Home>Service> Awardees of Fervent Global Love of Lives Award> 25th Fervent Global Love of Lives Award 2022> Good Doctor of Integrated Care—Wang,Ying-Wei
Wang,Ying-Wei - Good Doctor of Integrated Care
“The First Good Doctor of Integrated Care in Asia”
The principle of life and death is the law of nature. Since we have a medical team dedicated to welcoming the arrival of newborns, we also need a hospice team when life ends.
“The First Good Doctor of Integrated Care in Asia”
The principle of life and death is the law of nature. Since we have a medical team dedicated to welcoming the arrival of newborns, we also need a hospice team when life ends.
- Wang,Ying-Wei
The First Good Doctor of Integrated Care in Asia
Wang,Ying-Wei was born on August 29, 1956. He came from a family of doctors. His grandfather Wang De-Guang was one of the first Chinese to set up a Western Hospital in Guangzhou. The family of seven emigrated to Hong Kong to explore a new way to settle down successively.
At the age of 19, Wang,Ying-Wei entered the Department of medicine of National Taiwan University with outstanding scores in Hong Kong. After graduation, he devoted himself to practicing medicine in remote places. For 40 years, he works until all his hairs turn gray. He has successively served as director of family medicine department and director of Xinlian (Heart Lotus) ward of Hualien Tzu Chi Hospital, director of Humanistic Medicine Department of Tzu Chi University and director of National Health Department of the Ministry of Health and Welfare. Now he is the director of palliative medicine center of Hualien Tzu Chi Hospital and professor of Medicine Department of Tzu Chi University.
Wang, Ying-wei chose a sparsely populated path and invested endless ideas in the rural itinerant medical treatment. He also drove a medical vehicle and traveled across Huatung to visit patients in remote tribes and communities. In 1996, with the support of master Zheng Yan, he founded the first hospice ward in Eastern Taiwan - Xinlian ward of Hualien Tzu Chi Hospital. He emphasized the Integrated Care spirit of "whole person, whole family, whole process, whole team and whole community", and sent the service to every corner of the rural area. He can be said to be the best spokesperson of the Integrated Care.
Wang,Ying-Wei did not quit study all his life. In order to make Huatung remote places medical treatment more perfect, he completed the master of Tropical Medicine in public health of Tulane University in one year, and then completed the doctor degree of public health of Tulane University in the United States. When civil strife broke out in Rwanda and countless refugees fled their homes, he, on behalf of Tzu Chi Foundation, cooperated with the French Federation of Physicians du Monde to invest in the Rwanda relief program. He was the only asian doctor at that time. He has also participated in disaster relief clinics in Hunan, Inner Mongolia, the Philippines and Indonesia.
Wang,Ying-Wei was seconded as director of the National Health Administration of the Ministry of Health and Welfare in 2016 to promote national "health promotion", especially in aspects such as "improving national health awareness", "healthy community", "disease prevention and control" and "active aging" ,and actively promote "mercy care city". He also actively participated in important international conferences, exchanged with foreign experts and scholars, and opened international cooperation to let the world see Taiwan.
Wang,Ying-Wei often said, "health is the 1 and the rest is 0. Without health, we can't do anything." He has taken root in Taiwan since he came here at the age of 19. From a rural doctor to the director general of promoting national policies, he has devoted his life to serving rural areas, hospice care, medical education and health promotion; It is his eternal original intention to promote the "Integrated Care" with humanistic spirit, protect the health of the whole people, and help them to live happily to a good end. In addition, Wang,Ying-Wei promoted the "Advance Care Planning" and "Patient Autonomy Legislation", worked with non-governmental units and aspiring medical care to promote the quality of hospice care in Taiwan to be the best in Asia, and trained medical students to be patient-centered, so that patients could live with hope every day. He is worthy of being called "Good Doctor of Integrated Care" and standing out from 2954 candidates for the Fervent Global Love of Lives Award recommended by all walks of life around the world to win the "25th Fervent Global Love of Lives Award in 2022" of Taiwan Chou Ta-kuan cultural and educational foundation.
We always welcome all circles around the world to recommend life warriors that are hard-working, loving, courageous and with achievements. (recommendation line of Chou Ta-kuan cultural and educational foundation's Fervent Global Love of Lives Award: 886-2-29178770, Fax: 886-2-29178768, Address: 3F., No.52, Mingde Rd., Xindian Dist., New Taipei City 231, Taiwan (R.O.C.), Website: http://www.ta.org.tw, e-mail: ta88ms17@gmail.com ).
Followed his father to Hong Kong at the age of 4
When Wang,Ying-Wei was 4 years old, he left his hometown Guangzhou with his father Wang, Hong-En, who went to Hong Kong for more opportunities. He was first left to be taken care of by his grandmother in Macao. He finished kindergarten in Macao. Two years later, his father took him to Hong Kong to live together.
Under the arrangement of her father, her mother also took her youngest sister travelled from Guangzhou to Macao and then to Hong Kong. The changes of the times forced her brother and two sisters, who were only in grade 5 and grade 6 of primary school, to become independent earlier. The three little brothers and sisters relied on each other and took a boat to Hong Kong alone. When they arrived in Hong Kong smoothly, their parents finally uttered a sigh of relief and the family finally reunited.
This is a gathering that took three trips and two years. They said goodbye to the hospital founded by their grandfather in Guangzhou and the big house. Wang,Ying-Wei's father got the licence of Hong Kong's public doctor, and the family of seven began a new life in Hong Kong.
Wang,Ying-Wei's father and grandfather both studied medicine, and his grandfather Wang De-Guang was one of the first Chinese to run a West Hospital in Guangzhou. He was proficient in surgery, internal medicine, pediatrics and gynecology, especially in surgery. He founded "Wang De-Guang Hospital" in Guangzhou to treat countless patients and often gave medical care to the poor. He always let patients to treat first, take medicine first, and pay for it later. If they have difficulties in paying him, he even didn't charge for the diagnosis and treatment. So, he is often praised as the "living Buddha of all families" by local villagers, just like the Bodhisattva on earth. In addition to being charitable, it is said that he "speaks less and does more". Wang De-Guang, who was always quiet, has the courage to uphold justice and fair.
He went to Shanghai to support the rescue work of the army despite difficulties and dangers during the Anti-Japanese war in Songhu.
In the spring of 1950, Wang, De-Guang went to the United States for treatment due to stomach disease. Unfortunately, he died of illness in New York in May of the same year.
"My grandfather died when I was born, but I heard a lot of his stories - he was very concerned about the patients and the local people." Wang,Ying-Wei said that this encouraged him to emulate his grandfather's spirit since childhood.
Rooted in Hong Kong. the green days in Pui Ching
Wang,Ying-Wei's father, Wang, Hong-En, also became a doctor with the cultivation of his grandfather. However, in the turbulent era, he was forced to leave his hometown and the hospital founded by his father to come to Hong Kong, an unfamiliar place, and found a way to settle down himself and his children.
"Although my father was a doctor, he was actually a civil servant, so life was not easy at that time." Wang,Ying-Wei said that despite the financial problems, his father still let his five children to receive formal education. After graduating from primary school, Wang,Ying-Wei attended Pui Ching middle school. He was keen to participate in associations and thus plant the seeds of serving the society in the future from then on.
Because both his grandfather and father were doctors, Wang, Ying-Wei was influenced by "studying medicine" since childhood. However, it was the six years in Pui Ching middle school that really urged him onto his way to study medicine.
Pui Ching middle school, chosen by his father, is a famous school for a century. It has also cultivated outstanding alumni such as Daniel Chee Tsui, a physicist who won the Nobel Prize, and Shing-Tung Yau, who won the Fields medal (The International Medals for Outstanding Discoveries in Mathematics).
The most famous design of Pei Ching middle school is the "grade society system", which allows students to vote for the name of the grade society and design the community flag at the beginning of admission, so as to cultivate the sense of responsibility and team spirit of the community, so that each "grade society" can develop slowly from grade 1 to grade 6 (the secondary school system in Hong Kong at that time), and form a powerful force of mutual assistance and cooperation.
Wang,Ying-Wei was elected president from the grade 1 of middle school. He needed to organize manpower, conduct horizontal communication and coordination, and be responsible for more than 300 students in the whole grade. In the fourth grade, he asked for making another person to be the president, but in the next semester, he was elected president again.
"Being president in those years had a great impact on me. Through the interaction between people, I could better understand the ideas of others and know the hard work of participants. Because I had to be responsible for more than 300 students in the whole grade, I was also trained in attention, communication and coordination and positive energy."
The experience of middle school made Wang, Ying-Wei realize that to do a good job, he must be able to empathize and understand others, and then embark on the road of medicine. For him, doctors should uphold this spirit of selfless service and dedication.
Pursuing the path of Schweitzer
In 1975, Wang, Ying-Wei's eldest brother came to Taiwan to study at Kaohsiung Medical College (now Kaohsiung Medical University), which also made him want to study in Taiwan. He studied hard and was admitted to the Department of medicine of NTU.
When he was in college, he was greatly affected by joining the "NTUKKF" of the "NTUKK". At that time, there were nearly 100 members of the club. Every winter and summer vacation, about a dozen students went to various tribes to serve. Wang,Ying-Wei went to the Samuluh tribe in Taitung.
Wang, Ying-Wei, who was just going to the fifth year in his university, was not even familiar with clinical practice, so he collected a pile of drugs. Although NTU doctors were also invited to come, they only stayed for one or two days and they had to rely on themselves after that. Once, Wang,Ying-Wei and his companions went down the mountain to replenish food and had to cross the river, but it just rained and the water rose and was a little turbulent. They had to hold hands of each other to cross the river safely. After that experience, Wang, Ying-Wei deeply understood why aboriginal drowning incidents were so frequent.
Later, when planning community health promotion in Huatung, he promoted a series of "accident injury prevention" courses and exercises, including how to prevent drowning accidents.
