." Today, PTCH has established the "Indigenous Health Promotion Center" to bring specialists to the mountain, introduce disease case management, and systematically track patients for follow-up, examination, medication, and education. Open a specialized clinic for Indigenous people, pick up patients on the mountain, assist the medical team and volunteers from the inhabitants' medical staff, assist in referral to medical treatment, hospitalization visits, etc.
Also, PTCH cares for the health of the urban indigenes who have moved to the fields, and use churches as health promotion bases. It can become a hospital that protects the health of the aborigines.
With the support of the Council of Indigenous Peoples(CIP), the "Indigenous Traditional Medical Culture and Health Promotion Center" was established to preserve the traditional medical culture of Indigenous people. PTCH has been affirmed and paid for Indigenous medical care for many years. In 2000, the CIP recognized PTCH as a "promoting group for the promotion of indigenous social development."
2. The continuation of love - from the mountains of Thailand, Myanmar, Kyrgyzstan to Malawi, there are PTCH people.
With the gratitude of the foreign missionaries sacrificed their time on the medical care of Taiwan, PTCH helps those in need with medical services. Now, ow PTCH also brings medical care and gospel to the most remote and urgent needs.
In 1994, PTCH began overseas medical mission services on the borders of Thailand and Myanmar. In 1999, in Kyrgyzstan in Central Asia, in addition to providing medical services, our staffs also taught computers and languages. At the same time, PTCH supports the Myanmar Christian Action Medical Group to serve the people of Myanmar with two medical patrols that have the functions of seeing, opening, and inspection.
The overseas mission department's work was recognized in 2001 as a group medical dedication award. The nurse, Zeng Ruihui, also won the 16th Medical Dedication Award for her long-term commitment to overseas medical care. From 2002 to 2008, PTCH was commissioned by the International Cooperation and Development Fund to host the Taiwan Medical Service in Malawi and entered the Mzuzu Hospital. Our hospital became the first civil organization responsible for the government medical mission and shouldered the task of preventive diplomacy. This contribution let PTCH received the "Performance Excellence Award for Operational Health Care Assistance" issued by the Department of Health of the Executive Yuan.
Dr. Kwong Leung Yu, head of the medical mission, received the 18th medical dedication award because of the efforts he put in helping AIDS patient in Malawi. This selfless act shows that medical communication has no borders. Even though the two countries have now broken diplomatic relations, PTCH continues to be a local medical mission ministry in the form of non-governmental organizations (NGOs).
First, PTCH cooperates with Luke International Norway (LIN) to promote the AIDS patient management program and sign a memorandum of cooperation with the Malawi Ministry of Health to fund the project through the US Department of Disease Control (CDC) grants. The Mzuzu hospital has expanded to the AIDS treatment center in the North District of Malawi. Then, the Malawi Transnational AIDS Patient Tracking Program was launched, and the Ministry of Health's project plan was held to host the Southeast Asian National Association (SADC) AIDS Transnational Patient Forum. Also, an information exchange platform was established to provide management of transnational AIDS patients in the Ministry of Health of each member country. Each member country can manage the strategy information. As PTCH actively participated in the public health work of Malawi, the commissioner stationed in Malawi was invited to teach at Mzuzu University. Currently, there are 19 research projects in progress, and it is expected that results will be published by the end of 2010.
Consider that the education of AIDS prevention and control in Malawi must be taken down. PTCH attracts young people by table tennis training. Through each training course, the concept of AIDS prevention and control is instilled. The trainees participate in the national competition in Malawi and win the youth group championship. Since AIDS not only ends in medical care, it also reflects socio-economic problems. PTCH's microfinance program supports Malawi widows to raise chickens and make soy milk so that they can support themselves.
PTCH's overseas medical ministry was recognized by the former president Chen and former president Ma, and they all came to PTCH to encourage what our hospital has completed.
3. Guardian of the premature infant and developmental delayed child
In the 1950s, when Pingtung was suffering from hardships, children were often abandoned if they suffered from tuberculosis, polio, and cerebral palsy(CP). Fortunately, missionary physicians opened their arms to treat them. In 1978, PTCH established a cerebral palsy ward, which was the first institution in Taiwan to provide hospitalization for children with CP.
Now PTCH is working hard to improve children's acute and severe medical care, setting up the Neonatal Intensive Care Unit (NICU), the Sick Baby Room (SBR), and the Pediatric Intensive Care Unit (PICU). It has successfully taken care of the premature infants born with only 570 grams to rescue every small life. Without external support and no financial assistance, PTCH has independently developed a premature infant follow-up clinic to enable premature infants in Pingtung to obtain complete tracking and treatment.
As long as children with developmental delays receive early treatment, they can reduce the degree of obstacles and develop their development potential. The PTCH Developmental Children's Joint Assessment Center will focus on the rehabilitation department and integrate resources such as pediatric neurology and ophthalmology to provide services for the future of children.
PTCH also takes the lead in promoting mother-infant love in Pingtung, encouraging maternal breastfeeding, and cherishing the first skin contact with the baby. Under the joint gynecology and pediatric team, it has been certified by the Maternal and Child-Friendly Hospital for ten consecutive years.
4. Medical spread love not to cease, eleven Medical Contribution Award to establish a style
The spirit of selflessness and dedication of missionaries is deeply imprinted on the road of PTCH heritage. There are Kristoffer Fotland, Olav Bjorgaas, Ji-Mei Li、A-Feng Dao、Kari Joten、Jin-Ju Qiu、Rui-Hui Tseng、Kwong-Leung Yu、De-Song Zhuo、Si-Shan Fan、Chia-En Lien and Overseas Medical department received the honors of “Health Devotion Award”. They set up the model of "Treat the patient like a family" and "the care for the patients is always the same."
