TAIWAN FIRST IN ASIA WITH ARTIFICIAL JOINT REGISTRATION|人工關節登錄制度 亞洲最先執行國家

Many elderly people have degenerative joint problems and need artificial joints. However, due to the quality of medical supplies and the complications from the surgery, some of them need to be replaced again after a few years. The National Health Insurance Administration announced that the artificial joint registration system will provide a poor product's warning, to reduce patient morbidity and mortality. Taiwan is an aging society. Many elderly people have knee or hip degeneration and other issues, so that they cannot walk on their own and need surgery for artificial joints. However, some patients, possibly due to medical technology, materials and patients' individual health or other reasons, need to repeat the replacement surgery. This may increase the risk of infection. ==GU MING-ZHOU Orthopedic doctor== When a joint is replaced again, some bone must be cut out and if the bone is disintegrated, after the aluminum and the bone rub, the joint head will erode, so that the replacement isn't so effective. According to statistics from the National Health Insurance Administration, in recent years, the number of the most common seven artificial joint surgeries have risen year-on-year from 40,000 in 2011 to nearly 48,000, in 2015, and the five year replacement rate is 2.18 percent. However, since January this year, the NHIA implemented an artificial joint registration system and will be able to monitor the patient's condition at any time to reduce the morbidity and mortality of patients. ==LEE BO-CHANG Dir-Gen, NHIA== There may be some brands that have some post-operative effects on patients so that they need to do another replacement, in the future if there is evidence for that we can consider it. The NHIA stressed that the artificial joint registration system can provide warnings about bad products and improve the quality of medical care. In the future, the public can also access information such as health books, hospitals, medical equipment and so on. Taiwan is the first country in Asia, to have such an artificial joint registration system. TRANSLATED BY：CLARE LEAR 台灣已邁入高齡化社會，不少上了年紀的老人家、會有膝關節或髖關節退化等問題，無法自行走路，需要開刀換人工關節，但是有部分患者、可能因為醫療技術、材料及患者個別適應等各種原因，需要開刀再置換一次，恐怕也增加再次感染風險。 ==骨科醫師 古鳴洲== 再更換以後 要切掉一些骨頭 然後他(骨頭)如果是鬆動了 金屬跟骨頭摩擦以後 會讓骨頭損失 流失 所以再置換的結果沒那麼好 根據健保署統計發現，近年來國人最常進行的七項人工關節手術、有逐年上升趨勢，從民國100年的4萬多件、到104年已經攀升到近4.8萬件，五年再置換率為2.18%，但過去沒有強制醫界登錄，不過從今年一月起，健保署實施人工關節登錄制度後，將可隨時監測患者使用狀況，還可降低患者發病率及死亡率發生。 ==健保署長 李伯璋== 也許有某一些廠牌的話 它後面就是說 造成病人的一些狀況不太好 需要再重新 再換的話 未來如果有這個數據 就可以參考 健保署強調，人工關節登錄制度可以提供不良產品警訊，提升醫療品質，民眾也可上網到健康存摺，查詢自己手術的院所、使用過的醫療器材等各項資訊，而台灣也成為亞洲首例、進行人工關節登錄制度的國家。 記者 賴淑敏 蔣龍祥 台北報導