"The rural service in my University era has enabled me to see the level of health that cannot be seen in laboratories and hospitals. I can better understand the" health inequality "emphasized by the World Health Organization and the impact of social factors on health. These can be seen everywhere in rural tribes."
Wang,Ying-Wei later chose the "family medicine department" and met Professor Xie, Wei-Quan, who is known as the "father of infection medicine and family medicine" in Taiwan and had a great impact on the cultivation of his clinical practice and inspired his enthusiasm to health education and health promotion in the future.
When it came to the resident selection examination, the professor of NTU medical asked him three questions. The first question was: "Can you speak Taiwanese?"
Unexpectedly, this young man from Hong Kong has studied in Taiwan for six years. In addition to studying medicine, he has also learned the second commonly used language here. "My Taiwanese is OK. I can get along with it." Wang,Ying-Wei responded in Taiwanese.
Then the professor asked, "will you leave Taiwan?" , "Where do you want to serve in the future?" Wang,Ying-Wei replied without hesitation, "I want to stay in Taiwan and serve in the east region in the future."
At that time, the Tzu Chi Hospital in Hualien had not yet been established, but Wang,Ying-Wei had embraced the spirit of going to remote areas to serve like Schweitzer.
Wang,Ying-Wei's expection was: "not everyone can achieve the goal of healing the whole country ", but at least through participation in service and humanistic care, we can achieve the state of "healing people " in the future, not just" treating diseases ".
Doctor and driver. Open the mobile medical service to the patient's house
The train slowly drove to Hualien. The endless Pacific Ocean was in front of it. Outside the window in the west was the towering central mountain range. This magnificent mountain and sea seem to reflect the lofty aspirations of young doctor Wang, Ying-Wei. He finally came to Eastern Taiwan and went to Hualien Tzu Chi Hospital in his third working year.
After completing residency training at NTU Hospital, Wang,Ying-Wei wanted to go to Hualien Tzu Chi Hospital. However, Professor Xie, Wei-Quan, whom he admired and respected, told him that family medicine needs to cooperate with other departments. Therefore, he suggested that Wang,Ying-Wei stay in Taipei for two years and wait until the structure of Hualien Tzu Chi Hospital is more mature, so that he can give full play to his strengths.
Therefore, Wang,Ying-Wei went to the Provincial Taipei Hospital (now the Taipei Hospital of the Ministry of Health and Welfare) in cooperation with the construction and education of National Taiwan University Hospital. After two years, he was promoted to the chief physician. At the age of 33, Wang, Ying-Wei set foot on the road to Tzu Chi Hospital in Hualien as he wished. He has always loved mountain medical service since he was a student, and now he can finally show his strengths.
Wang,Ying-Wei who came to the Tzu Chi Hospital in Hualien to establish "family medicine", asked master Zhengyan for advice: "master, what do you want us to do?" Master thought that there were still many places beyond the reach of medical treatment in Hualien County, a vast area outside hualien city. Therefore, she hoped that Dr. Wang, Ying-Wei could provide more medical services to Aboriginal people in mountainous areas and remote areas. "No problem, as long as there is a mobile medical vehicle!" Wang, Ying-Wei's wish was soon realized by Tzu Chi volunteers. He always acted as a doctor and driver at the same time, carrying medical staff, medicine and mobile medical materials to all villages in Hualien. He drove a touring car on the winding mountain roads. When he reached the designated point, he can't even take a breath because the patients were waiting. But he didn't care, he might also have a few words of humor on the situations.
That year, whether it was windy, rainy or sunny, he made free clinics for people in rural areas in the pavilions of mountain villages, under big trees, in front of temples, school classrooms and nearly abandoned clinics. Sometimes, he met the elders of tattooed aborigines who came to seek for medical help who spoke Japanese with the help of volunteers and interpreters.
From patient to community care
Once, when offering the free clinic in the nearby settlement of Taroko, Wang,Ying-Wei a three - or four year old boy with a bowl of black food. He took and closer look and it was so shocking to him!
It turned out that the little boy had a bowl of rice on his hand, only that it was covered by flies, but the child and the grandmother who took care of him didn't seem to care. It seemed that they had already get used to dinning with flies.
In order to "prevent diseases" and quickly understand the needs of community residents, Wang,Ying-Wei started "health education" for local students during his medical tour.
Wang, Ying-Wei believes that the training of family medicine is originally aimed at the care of the whole person, the whole process, the whole family, the whole team, and even the whole community. He always remembers that his mentor Professor Xie, Wei-Quan often stressed: "medical treatment is only a means. How to make the community people healthy is our goal."
In 1987, in order to strengthen rural medical services, the government set up group medical practice centers in areas with relatively poor medical staffing. The Department of Health subsidized some equipment and invited major public hospitals to send doctors for resident services. At that time, Hualien selected Fongbin, Fuli and Yuli, while Guangfu Township with a population of more than 20,000 and only two doctors was not elected. After local people's effort and turning to master Zheng Yan for help and the local government helped to obtain subsidies from the equipment and medical fund of the Department of health in 1990, a "Guangfu group medical center" was established in the health center, with doctors from Hualien Tzu Chi Hospital went to the resident service.
With the full support of Wang,Ying-Wei and attending physician Lai, Yu-Jia, the Guangfu group medical center has established the tracking and management of "community health records" in addition to medical services.
What moved the villagers most was that every noon break, doctors always rushed to finish their lunch and then go to the home of patients with mobility difficulties for diagnosis and treatment, or went to the school to help the children with health education. Both Dr. Wang,Ying-Wei and Dr. Lai, Yu-Jia have witnessed patients with mobility difficulties with their family members' help that walked two or three kilometers to come here for medical treatment. Both doctors told the family members of the patients, "you don't have to come here with so much trouble in the future. We'll just go to your home to see you."
This kind of compassionate spirit not only moves the family members, but also enables the nurses and pharmacists in the health center to be more active in helping the patients. To thank the doctors for their selfless efforts, these patients and their families sometimes send eggs laid by their hens or fresh wild vegetables just picked.
The most special one is that once Wang,Ying-Wei received a gift wrapped neatly and solemnly in newspapers. He opened it, there was a wild vole inside, which was a sacred thing of the aborigines. They regarded it as a precious gift and carefully gave it to Doctor Wang,Ying-Wei, who guarded their health.
Studied for master of Tropical Medicine and doctor of public health from Tulane University in the United States to provide more far-reaching services to rural areas
In September 1991, in order to provide remote places of Huatung with more perfect and foreseeing medical treatment, Wang,Ying-Wei went to Tulane University to study for a master of public health and tropical medicine. His choice of this school was greatly influenced by his mentor Professor Xie, Wei-Quan.
"Professor Xie also graduated from the school of tropical medicine of Tulane University." Wang, Ying-Wei said that Tulane University, known as Harvard in the south, has the top tropical medical school in the United States and the longest history and one of the world's top public health courses. He flew alone to New Orleans, Louisiana, in the southern United States. Although there is an internationally famous commercial port near the Mississippi River, and this place is not only the birthplace of jazz, but also a famous cultural city, as soon as Wang,Ying-Wei entered school, he fell into the learning road racing against the clock and had no leisure to enjoy the scenery.
The master's degree in public health and tropical medicine requires 45 credits, with a maximum of 20 credits per semester. Wang,Ying-Wei, who arrived at the beginning of autumn, chose 21 credits in the first semester, and specially asked the dean of the Department for approval before he could do so. In the second semester, Wang,Ying-Wei chose 24 credits. He went to the Dean again, but this time the Dean didn't sign for him. "You have far exceeded the upper limit of elective courses. You need the consent of the dean of the school." Said the dean of the department. Wang,Ying-Wei, who didn't give up, went to the Dean of school with his report card. "Although I chose so many courses last semester, I got A or above in every subject and only had one A -." When the Dean saw this Asian student came up with such excellet results and convinced him with such confidence, he agreed. However, the Dean has never seen a student who can complete 24 credits in a semester. While approving, he looked at Wang,Ying-Wei with profound meaning and said, "God bless you". Despite the extra credits, Wang, Ying-Wei successfully completed 45 credits in two semesters, passed the exam and got his master's degree. Seeing that Wang, Ying-Wei could finish 45 master's credits in nine months, the professor said to him, "the doctoral program only has 72 credits. Do you want to continue?"
That summer vacation, the school happened to open a "social mobilization course" with a total of 18 credits. It is a course specially organized by the United Nations Children's organization for senior public health educators in developing countries, which was also a precious learning opportunity. During the summer vacation, many students from developing countries came to participate in the "social mobilization" training. They were from Vietnam, Africa, central and South America and Southeast Asia. Wang,Ying-Wei not only took classes, but also volunteered to pick up these students and take them to buy groceries. At that time, some students almost couldn't keep up with their schoolwork. Wang, Ying-Wei helped them prepare class reports and examination questions. Later, they became good friends.
After the summer vacation, Wang,Ying-Wei focused on his study in four months, completed 72 credits and broke the record again. Only in "four months and a year", he successfully obtained the qualification of master's degree and doctoral candidate.
He still remembered that on Christmas Eve that year, the teacher gave him the test questions and went home for the holiday. "The teacher told me that when I finish the exam paper, just slide it into the crack of his door. That Christmas, everyone was on holiday, and I was working hard on the doctoral candidate's exam."
After the exam, Wang,Ying-Wei began to pack his luggages. After one year and four months of solid study, he flew back from of the United States on January 1 of that year, arrived in Taiwan on the second day, and returned to Tzu Chi Hospital on the third day.
Devote himself to the Rwanda medical assistance program
In April 1994, civil strife broke out in Rwanda, Central Africa. In less than three months, nearly one million people were slaughtered in a country with only seven million people. In mid-July, as soon as the media news broke out, the whole world was shocked! The media captured a baby sucking the mother's milk in his mother's arms, but the mother was dying and the child kept crying. Millions of refugees fleeing to the borders of neighboring countries are suffering from water and food shortages. Hundreds to thousands of refugees die of hunger and infectious diseases every day. These news images made master Zheng Yan very sad. He immediately asked Tzu Chi Foundation to contact France's M.D.M. to see if he could work together to rescue Rwanda. Before that, Tzu Chi had cooperated with the M.D.M in medical assistance in Ethiopia and had seen their professionalism and compassion. France had colonized Rwanda before and would be more familiar with the language and environment.