(三)PTCH people’s footsteps
1. Patient-centered to promote integrated medical care space, process, and general improvement through ISO 9001 certification, won the national quality record.
In recent years, PTCH has promoted ISO international quality management system certification, BI knowledge management platform, electronic medical record, and humanized nursing. It is hoped to continuously improve medical quality and maintain the health of Pingtung people. Its work achieved a national quality seal in 2004. After that, the heart, chest, urinary, nervous, and weight-reducing clinics are set up to integrate the spatial links of outpatient, examination, and health education to provide a better quality of the medical environment. In response to the needs of multiple chronically ill patients, the "integrated care clinic" is promoted. Therefore, different diseases are seen at the same time to avoid repeated medication and save valuable time.
Cancer has been the leading cause of death for 27 consecutive years. In 1995, PTCH took the lead in setting up a tranquil bed in Pingtung. The humanized cancer care work in the Pingtung area began. The establishment of the Cancer Ward Area and the Cancer Resource Center was the most reliable support for the cancer patients in Pingtung.
After observing the aging of the population structure of Pingtung County, PTCH began to develop long-term care. Our hospital took the lead in setting up home care in 1990 and obtaining excellent evaluation every year. In 2008, it was recognized by the national quality seal. Moreover, our hospital established a nursing home in 2010. The nursing home provides long-term bed rest, disability, and demented people's "individualization," "humanization," and "community" care.
2. From prevention to treatment, creating a health promotion city, guarding the physical and mental health of Pingtung people.
Based on medical diagnosis and treatment are no longer enough to solve the health problems faced by modern people. PTCH has been audited by the World Health Organization Health Promotion Hospital (WHO HPH) and has become a member of the Health Promotion Hospital. It's actively bringing medical resources into the community to promote community health. PTCH establishes an interactive mechanism with the district, set up a care base, promote sports, and a healthy eating style. Moreover, it set up a blood pressure station in 7-11, encourage screening cancer screening in the community. PTCH form a robust community alliance with 15 communities, including Huashan and work together to make Pingtung city becomes a lively city.
Since 2004, we have established a "community care network" in collaboration nine family doctor integrated delivery system(including 65 local clinics) to share information platform. Because of the sharing platform, the physician can check report and image at the clinic which patient is examined at the PTCH. Under the operation of this mechanism, an average of more than 400 people per month is referred from the clinics to hospital. This implements the two-way referral system of "small diseases to small hospitals and major illnesses to large hospitals," which is promoted by the Health Insurance Bureau to reduce waste of medical resources and enhance medical efficiency. The work results of the family doctor integrated delivery system was confirmed in 2008 by the national quality seal.
The health inspection team undertook the medical examination of the students in all levels of Pingtung under the quality assurance of the ISO15189 medical laboratory. The medical report became the benchmark for the school, the education bureau, and the health bureau to formulate the preventive health policy for Pingtung students. Meanwhile, we fully cooperate with the National Health Bureau policy and go deep into the community and the church to promote colorectal cancer, oral cancer, breast cancer, and cervical cancer screening.
3. PTCH is the first choice for Pingtung acute medical care. PTCH guards throughout the day at the critical moment of life.
The PTCH emergency room is the only one in Pingtung County who has passed the moderate assessment of the emergency medical ability of the Department of Health. The emergency department accounts for one-third of the county. PTCH set up a free ambulance line, chest pain center, gastrointestinal center, trauma treatment center, obstetrics, and gynecology 24 hours on standby, and has a complete ICU and NICU System.
PTCH is the southern detachment of the national disaster medical rescue team. PTCH is the hospital responsible for severe patient and premature infants treatments.
4. Caring for the disadvantaged groups, sending love to the home, being a good friend of "old friends"
Since 1999, PTCH has undertaken services such as the elderly living in the Pingtung County Government, the emergency rescue system for the elderly living alone, and the anti-missing bracelet for the demented elderly. By going to the home care service, greetings in the morning and evening, regular visits, and assisting in medical treatment, the elderly can maintain their essential quality of life and achieve the goal of "aging at home and being healthy and old." Our staffs establish good relationship with the elderly. For instance, on the first day of work after Typhoon Morakot, the social workers immediately confirmed the safety of the elderly. When an elder was finally found by the social worker three days after losing contact, both of them could not help but fall into tears.
5. PTCH weathers the storm with everyone
On August 8, 2009, Typhoon Morakot attacked Taiwan and hit the land of Linbian Township, Jiadong Township, Wutai Township, Majia Township, Gaoshu Township. Thousands of people become homeless since their home are damaged. PTCH launched the disaster-stricken clinic operation. Our hospital went to Linbian and Jiadong rescue and set up medical first-aid stations in Jiadong Agricultural School, Linbian Fire Fighting Unit, Qifeng Elementary School and Neipu Agricultural Workers.
After that, PTCH put itself into post-traumatic psychological care counseling, our hospital set up a social work room and a Psychosomatic team to visit the affected households in Gaoshu area. Our Aboriginal Health Centre and the Fubon Foundation have established the "Fubon Foundation Community Elderly Day Care Centre and Hope Workshop." This workshop helps the villagers of Wutai Township go through the pain and restore their health.
To continue the spirit of helping those in need with medication and carry forward the past foreign missionaries as a model of sacrifice for Taiwan's medical care. Along the way, PTCH continues to pursue with the attitude of loving people, loving the family, and loving the country. PTCH Implements as a hospital of excellence for full care.