[[alternative]]Establishing a Cerebrovascular Accident Patients International Inter-facility Aeromedical Transport Checklist in Taiwan.

[[abstract]]近年來，國人在海外罹病受傷，常以國際醫療專機方式轉送回臺，此項服務需求日益受到重視。本研究目地旨在建構腦血管意外患者之臺灣國際醫療轉送檢核表，採構面大綱進行焦點團體會議訪談指引，將訪談結果為基礎進行德爾菲法調查，再佐以文獻查證資料進而擬定適合臺灣醫療或航空醫護照護人員使用之檢核表模型。檢核表組成以飛行前準備、航空照護及地面轉送三個時期為基礎構面。根據文獻、訪談資料及問卷調查結果相互比對，採用內容分析法將受訪專家觀點與意見依重要性及常見性予以整理，做為檢核表建構之德爾菲問卷。研究對象係採立意取樣，經受訪者同意，計包含產業界四位、醫療界二位、護理界二位、保險界一位、航空業一位、學術界一位共邀集十一位專家進行焦點團體訪談及德爾菲法調查。將國際醫療轉送區分為四階段共23構面140檢核細項。經過二回合德爾菲問卷調查後，利用平均數小於4、穩定度小於50%來汰除，剩下檢核項目結合專家質性意見討論，做出本研究所欲求的之各階段檢核表。 因本航空醫療轉送檢核表在國內屬首創，且實際參與之專業領域專家人數及研究執行時間均受限，故本研究僅屬於發展國際醫療轉送檢核表之先驅研究。本研究結果須進一步在未來航空醫護照護人員進行臨床照護時進行實務應用並經檢核表相關信效度之檢驗，方能成為未來航空醫護照護人員進行國際醫療轉送之檢核工具。[[abstract]]Many people and celebrities took international medical aircraft to turn back when they injured overseas. The service is more and more important nowadays. The purpose of this study was to investigate patients with cerebrovascular accident censorship construction which transfer from Taiwan to International or vis versa. The focus group interview and Delphi technique were applied as the research methodology, based on the results of focus group interviews then conducted Delphi survey, also, combined with information from literature review to construct aeromedical transfer inspection checklist. Checklist contained with three components named, pre-flight preparation, health care during aviation and ground -based forwarding. The Delphi surveyquestionnaire was based on the results of focus group interview; the average of ”frequency” and “importance” regarding the expert response were served as credentials of checklist construction. A draft of aeromedical transfer inspection checklist for CVA victim was oncluded as final study result, yet need to be futher psychometric evaluation for clinical application. The study used the purposive sampling, included 12 people from medical profession, nursing sector, insurance sector, aviation industry, academics and government representatives for focus group interviews and Delphi survey . Actually, aeromedical transfer inspection checklist has not developed yet, and the reality of participation and willingness of experts interviewed also inadequate, that is limitation of this study. Through experts share relevant experiences and examples, then analyzing integrity and practical of the checklist, It hopes that the findings will be a reference or a model for future aviatic health care and clinical