At the end of July, before Wang, Ying-Wei's morning clinic was over, he received a call from Lin, Bi-Yu, deputy executive director of the Tzu Chi Foundation, telling him that Tzu Chi will cooperate with the M.D.M to assist in the Rwanda rescue plan. However, the M.D.M hoped that the doctors sent by Tzu Chi to be general practitioners (family medicine) who are familiar with "Tropical Medicine" at the same time.
Wang, Ying-Wei volunteered to go without saying a word. He was gratified that the conditions set out by the M.D.M undoubtedly suited him best, because no one had such a background at that time, and it had always been his dream to go to Africa to practice medicine. The only worry was how to reassure and get the support of his family.
In less than three days, Wang,Ying-Wei had applied his French visa successfully. He and Xu Xiangming, then director of the Secretariat of the Tzu Chi General Management Center, went to Rwanda on behalf of Tzu Chi to carry out rescue operations.
Because of the fact of going to the epidemic area, Wang,Ying-Wei received a variety of vaccines such as cholera, yellow fever, meningitis and typhoid fever in a short time and took malaria preventive drugs, which cause a strong drug reaction, resulting in swelling and pain in his right arm, which can not even be raised.
However, as soon as he arrived at Taoyuan International Airport, he saw 60 or 70 Tzu Chi monks and nuns come to see him off. Their caring and admiring look made him feel so lucky. For a moment, the swelling and pain of his arm was nothing.
The extremely unstable situation in Rwanda, the outbreak of new infectious diseases, and the threat to the rescue workers themselves all made Wang,Ying-Wei worried that he could not make the trip. With the closure of Rwanda airport, he had to go to Kenya first and then take an irregular United Nations transport plane to reach Rwanda.
A few days later, Wang, Ying-Wei successfully boarded the United Nations special plane and flew from Nairobi, the capital of Kenya, to Rwanda. "Moreover, I took two flights. The first time, the plane circled in the air for more than an hour and turned back due to mechanical failure; the second time, I finally arrived at Rwanda airport."
When they arrived at Kigali airport, the capital of Rwanda, they were greeted by the beautiful sunset. The US troops with guns were lying on the trenches. The airport was full of bullet holes and broken glass left after the fierce battle. The M.D.M staff who originally waited at the airport had already left. Outside the airport were Rwanda soldiers who were armed and could not speak English. Everyone was worried that they might accidentally be shot. Fortunately, with the assistance of a warm-hearted US military, they finally left the airport and went to the M.D.M camp.
Along the way, the capital, Kigali, was dark, with no water or power supply. Only gunshots came from afar. Until they arrived at the camp, there was a faint light lit by an automatic generator in the camp. The M.D.M has set up a temporary orphanage, medical station and the only field hospital in Rwanda. Tzu Chi's participation in cooperative rescue at this stage is the two major goals are:
The first is to provide medical assistance to Goma, the largest refugee gathering place in Rwanda, on the Say border.
Second, set up three medical stations along the way between Goma city and Kigali, the capital of Rwanda, so that a large number of refugees can have 24-hour all-weather medical aid and nutritional supplies on their way home. At the same time, provide cholera, dysentery vaccine and antimalarial drugs to prevent infectious diseases from spreading across the country with returning refugees.
The background of this relief goal is that Goma of Say, the largest refugee gathering place at that time, was short of materials. Under the pressure of hunger and disease, the average daily death toll of refugees was as high as 1800. It was not until the United Nations helped improve drinking water and cholera was controlled in early August that it was reduced to 500 per day. At this time, in order to obtain international certification, the new government of Rwanda also used troops to publicize and ensure the absolute safety of refugees after returning home. Therefore, the United Nations encouraged refugees to return.
Wang,Ying-Wei said that the distance between the refugees from Goma city of Say and the capital of Rwanda is about the distance from Taipei to Kaohsiung. The new government of Rwanda does not allow the refugees to return home by truck because it was worried that the outbreak of infectious diseases will be brought back to Rwanda, causing the spread of the plague and more deaths. If refugees return to their hometown on foot, it means that they are in good health. For healthy people going back to their hometown, the spread of infectious diseases can be greatly reduced. This was exactly the intention of Tzu Chi and the M.D.M to set up three medical stations along the road and provide nutritional supplies. Early the next morning, Wang,Ying-Wei went to the medical station. All he saw on the road were dilapidated houses, cars without wheels, and even bodies that had not been cleared in time. He could not help but sigh that this place, once known as Switzerland of Africa, was now like purgatory on earth.
The only war doctor from Asia
The next day, Wang,Ying-Wei went to the refugee gathering place in Goma city in Say. He saw countless large and small temporary huts built on the muddy ground all over the mountain, of which he could hardly see the end. The distant crater was emitting white smoke while numberless refugees walked on the road to the refugee camp.
At the front line of Rwanda rescue, almost all doctors were from Europe and America. Wang, Ying-Wei, with yellow skin and black hair, aroused the curiosity of many European and American volunteers as the only doctor from Taiwan and the only doctor from the oriental world and Asia.
What moved Wang,Ying-Wei from the bottom of his heart was the professionalism and dedication of the volunteer doctors of the M.D.M. "M.D.M" is a professional organization established in 1980. Wang,Ying-Wei followed them to disaster relief and saw the importance of professional logistics system.
This experience and the spirit of "doctor for all people" echoed in Wang,Ying-Wei's heart also led him to actively promote the "Tzu Chi Doctor for all People Association" in Taiwan with Lin Junlong, executive director of Tzu Chi Medical Corporation, and Chen Xingzhu, Director Secretary of Tzu Chi Hospital.
Wang,Ying-Wei shared that although he had participated in disaster relief free clinics in Hunan, Inner Mongolia, the Philippines, Indonesia and other places, he had never seen a miserable situation like that in Rwanda. It was an unforgettable experience in his life, which made him aware of his smallness. He was more convinced that he would always learn and gain the most from participating in free clinics.
Create Xinlian (Heart Lotus) Ward - make every living day full of life
Thirty years ago, hospice care seemed to outsiders to be a field that paid more and gained less, and required only the spirit of sacrifice and dedication. However, Wang,Ying-Wei embarked on this sparsely populated road with enthusiasm.
Wang, Ying-Wei still remembers that during his medical school and resident training, his teachers and predecessors taught a lot of knowledge and skills in diagnosis and treatment, but never told the students: "what should we do if the patients can't be cured? How should we take care of them?"
However, sometimes, medical treatment has its limits after all. When intern Wang,Ying-Wei came to the medical scene and met the terminal cancer patients, he was overwhelmed by those painful groans and pale faces. He felt uncomfortable and could not deal with his emotions because he could not solve the patient's pain. In such a medical environment, terminal cancer patients are inevitably rescued by various high-end instruments before it is announced that their days are not much, and the patient's pain can be easily imagined. Therefore, when Dr. Lai Yu-Jia from the family medicine department of Hualien Tzu Chi Hospital mentioned "hospice care" to Director Wang,Ying-Wei, the two hit it off immediately. They immediately proposed the vision of hospice care to master Zheng Yan.
At that time, master Zheng Yan believed that in Chinese traditional minds, most patients hoped to return home at the last moments of life and die peacefully with the company of his family, so he encouraged Wang,Ying-Wei to start with "home peace" care.
Since 1991, he has learned the knowledge and skills of hospice care in the form of a series of reading clubs, hospice seminars and volunteer training, and constantly advocated the concept of hospice care inside and outside the hospital.
In 1995, Professor Chen, Rong-Ji, then chairman of the lotus foundation, and Professor Zhao, Ke-Shi, who was respected as the mother of hospice care, both mentioned the importance of hospice care to master Zheng Yan, which became a temporary step in the preparation of the Xilian ward of Tzu Chi Hospital.
With the support of master Zheng Yan, in October of the same year, Lin Bi-Yu, deputy executive director of the Tzu Chi Foundation, led a nine member delegation to Japan, including Wang,Ying-Wei, director of family medicine, supervisor of the nursing department and construction supervisor of Hualien Tzu Chi Hospital, to visit Japan and learn lessons, so as to make perfect preparations for the establishment of a hospice ward.
In August 1996, Hualien Tzu Chi Hospital established the first hospice care ward in eastern Taiwan. It is the fifth hospital in Taiwan with a formal hospice ward. Master Zheng Yan named it "Xinlian Ward". With the help of hospice care, the patients can face disease and death with more dignity and open their heart like a lotus flower.
Ward director Wang,Ying-Wei is the leader in the preparation and cultivation of Xinlian ward. Doctors and nurses in the ward described him this way: "as long as it is for the good of patients, director Wang will always have endless ideas and breakthroughs."
Promoting by Wang,Ying-Wei, Xinlian ward has held countless activities for patients to realize their dreams in the past 26 years. They have prepared ward weddings, painting exhibitions, singing competitions, taking terminal patients back to their distant hometown, and even set up Xinlian travel agency to voluntarily bring patients to realize their family travel dreams.
As a Buddhist Hospital, Tzu Chi often holds farewell meetings for patients of different faiths. They miraculously let relatives who have been reluctant to meet each other for one or two decades reconcile here, apologizing, thanking and saying goodbye.
Humanistic spirit. Dote on patients
Although the public space of Xinlian ward is unique, including sky garden, restaurant, party hall, jacuzzi bath for patients, etc., which are often praised as warm as home, these hardware are not really the core. "In fact, no hospital is like a home, and no home is like a hospital. What really matters is that one group of people take good care of another group of people," Wang,Ying-Wei said.
This is what Wang,Ying-Wei has often reminded the medical team since the establishment of the ward. He was very grateful to many senior nursing colleagues who fear no challenges and difficulties and agreed to come without hesitation, and there are even nursing staff waiting in line to serve here.
When Xinlian ward was first established, only five hospitals in Taiwan had hospice wards. Therefore, many patients from the west and south regions came thousands of miles at that time.
Wang,Ying-Wei often humorously reminds Xinlian team that they can't say "wait a minute" to the patient, they will be fined 100 yuan for doing so, because the patient doesn't have much time to "wait a minute".
What he talked about all the time, and even the doctors and nurses couldn't help imitating was: "as long as we can make the patients more comfortable, we should do it" by all means. "
In order to take care of patients, Wang,Ying-Wei often puts forward innovative methods, and sometimes even makes nursing staff groan: "director, how can it be possible?" They buy the favorite steamed buns and steamed buns for the veterans; the white gourd tea for homeless patients who want it so much; if they see the patients who are suffering from thirsty and hot and miss a cup of bubble milk tea, they let the nurses or volunteers who are about to take over bring it by the way; massage and buy lunch boxes for lonely patients, etc. Sometimes the patient's family members are not around, and the patient is hungry and thirsty. Before he or she says anything, the nurse will always take care for he or she immediately. This is not only done by nurses, but also by psychologists and volunteers in the team. They buy the favorite steamed buns for the veterans; the white gourd tea for homeless patients who want it so much; if they see the patients who are suffering from thirsty and hot and miss a cup of bubble milk tea, they let the nurses or volunteers who are about to take over bring it on the way here; they also massage and buy lunch boxes for lonely patients, etc. That's how they dote on the patients.
The best hospice care of Taiwan ranks first in Asia
In 2008, Wang,Ying-Wei observed that about 140,000 people died in Taiwan, nearly 39,000 died of cancer and 100,000 died of non-cancer. Cancer is always on the top of the list, but the number of deaths due to the deterioration of chronic diseases still accounts for the most, far exceeding the number of deaths from cancer. Among them, dementia and old-age death are major issues that must be faced in the future. However, at that time, the central health insurance bureau only paid for "terminal cancer" patients in the payment of hospice care, and non- terminal cancer patients were rejected from hospice care. Therefore, Wang,Ying-Wei began to advocate the "new hospice movement". In addition to actively participating in the "joint hospice care", the team also proposed and invested in the hospice care of "intensive care unit, emergency and hospice center".
At that time, Wang,Ying-Wei served as the director of the Taiwan Academy of Hospice Palliative Medicine (TAHPM). He also proposed his idea to the academy and got many doctors' supports, thus affecting the policy and system of health insurance payment. In September 2009, the central health insurance bureau not only officially included the original hospice hospitalization and home pilot program into the regular payment of health insurance, but also included "eight types of non-cancer terminal diseases" into the scope of hospice payment. "What many terminal stage patients need is companionship and human care, rather than the intervention of medical technology, so the payment method of national health insurance is very helpful to hospice care," Wang,Ying-Wei said.
In 2015, the Economist think tank in the UK announced the global assessment of the quality of dying patients' death that conducted every five years. Taiwan jumped to the sixth place in the world among 80 countries, even surpassing Japan, Singapore and is "the highest rank in Asia". Wang,Ying-Wei, who has been interviewed twice by the Economist, believes that this achievement is due to the "hospice palliative care regulations" passed and implemented in 2000; The national health insurance has also improved the coverage rate of well-being in the year before the death of critically ill patients. In addition, the overall efforts of hospice care teams around Taiwan have made full progress in terms of policy, drug supply, education and training and public participation. In the third global death care quality survey published in December 2021, Taiwan ranked third in the world among 83 countries. Wang,Ying-Wei was also one of the two representatives of Taiwan in the survey visit, showing Taiwan's efforts to the world.
On January 6, 2019, the law on patients' autonomy rights was officially launched, which is the first law in Asia with patients as the main body, making "a good end" a basic human right. Regardless of health or illness, everyone can make medical decisions in advance for the moment when his life comes to an end. Wang,Ying-Wei, then director of the national health administration, said: "before this law, the voice of patients was not easy to come out. In medicine, we know to save life to the end, but every patient has his own values and ideas, which must be respected.".
He even explained with an English proverb "Yesterday is history, tomorrow is a mystery, but today is a gift. That is why it is called present." to show that yesterday has passed, tomorrow is mysterious and unpredictable, but you can still grasp now, that is life's best gift. Therefore, grasp the moment, live out your own values, and say goodbye when the time comes. Through the implementation of the "Patient Autonomy Law", pre-establishing medical autonomy is the best gift you can give yourself in life.
Physician's true value
" I SOLEMNLY PLEDGE to dedicate my life to the service of humanity; THE HEALTH AND WELL-BEING OF MY PATIENT will be my first consideration; I WILL RESPECT the autonomy and dignity of my patient; I WILL MAINTAIN the utmost respect for human life; I WILL NOT PERMIT considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient; I MAKE THESE PROMISES solemnly, freely and upon my honour.” —Declaration of Geneva " Hippocratic Oath "
Before medical students can become doctors, they have to go through two stages of national examinations, but the national examinations have never included "medical humanities". In order to pass the national exam, medical students often regard "medical humanities" as back-up credits. Wang,Ying-Wei believes that the essence of a doctor is "service" and "care". Without caring and understanding for people, it is difficult to be a good doctor. Professor Huang, Kun-Yan (1933-2012), the former dean of the Faculty of Medicine of National Cheng Kung University, was a pioneer in the reform of medical education in Taiwan. He once proposed that "learn to be a man first, then learn to be a doctor", emphasizing that the most important thing a doctor should have is human care, and then the medicine. Today, when the relationship between doctors and patients is gradually deteriorating and medical disputes are emerging one after another, Wang,Ying-Wei hopes to pass on the "real value of doctors" to all future doctors.
In 2007, Wang,Ying-Wei took over as director of the Department of humanities medicine at Tzu Chi University. His first tranform was to change the medical humanities courses originally arranged for freshmen and sophomores into courses running through grades 1 to 6. So that medical students in their fifth and sixth years can discuss the relationship between doctors and patients more specifically with examples after entering clinical practice. "What do students need? What do we want our students to learn?" this is a question that Wang, Ying-Wei most often asks the teachers of humanities and medicine and reminds himself also. Dr. Xie, Zhi-Yu, who also teaches medical humanities, said that over the past decade, Wang,Ying-Wei has introduced many of the latest foreign teaching methods, including team-oriented learning, flipping classrooms, reflective training, theater exercises of medical and patient communication, and expanding learning effectiveness in combination with science and technology. Medical humanistic education mainly covers four main axes, including patient-centered discussion of patients experience, whole course communication training, clinical ethics discussion, model learning and so on. In all medical humanities courses, Wang,Ying-Wei emphasizes the importance of "reflection". He believes that reflection is the connection and diffusion of learning experience.
Let the world see Taiwan
Wang,Ying-Wei often said, "health is the 1 and the rest is 0. Without health, we can't do anything." In 2016, Wang,Ying-Wei was seconded as director of the National Health Administration of the Ministry of health and welfare. What he is committed to promoting is to build the "health promotion" support system required by different age groups, especially at the levels of "improving national health awareness", "promoting healthy communities", "disease prevention and control" and "active aging".
Wang, Ying-Wei, who comes from the field of family medicine, said, "when we promote community medicine, as soon as we enter the community, we should start thinking " what do we want to leave to this place when we leave ". This is to avoid the fact that although many services have been opened in the community, the service will be disconnected when doctors leave. We should ensure that the community can operate without us, so as to start the sustainable development of the community."
He believes that the cultivation of talents in the public service system is an important infrastructure. He also found that there are many excellent colleagues with high education in the Department, but with only the experience of the public service system, they are more accustomed to single thinking and top-down mode. In terms of health communication and action, Wang,Ying-Wei introduced the latest foreign concepts and led colleagues to think, such as "nudge" and "design thinking".
Nudge means that small changes to ideas and methods can create great benefits. Wang,Ying-Wei gave an example that we used to promote free "cancer screening", but people's participation rate is often not high, and they will think that "I'm not sick, why go to screening for nothing"; But as long as you change the word to "health screening", the participation rate increases, because it sounds like checking your health.
The purpose of introducing design thinking is to help colleagues look at things from the perspective of the people. Wang,Ying-Wei's example was that the past teaching plan can not be suitable for everyone including the aboriginal areas, Hakka, Han people, or the elderly and children. Their needs are different, and the medical care must be adapted to local and personal conditions. In addition to cultivating talents and promoting health promotion, Wang,Ying-Wei also actively participated in important international conferences and communicated with global experts and scholars. In 2017, at the "25th International Symposium on health promotion hospitals" held in Vienna, Austria, Wang,Ying-Wei was invited to give a keynote speech at the opening of the conference to share Taiwan's experience and key success in promoting health promotion hospitals.
He also took the opportunity to lead all colleagues to "apply for the workshop" in the seminar, and simultaneously adopted the online conference mode, so that representatives of medical policy associations, medical institutions and colleagues of the department of health in Taiwan can also participate in the workshop through online live broadcast. At the 15th public health conference, the Health Promotion Administration applied for a display booth; In the 20th Canadian Forum on European Health (the most important meeting of health leaders in Europe today), it bid to host a parallel forum. Wang,Ying-Wei also went to many international conferences to report and deliver speeches. All these efforts are to show the world Taiwan.
During the tenure of the Health Promotion Administration, Wang,Ying-Wei and his colleagues promoted many successful schemes. Jia Shu-li, deputy director of the Department of health of the Ministry of health and welfare, said: "I would thank him for letting the colleagues turn over again. No officer will spend four years protecting you to think and grow, but he let us to open the Pandora's box for change." Internal staff of the Health Promotion Administration often call Wang,Ying-Wei teacher. They say that after Wang,Ying-Wei took office, the publicity and briefing of the administration have become more lively and interesting. Wang,Ying-Wei often encourages colleagues to transform complex medical knowledge and spread health knowledge to the public in an approachable way. Therefore, the nutrition promotion "my healthy meal plate" publicity of the Health Promotion Administration has abandon the the past grams of protein, vegetables and fruits form, and adopted the units that are easier for the public to understand, such as amount of a palm or a fist.
In February 2021, Wang,Ying-Wei returned to Hualien Tzu Chi Hospital after his secondment with the Health Promotion Administration expired. This 19-year-old young man who came from Hong Kong has been engaged in rural medical treatment in Taiwan for more than 40 years. His parents bone ashes have long been enshrined in Hualien, the "Hometown" he emotionally identifies with. He believes that people cannot live without ideals, and "protecting the health of the whole people, with happy life and a good end" is his original intention that will never change since he practiced medicine.
The above manuscript is excerpted and rewritten from {from happy life to a good end: Dr. Wang,Ying-Wei's integrated health care}
Wang,Ying-Wei was born on August 29, 1956. He came from a family of doctors. His grandfather Wang De-Guang was one of the first Chinese to set up a Western Hospital in Guangzhou. The family of seven emigrated to Hong Kong to explore a new way to settle down successively.
At the age of 19, Wang,Ying-Wei entered the Department of medicine of National Taiwan University with outstanding scores in Hong Kong. After graduation, he devoted himself to practicing medicine in remote places. For 40 years, he works until all his hairs turn gray. He has successively served as director of family medicine department and director of Xinlian (Heart Lotus) ward of Hualien Tzu Chi Hospital, director of Humanistic Medicine Department of Tzu Chi University and director of National Health Department of the Ministry of Health and Welfare. Now he is the director of palliative medicine center of Hualien Tzu Chi Hospital and professor of Medicine Department of Tzu Chi University.
Wang, Ying-wei chose a sparsely populated path and invested endless ideas in the rural itinerant medical treatment. He also drove a medical vehicle and traveled across Huatung to visit patients in remote tribes and communities. In 1996, with the support of master Zheng Yan, he founded the first hospice ward in Eastern Taiwan - Xinlian ward of Hualien Tzu Chi Hospital. He emphasized the Integrated Care spirit of "whole person, whole family, whole process, whole team and whole community", and sent the service to every corner of the rural area. He can be said to be the best spokesperson of the Integrated Care.
Wang,Ying-Wei did not quit study all his life. In order to make Huatung remote places medical treatment more perfect, he completed the master of Tropical Medicine in public health of Tulane University in one year, and then completed the doctor degree of public health of Tulane University in the United States. When civil strife broke out in Rwanda and countless refugees fled their homes, he, on behalf of Tzu Chi Foundation, cooperated with the French Federation of Physicians du Monde to invest in the Rwanda relief program. He was the only asian doctor at that time. He has also participated in disaster relief clinics in Hunan, Inner Mongolia, the Philippines and Indonesia.
Wang,Ying-Wei was seconded as director of the National Health Administration of the Ministry of Health and Welfare in 2016 to promote national "health promotion", especially in aspects such as "improving national health awareness", "healthy community", "disease prevention and control" and "active aging" ,and actively promote "mercy care city". He also actively participated in important international conferences, exchanged with foreign experts and scholars, and opened international cooperation to let the world see Taiwan.
Wang,Ying-Wei often said, "health is the 1 and the rest is 0. Without health, we can't do anything." He has taken root in Taiwan since he came here at the age of 19. From a rural doctor to the director general of promoting national policies, he has devoted his life to serving rural areas, hospice care, medical education and health promotion; It is his eternal original intention to promote the "Integrated Care" with humanistic spirit, protect the health of the whole people, and help them to live happily to a good end. In addition, Wang,Ying-Wei promoted the "Advance Care Planning" and "Patient Autonomy Legislation", worked with non-governmental units and aspiring medical care to promote the quality of hospice care in Taiwan to be the best in Asia, and trained medical students to be patient-centered, so that patients could live with hope every day. He is worthy of being called "Good Doctor of Integrated Care" and standing out from 2954 candidates for the Fervent Global Love of Lives Award recommended by all walks of life around the world to win the "25th Fervent Global Love of Lives Award in 2022" of Taiwan Chou Ta-kuan cultural and educational foundation.
We always welcome all circles around the world to recommend life warriors that are hard-working, loving, courageous and with achievements. (recommendation line of Chou Ta-kuan cultural and educational foundation's Fervent Global Love of Lives Award: 886-2-29178770, Fax: 886-2-29178768, Address: 3F., No.52, Mingde Rd., Xindian Dist., New Taipei City 231, Taiwan (R.O.C.), Website: http://www.ta.org.tw, e-mail: ta88ms17@gmail.com ).
Followed his father to Hong Kong at the age of 4
When Wang,Ying-Wei was 4 years old, he left his hometown Guangzhou with his father Wang, Hong-En, who went to Hong Kong for more opportunities. He was first left to be taken care of by his grandmother in Macao. He finished kindergarten in Macao. Two years later, his father took him to Hong Kong to live together.
Under the arrangement of her father, her mother also took her youngest sister travelled from Guangzhou to Macao and then to Hong Kong. The changes of the times forced her brother and two sisters, who were only in grade 5 and grade 6 of primary school, to become independent earlier. The three little brothers and sisters relied on each other and took a boat to Hong Kong alone. When they arrived in Hong Kong smoothly, their parents finally uttered a sigh of relief and the family finally reunited.
This is a gathering that took three trips and two years. They said goodbye to the hospital founded by their grandfather in Guangzhou and the big house. Wang,Ying-Wei's father got the licence of Hong Kong's public doctor, and the family of seven began a new life in Hong Kong.
Wang,Ying-Wei's father and grandfather both studied medicine, and his grandfather Wang De-Guang was one of the first Chinese to run a West Hospital in Guangzhou. He was proficient in surgery, internal medicine, pediatrics and gynecology, especially in surgery. He founded "Wang De-Guang Hospital" in Guangzhou to treat countless patients and often gave medical care to the poor. He always let patients to treat first, take medicine first, and pay for it later. If they have difficulties in paying him, he even didn't charge for the diagnosis and treatment. So, he is often praised as the "living Buddha of all families" by local villagers, just like the Bodhisattva on earth. In addition to being charitable, it is said that he "speaks less and does more". Wang De-Guang, who was always quiet, has the courage to uphold justice and fair.
He went to Shanghai to support the rescue work of the army despite difficulties and dangers during the Anti-Japanese war in Songhu.
In the spring of 1950, Wang, De-Guang went to the United States for treatment due to stomach disease. Unfortunately, he died of illness in New York in May of the same year.
"My grandfather died when I was born, but I heard a lot of his stories - he was very concerned about the patients and the local people." Wang,Ying-Wei said that this encouraged him to emulate his grandfather's spirit since childhood.
Rooted in Hong Kong. the green days in Pui Ching
Wang,Ying-Wei's father, Wang, Hong-En, also became a doctor with the cultivation of his grandfather. However, in the turbulent era, he was forced to leave his hometown and the hospital founded by his father to come to Hong Kong, an unfamiliar place, and found a way to settle down himself and his children.
"Although my father was a doctor, he was actually a civil servant, so life was not easy at that time." Wang,Ying-Wei said that despite the financial problems, his father still let his five children to receive formal education. After graduating from primary school, Wang,Ying-Wei attended Pui Ching middle school. He was keen to participate in associations and thus plant the seeds of serving the society in the future from then on.
Because both his grandfather and father were doctors, Wang, Ying-Wei was influenced by "studying medicine" since childhood. However, it was the six years in Pui Ching middle school that really urged him onto his way to study medicine.
Pui Ching middle school, chosen by his father, is a famous school for a century. It has also cultivated outstanding alumni such as Daniel Chee Tsui, a physicist who won the Nobel Prize, and Shing-Tung Yau, who won the Fields medal (The International Medals for Outstanding Discoveries in Mathematics).
The most famous design of Pei Ching middle school is the "grade society system", which allows students to vote for the name of the grade society and design the community flag at the beginning of admission, so as to cultivate the sense of responsibility and team spirit of the community, so that each "grade society" can develop slowly from grade 1 to grade 6 (the secondary school system in Hong Kong at that time), and form a powerful force of mutual assistance and cooperation.
Wang,Ying-Wei was elected president from the grade 1 of middle school. He needed to organize manpower, conduct horizontal communication and coordination, and be responsible for more than 300 students in the whole grade. In the fourth grade, he asked for making another person to be the president, but in the next semester, he was elected president again.
"Being president in those years had a great impact on me. Through the interaction between people, I could better understand the ideas of others and know the hard work of participants. Because I had to be responsible for more than 300 students in the whole grade, I was also trained in attention, communication and coordination and positive energy."
The experience of middle school made Wang, Ying-Wei realize that to do a good job, he must be able to empathize and understand others, and then embark on the road of medicine. For him, doctors should uphold this spirit of selfless service and dedication.
Pursuing the path of Schweitzer
In 1975, Wang, Ying-Wei's eldest brother came to Taiwan to study at Kaohsiung Medical College (now Kaohsiung Medical University), which also made him want to study in Taiwan. He studied hard and was admitted to the Department of medicine of NTU.
When he was in college, he was greatly affected by joining the "NTUKKF" of the "NTUKK". At that time, there were nearly 100 members of the club. Every winter and summer vacation, about a dozen students went to various tribes to serve. Wang,Ying-Wei went to the Samuluh tribe in Taitung.
Wang, Ying-Wei, who was just going to the fifth year in his university, was not even familiar with clinical practice, so he collected a pile of drugs. Although NTU doctors were also invited to come, they only stayed for one or two days and they had to rely on themselves after that. Once, Wang,Ying-Wei and his companions went down the mountain to replenish food and had to cross the river, but it just rained and the water rose and was a little turbulent. They had to hold hands of each other to cross the river safely. After that experience, Wang, Ying-Wei deeply understood why aboriginal drowning incidents were so frequent.
Later, when planning community health promotion in Huatung, he promoted a series of "accident injury prevention" courses and exercises, including how to prevent drowning accidents.
"The rural service in my University era has enabled me to see the level of health that cannot be seen in laboratories and hospitals. I can better understand the" health inequality "emphasized by the World Health Organization and the impact of social factors on health. These can be seen everywhere in rural tribes."
Wang,Ying-Wei later chose the "family medicine department" and met Professor Xie, Wei-Quan, who is known as the "father of infection medicine and family medicine" in Taiwan and had a great impact on the cultivation of his clinical practice and inspired his enthusiasm to health education and health promotion in the future.
When it came to the resident selection examination, the professor of NTU medical asked him three questions. The first question was: "Can you speak Taiwanese?"
Unexpectedly, this young man from Hong Kong has studied in Taiwan for six years. In addition to studying medicine, he has also learned the second commonly used language here. "My Taiwanese is OK. I can get along with it." Wang,Ying-Wei responded in Taiwanese.
Then the professor asked, "will you leave Taiwan?" , "Where do you want to serve in the future?" Wang,Ying-Wei replied without hesitation, "I want to stay in Taiwan and serve in the east region in the future."
At that time, the Tzu Chi Hospital in Hualien had not yet been established, but Wang,Ying-Wei had embraced the spirit of going to remote areas to serve like Schweitzer.
Wang,Ying-Wei's expection was: "not everyone can achieve the goal of healing the whole country ", but at least through participation in service and humanistic care, we can achieve the state of "healing people " in the future, not just" treating diseases ".
Doctor and driver. Open the mobile medical service to the patient's house
The train slowly drove to Hualien. The endless Pacific Ocean was in front of it. Outside the window in the west was the towering central mountain range. This magnificent mountain and sea seem to reflect the lofty aspirations of young doctor Wang, Ying-Wei. He finally came to Eastern Taiwan and went to Hualien Tzu Chi Hospital in his third working year.
After completing residency training at NTU Hospital, Wang,Ying-Wei wanted to go to Hualien Tzu Chi Hospital. However, Professor Xie, Wei-Quan, whom he admired and respected, told him that family medicine needs to cooperate with other departments. Therefore, he suggested that Wang,Ying-Wei stay in Taipei for two years and wait until the structure of Hualien Tzu Chi Hospital is more mature, so that he can give full play to his strengths.
Therefore, Wang,Ying-Wei went to the Provincial Taipei Hospital (now the Taipei Hospital of the Ministry of Health and Welfare) in cooperation with the construction and education of National Taiwan University Hospital. After two years, he was promoted to the chief physician. At the age of 33, Wang, Ying-Wei set foot on the road to Tzu Chi Hospital in Hualien as he wished. He has always loved mountain medical service since he was a student, and now he can finally show his strengths.
Wang,Ying-Wei who came to the Tzu Chi Hospital in Hualien to establish "family medicine", asked master Zhengyan for advice: "master, what do you want us to do?" Master thought that there were still many places beyond the reach of medical treatment in Hualien County, a vast area outside hualien city. Therefore, she hoped that Dr. Wang, Ying-Wei could provide more medical services to Aboriginal people in mountainous areas and remote areas. "No problem, as long as there is a mobile medical vehicle!" Wang, Ying-Wei's wish was soon realized by Tzu Chi volunteers. He always acted as a doctor and driver at the same time, carrying medical staff, medicine and mobile medical materials to all villages in Hualien. He drove a touring car on the winding mountain roads. When he reached the designated point, he can't even take a breath because the patients were waiting. But he didn't care, he might also have a few words of humor on the situations.
That year, whether it was windy, rainy or sunny, he made free clinics for people in rural areas in the pavilions of mountain villages, under big trees, in front of temples, school classrooms and nearly abandoned clinics. Sometimes, he met the elders of tattooed aborigines who came to seek for medical help who spoke Japanese with the help of volunteers and interpreters.
From patient to community care
Once, when offering the free clinic in the nearby settlement of Taroko, Wang,Ying-Wei a three - or four year old boy with a bowl of black food. He took and closer look and it was so shocking to him!
It turned out that the little boy had a bowl of rice on his hand, only that it was covered by flies, but the child and the grandmother who took care of him didn't seem to care. It seemed that they had already get used to dinning with flies.
In order to "prevent diseases" and quickly understand the needs of community residents, Wang,Ying-Wei started "health education" for local students during his medical tour.
Wang, Ying-Wei believes that the training of family medicine is originally aimed at the care of the whole person, the whole process, the whole family, the whole team, and even the whole community. He always remembers that his mentor Professor Xie, Wei-Quan often stressed: "medical treatment is only a means. How to make the community people healthy is our goal."
In 1987, in order to strengthen rural medical services, the government set up group medical practice centers in areas with relatively poor medical staffing. The Department of Health subsidized some equipment and invited major public hospitals to send doctors for resident services. At that time, Hualien selected Fongbin, Fuli and Yuli, while Guangfu Township with a population of more than 20,000 and only two doctors was not elected. After local people's effort and turning to master Zheng Yan for help and the local government helped to obtain subsidies from the equipment and medical fund of the Department of health in 1990, a "Guangfu group medical center" was established in the health center, with doctors from Hualien Tzu Chi Hospital went to the resident service.
With the full support of Wang,Ying-Wei and attending physician Lai, Yu-Jia, the Guangfu group medical center has established the tracking and management of "community health records" in addition to medical services.
What moved the villagers most was that every noon break, doctors always rushed to finish their lunch and then go to the home of patients with mobility difficulties for diagnosis and treatment, or went to the school to help the children with health education. Both Dr. Wang,Ying-Wei and Dr. Lai, Yu-Jia have witnessed patients with mobility difficulties with their family members' help that walked two or three kilometers to come here for medical treatment. Both doctors told the family members of the patients, "you don't have to come here with so much trouble in the future. We'll just go to your home to see you."
This kind of compassionate spirit not only moves the family members, but also enables the nurses and pharmacists in the health center to be more active in helping the patients. To thank the doctors for their selfless efforts, these patients and their families sometimes send eggs laid by their hens or fresh wild vegetables just picked.
The most special one is that once Wang,Ying-Wei received a gift wrapped neatly and solemnly in newspapers. He opened it, there was a wild vole inside, which was a sacred thing of the aborigines. They regarded it as a precious gift and carefully gave it to Doctor Wang,Ying-Wei, who guarded their health.
Studied for master of Tropical Medicine and doctor of public health from Tulane University in the United States to provide more far-reaching services to rural areas
In September 1991, in order to provide remote places of Huatung with more perfect and foreseeing medical treatment, Wang,Ying-Wei went to Tulane University to study for a master of public health and tropical medicine. His choice of this school was greatly influenced by his mentor Professor Xie, Wei-Quan.
"Professor Xie also graduated from the school of tropical medicine of Tulane University." Wang, Ying-Wei said that Tulane University, known as Harvard in the south, has the top tropical medical school in the United States and the longest history and one of the world's top public health courses. He flew alone to New Orleans, Louisiana, in the southern United States. Although there is an internationally famous commercial port near the Mississippi River, and this place is not only the birthplace of jazz, but also a famous cultural city, as soon as Wang,Ying-Wei entered school, he fell into the learning road racing against the clock and had no leisure to enjoy the scenery.
The master's degree in public health and tropical medicine requires 45 credits, with a maximum of 20 credits per semester. Wang,Ying-Wei, who arrived at the beginning of autumn, chose 21 credits in the first semester, and specially asked the dean of the Department for approval before he could do so. In the second semester, Wang,Ying-Wei chose 24 credits. He went to the Dean again, but this time the Dean didn't sign for him. "You have far exceeded the upper limit of elective courses. You need the consent of the dean of the school." Said the dean of the department. Wang,Ying-Wei, who didn't give up, went to the Dean of school with his report card. "Although I chose so many courses last semester, I got A or above in every subject and only had one A -." When the Dean saw this Asian student came up with such excellet results and convinced him with such confidence, he agreed. However, the Dean has never seen a student who can complete 24 credits in a semester. While approving, he looked at Wang,Ying-Wei with profound meaning and said, "God bless you". Despite the extra credits, Wang, Ying-Wei successfully completed 45 credits in two semesters, passed the exam and got his master's degree. Seeing that Wang, Ying-Wei could finish 45 master's credits in nine months, the professor said to him, "the doctoral program only has 72 credits. Do you want to continue?"
That summer vacation, the school happened to open a "social mobilization course" with a total of 18 credits. It is a course specially organized by the United Nations Children's organization for senior public health educators in developing countries, which was also a precious learning opportunity. During the summer vacation, many students from developing countries came to participate in the "social mobilization" training. They were from Vietnam, Africa, central and South America and Southeast Asia. Wang,Ying-Wei not only took classes, but also volunteered to pick up these students and take them to buy groceries. At that time, some students almost couldn't keep up with their schoolwork. Wang, Ying-Wei helped them prepare class reports and examination questions. Later, they became good friends.
After the summer vacation, Wang,Ying-Wei focused on his study in four months, completed 72 credits and broke the record again. Only in "four months and a year", he successfully obtained the qualification of master's degree and doctoral candidate.
He still remembered that on Christmas Eve that year, the teacher gave him the test questions and went home for the holiday. "The teacher told me that when I finish the exam paper, just slide it into the crack of his door. That Christmas, everyone was on holiday, and I was working hard on the doctoral candidate's exam."
After the exam, Wang,Ying-Wei began to pack his luggages. After one year and four months of solid study, he flew back from of the United States on January 1 of that year, arrived in Taiwan on the second day, and returned to Tzu Chi Hospital on the third day.
Devote himself to the Rwanda medical assistance program
In April 1994, civil strife broke out in Rwanda, Central Africa. In less than three months, nearly one million people were slaughtered in a country with only seven million people. In mid-July, as soon as the media news broke out, the whole world was shocked! The media captured a baby sucking the mother's milk in his mother's arms, but the mother was dying and the child kept crying. Millions of refugees fleeing to the borders of neighboring countries are suffering from water and food shortages. Hundreds to thousands of refugees die of hunger and infectious diseases every day. These news images made master Zheng Yan very sad. He immediately asked Tzu Chi Foundation to contact France's M.D.M. to see if he could work together to rescue Rwanda. Before that, Tzu Chi had cooperated with the M.D.M in medical assistance in Ethiopia and had seen their professionalism and compassion. France had colonized Rwanda before and would be more familiar with the language and environment.
At the end of July, before Wang, Ying-Wei's morning clinic was over, he received a call from Lin, Bi-Yu, deputy executive director of the Tzu Chi Foundation, telling him that Tzu Chi will cooperate with the M.D.M to assist in the Rwanda rescue plan. However, the M.D.M hoped that the doctors sent by Tzu Chi to be general practitioners (family medicine) who are familiar with "Tropical Medicine" at the same time.
Wang, Ying-Wei volunteered to go without saying a word. He was gratified that the conditions set out by the M.D.M undoubtedly suited him best, because no one had such a background at that time, and it had always been his dream to go to Africa to practice medicine. The only worry was how to reassure and get the support of his family.
In less than three days, Wang,Ying-Wei had applied his French visa successfully. He and Xu Xiangming, then director of the Secretariat of the Tzu Chi General Management Center, went to Rwanda on behalf of Tzu Chi to carry out rescue operations.
Because of the fact of going to the epidemic area, Wang,Ying-Wei received a variety of vaccines such as cholera, yellow fever, meningitis and typhoid fever in a short time and took malaria preventive drugs, which cause a strong drug reaction, resulting in swelling and pain in his right arm, which can not even be raised.
However, as soon as he arrived at Taoyuan International Airport, he saw 60 or 70 Tzu Chi monks and nuns come to see him off. Their caring and admiring look made him feel so lucky. For a moment, the swelling and pain of his arm was nothing.
The extremely unstable situation in Rwanda, the outbreak of new infectious diseases, and the threat to the rescue workers themselves all made Wang,Ying-Wei worried that he could not make the trip. With the closure of Rwanda airport, he had to go to Kenya first and then take an irregular United Nations transport plane to reach Rwanda.
A few days later, Wang, Ying-Wei successfully boarded the United Nations special plane and flew from Nairobi, the capital of Kenya, to Rwanda. "Moreover, I took two flights. The first time, the plane circled in the air for more than an hour and turned back due to mechanical failure; the second time, I finally arrived at Rwanda airport."
When they arrived at Kigali airport, the capital of Rwanda, they were greeted by the beautiful sunset. The US troops with guns were lying on the trenches. The airport was full of bullet holes and broken glass left after the fierce battle. The M.D.M staff who originally waited at the airport had already left. Outside the airport were Rwanda soldiers who were armed and could not speak English. Everyone was worried that they might accidentally be shot. Fortunately, with the assistance of a warm-hearted US military, they finally left the airport and went to the M.D.M camp.
Along the way, the capital, Kigali, was dark, with no water or power supply. Only gunshots came from afar. Until they arrived at the camp, there was a faint light lit by an automatic generator in the camp. The M.D.M has set up a temporary orphanage, medical station and the only field hospital in Rwanda. Tzu Chi's participation in cooperative rescue at this stage is the two major goals are:
The first is to provide medical assistance to Goma, the largest refugee gathering place in Rwanda, on the Say border.
Second, set up three medical stations along the way between Goma city and Kigali, the capital of Rwanda, so that a large number of refugees can have 24-hour all-weather medical aid and nutritional supplies on their way home. At the same time, provide cholera, dysentery vaccine and antimalarial drugs to prevent infectious diseases from spreading across the country with returning refugees.
The background of this relief goal is that Goma of Say, the largest refugee gathering place at that time, was short of materials. Under the pressure of hunger and disease, the average daily death toll of refugees was as high as 1800. It was not until the United Nations helped improve drinking water and cholera was controlled in early August that it was reduced to 500 per day. At this time, in order to obtain international certification, the new government of Rwanda also used troops to publicize and ensure the absolute safety of refugees after returning home. Therefore, the United Nations encouraged refugees to return.
Wang,Ying-Wei said that the distance between the refugees from Goma city of Say and the capital of Rwanda is about the distance from Taipei to Kaohsiung. The new government of Rwanda does not allow the refugees to return home by truck because it was worried that the outbreak of infectious diseases will be brought back to Rwanda, causing the spread of the plague and more deaths. If refugees return to their hometown on foot, it means that they are in good health. For healthy people going back to their hometown, the spread of infectious diseases can be greatly reduced. This was exactly the intention of Tzu Chi and the M.D.M to set up three medical stations along the road and provide nutritional supplies. Early the next morning, Wang,Ying-Wei went to the medical station. All he saw on the road were dilapidated houses, cars without wheels, and even bodies that had not been cleared in time. He could not help but sigh that this place, once known as Switzerland of Africa, was now like purgatory on earth.
The only war doctor from Asia
The next day, Wang,Ying-Wei went to the refugee gathering place in Goma city in Say. He saw countless large and small temporary huts built on the muddy ground all over the mountain, of which he could hardly see the end. The distant crater was emitting white smoke while numberless refugees walked on the road to the refugee camp.
At the front line of Rwanda rescue, almost all doctors were from Europe and America. Wang, Ying-Wei, with yellow skin and black hair, aroused the curiosity of many European and American volunteers as the only doctor from Taiwan and the only doctor from the oriental world and Asia.
What moved Wang,Ying-Wei from the bottom of his heart was the professionalism and dedication of the volunteer doctors of the M.D.M. "M.D.M" is a professional organization established in 1980. Wang,Ying-Wei followed them to disaster relief and saw the importance of professional logistics system.
This experience and the spirit of "doctor for all people" echoed in Wang,Ying-Wei's heart also led him to actively promote the "Tzu Chi Doctor for all People Association" in Taiwan with Lin Junlong, executive director of Tzu Chi Medical Corporation, and Chen Xingzhu, Director Secretary of Tzu Chi Hospital.
Wang,Ying-Wei shared that although he had participated in disaster relief free clinics in Hunan, Inner Mongolia, the Philippines, Indonesia and other places, he had never seen a miserable situation like that in Rwanda. It was an unforgettable experience in his life, which made him aware of his smallness. He was more convinced that he would always learn and gain the most from participating in free clinics.
Create Xinlian (Heart Lotus) Ward - make every living day full of life
Thirty years ago, hospice care seemed to outsiders to be a field that paid more and gained less, and required only the spirit of sacrifice and dedication. However, Wang,Ying-Wei embarked on this sparsely populated road with enthusiasm.
Wang, Ying-Wei still remembers that during his medical school and resident training, his teachers and predecessors taught a lot of knowledge and skills in diagnosis and treatment, but never told the students: "what should we do if the patients can't be cured? How should we take care of them?"
However, sometimes, medical treatment has its limits after all. When intern Wang,Ying-Wei came to the medical scene and met the terminal cancer patients, he was overwhelmed by those painful groans and pale faces. He felt uncomfortable and could not deal with his emotions because he could not solve the patient's pain. In such a medical environment, terminal cancer patients are inevitably rescued by various high-end instruments before it is announced that their days are not much, and the patient's pain can be easily imagined. Therefore, when Dr. Lai Yu-Jia from the family medicine department of Hualien Tzu Chi Hospital mentioned "hospice care" to Director Wang,Ying-Wei, the two hit it off immediately. They immediately proposed the vision of hospice care to master Zheng Yan.
At that time, master Zheng Yan believed that in Chinese traditional minds, most patients hoped to return home at the last moments of life and die peacefully with the company of his family, so he encouraged Wang,Ying-Wei to start with "home peace" care.
Since 1991, he has learned the knowledge and skills of hospice care in the form of a series of reading clubs, hospice seminars and volunteer training, and constantly advocated the concept of hospice care inside and outside the hospital.
In 1995, Professor Chen, Rong-Ji, then chairman of the lotus foundation, and Professor Zhao, Ke-Shi, who was respected as the mother of hospice care, both mentioned the importance of hospice care to master Zheng Yan, which became a temporary step in the preparation of the Xilian ward of Tzu Chi Hospital.
With the support of master Zheng Yan, in October of the same year, Lin Bi-Yu, deputy executive director of the Tzu Chi Foundation, led a nine member delegation to Japan, including Wang,Ying-Wei, director of family medicine, supervisor of the nursing department and construction supervisor of Hualien Tzu Chi Hospital, to visit Japan and learn lessons, so as to make perfect preparations for the establishment of a hospice ward.
In August 1996, Hualien Tzu Chi Hospital established the first hospice care ward in eastern Taiwan. It is the fifth hospital in Taiwan with a formal hospice ward. Master Zheng Yan named it "Xinlian Ward". With the help of hospice care, the patients can face disease and death with more dignity and open their heart like a lotus flower.
Ward director Wang,Ying-Wei is the leader in the preparation and cultivation of Xinlian ward. Doctors and nurses in the ward described him this way: "as long as it is for the good of patients, director Wang will always have endless ideas and breakthroughs."
Promoting by Wang,Ying-Wei, Xinlian ward has held countless activities for patients to realize their dreams in the past 26 years. They have prepared ward weddings, painting exhibitions, singing competitions, taking terminal patients back to their distant hometown, and even set up Xinlian travel agency to voluntarily bring patients to realize their family travel dreams.
As a Buddhist Hospital, Tzu Chi often holds farewell meetings for patients of different faiths. They miraculously let relatives who have been reluctant to meet each other for one or two decades reconcile here, apologizing, thanking and saying goodbye.
Humanistic spirit. Dote on patients
Although the public space of Xinlian ward is unique, including sky garden, restaurant, party hall, jacuzzi bath for patients, etc., which are often praised as warm as home, these hardware are not really the core. "In fact, no hospital is like a home, and no home is like a hospital. What really matters is that one group of people take good care of another group of people," Wang,Ying-Wei said.
This is what Wang,Ying-Wei has often reminded the medical team since the establishment of the ward. He was very grateful to many senior nursing colleagues who fear no challenges and difficulties and agreed to come without hesitation, and there are even nursing staff waiting in line to serve here.
When Xinlian ward was first established, only five hospitals in Taiwan had hospice wards. Therefore, many patients from the west and south regions came thousands of miles at that time.
Wang,Ying-Wei often humorously reminds Xinlian team that they can't say "wait a minute" to the patient, they will be fined 100 yuan for doing so, because the patient doesn't have much time to "wait a minute".
What he talked about all the time, and even the doctors and nurses couldn't help imitating was: "as long as we can make the patients more comfortable, we should do it" by all means. "
In order to take care of patients, Wang,Ying-Wei often puts forward innovative methods, and sometimes even makes nursing staff groan: "director, how can it be possible?" They buy the favorite steamed buns and steamed buns for the veterans; the white gourd tea for homeless patients who want it so much; if they see the patients who are suffering from thirsty and hot and miss a cup of bubble milk tea, they let the nurses or volunteers who are about to take over bring it by the way; massage and buy lunch boxes for lonely patients, etc. Sometimes the patient's family members are not around, and the patient is hungry and thirsty. Before he or she says anything, the nurse will always take care for he or she immediately. This is not only done by nurses, but also by psychologists and volunteers in the team. They buy the favorite steamed buns for the veterans; the white gourd tea for homeless patients who want it so much; if they see the patients who are suffering from thirsty and hot and miss a cup of bubble milk tea, they let the nurses or volunteers who are about to take over bring it on the way here; they also massage and buy lunch boxes for lonely patients, etc. That's how they dote on the patients.
The best hospice care of Taiwan ranks first in Asia
In 2008, Wang,Ying-Wei observed that about 140,000 people died in Taiwan, nearly 39,000 died of cancer and 100,000 died of non-cancer. Cancer is always on the top of the list, but the number of deaths due to the deterioration of chronic diseases still accounts for the most, far exceeding the number of deaths from cancer. Among them, dementia and old-age death are major issues that must be faced in the future. However, at that time, the central health insurance bureau only paid for "terminal cancer" patients in the payment of hospice care, and non- terminal cancer patients were rejected from hospice care. Therefore, Wang,Ying-Wei began to advocate the "new hospice movement". In addition to actively participating in the "joint hospice care", the team also proposed and invested in the hospice care of "intensive care unit, emergency and hospice center".
At that time, Wang,Ying-Wei served as the director of the Taiwan Academy of Hospice Palliative Medicine (TAHPM). He also proposed his idea to the academy and got many doctors' supports, thus affecting the policy and system of health insurance payment. In September 2009, the central health insurance bureau not only officially included the original hospice hospitalization and home pilot program into the regular payment of health insurance, but also included "eight types of non-cancer terminal diseases" into the scope of hospice payment. "What many terminal stage patients need is companionship and human care, rather than the intervention of medical technology, so the payment method of national health insurance is very helpful to hospice care," Wang,Ying-Wei said.
In 2015, the Economist think tank in the UK announced the global assessment of the quality of dying patients' death that conducted every five years. Taiwan jumped to the sixth place in the world among 80 countries, even surpassing Japan, Singapore and is "the highest rank in Asia". Wang,Ying-Wei, who has been interviewed twice by the Economist, believes that this achievement is due to the "hospice palliative care regulations" passed and implemented in 2000; The national health insurance has also improved the coverage rate of well-being in the year before the death of critically ill patients. In addition, the overall efforts of hospice care teams around Taiwan have made full progress in terms of policy, drug supply, education and training and public participation. In the third global death care quality survey published in December 2021, Taiwan ranked third in the world among 83 countries. Wang,Ying-Wei was also one of the two representatives of Taiwan in the survey visit, showing Taiwan's efforts to the world.
On January 6, 2019, the law on patients' autonomy rights was officially launched, which is the first law in Asia with patients as the main body, making "a good end" a basic human right. Regardless of health or illness, everyone can make medical decisions in advance for the moment when his life comes to an end. Wang,Ying-Wei, then director of the national health administration, said: "before this law, the voice of patients was not easy to come out. In medicine, we know to save life to the end, but every patient has his own values and ideas, which must be respected.".
He even explained with an English proverb "Yesterday is history, tomorrow is a mystery, but today is a gift. That is why it is called present." to show that yesterday has passed, tomorrow is mysterious and unpredictable, but you can still grasp now, that is life's best gift. Therefore, grasp the moment, live out your own values, and say goodbye when the time comes. Through the implementation of the "Patient Autonomy Law", pre-establishing medical autonomy is the best gift you can give yourself in life.
Physician's true value
" I SOLEMNLY PLEDGE to dedicate my life to the service of humanity; THE HEALTH AND WELL-BEING OF MY PATIENT will be my first consideration; I WILL RESPECT the autonomy and dignity of my patient; I WILL MAINTAIN the utmost respect for human life; I WILL NOT PERMIT considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient; I MAKE THESE PROMISES solemnly, freely and upon my honour.” —Declaration of Geneva " Hippocratic Oath "
Before medical students can become doctors, they have to go through two stages of national examinations, but the national examinations have never included "medical humanities". In order to pass the national exam, medical students often regard "medical humanities" as back-up credits. Wang,Ying-Wei believes that the essence of a doctor is "service" and "care". Without caring and understanding for people, it is difficult to be a good doctor. Professor Huang, Kun-Yan (1933-2012), the former dean of the Faculty of Medicine of National Cheng Kung University, was a pioneer in the reform of medical education in Taiwan. He once proposed that "learn to be a man first, then learn to be a doctor", emphasizing that the most important thing a doctor should have is human care, and then the medicine. Today, when the relationship between doctors and patients is gradually deteriorating and medical disputes are emerging one after another, Wang,Ying-Wei hopes to pass on the "real value of doctors" to all future doctors.
In 2007, Wang,Ying-Wei took over as director of the Department of humanities medicine at Tzu Chi University. His first tranform was to change the medical humanities courses originally arranged for freshmen and sophomores into courses running through grades 1 to 6. So that medical students in their fifth and sixth years can discuss the relationship between doctors and patients more specifically with examples after entering clinical practice. "What do students need? What do we want our students to learn?" this is a question that Wang, Ying-Wei most often asks the teachers of humanities and medicine and reminds himself also. Dr. Xie, Zhi-Yu, who also teaches medical humanities, said that over the past decade, Wang,Ying-Wei has introduced many of the latest foreign teaching methods, including team-oriented learning, flipping classrooms, reflective training, theater exercises of medical and patient communication, and expanding learning effectiveness in combination with science and technology. Medical humanistic education mainly covers four main axes, including patient-centered discussion of patients experience, whole course communication training, clinical ethics discussion, model learning and so on. In all medical humanities courses, Wang,Ying-Wei emphasizes the importance of "reflection". He believes that reflection is the connection and diffusion of learning experience.
Let the world see Taiwan
Wang,Ying-Wei often said, "health is the 1 and the rest is 0. Without health, we can't do anything." In 2016, Wang,Ying-Wei was seconded as director of the National Health Administration of the Ministry of health and welfare. What he is committed to promoting is to build the "health promotion" support system required by different age groups, especially at the levels of "improving national health awareness", "promoting healthy communities", "disease prevention and control" and "active aging".
Wang, Ying-Wei, who comes from the field of family medicine, said, "when we promote community medicine, as soon as we enter the community, we should start thinking " what do we want to leave to this place when we leave ". This is to avoid the fact that although many services have been opened in the community, the service will be disconnected when doctors leave. We should ensure that the community can operate without us, so as to start the sustainable development of the community."
He believes that the cultivation of talents in the public service system is an important infrastructure. He also found that there are many excellent colleagues with high education in the Department, but with only the experience of the public service system, they are more accustomed to single thinking and top-down mode. In terms of health communication and action, Wang,Ying-Wei introduced the latest foreign concepts and led colleagues to think, such as "nudge" and "design thinking".
Nudge means that small changes to ideas and methods can create great benefits. Wang,Ying-Wei gave an example that we used to promote free "cancer screening", but people's participation rate is often not high, and they will think that "I'm not sick, why go to screening for nothing"; But as long as you change the word to "health screening", the participation rate increases, because it sounds like checking your health.
The purpose of introducing design thinking is to help colleagues look at things from the perspective of the people. Wang,Ying-Wei's example was that the past teaching plan can not be suitable for everyone including the aboriginal areas, Hakka, Han people, or the elderly and children. Their needs are different, and the medical care must be adapted to local and personal conditions. In addition to cultivating talents and promoting health promotion, Wang,Ying-Wei also actively participated in important international conferences and communicated with global experts and scholars. In 2017, at the "25th International Symposium on health promotion hospitals" held in Vienna, Austria, Wang,Ying-Wei was invited to give a keynote speech at the opening of the conference to share Taiwan's experience and key success in promoting health promotion hospitals.
He also took the opportunity to lead all colleagues to "apply for the workshop" in the seminar, and simultaneously adopted the online conference mode, so that representatives of medical policy associations, medical institutions and colleagues of the department of health in Taiwan can also participate in the workshop through online live broadcast. At the 15th public health conference, the Health Promotion Administration applied for a display booth; In the 20th Canadian Forum on European Health (the most important meeting of health leaders in Europe today), it bid to host a parallel forum. Wang,Ying-Wei also went to many international conferences to report and deliver speeches. All these efforts are to show the world Taiwan.
During the tenure of the Health Promotion Administration, Wang,Ying-Wei and his colleagues promoted many successful schemes. Jia Shu-li, deputy director of the Department of health of the Ministry of health and welfare, said: "I would thank him for letting the colleagues turn over again. No officer will spend four years protecting you to think and grow, but he let us to open the Pandora's box for change." Internal staff of the Health Promotion Administration often call Wang,Ying-Wei teacher. They say that after Wang,Ying-Wei took office, the publicity and briefing of the administration have become more lively and interesting. Wang,Ying-Wei often encourages colleagues to transform complex medical knowledge and spread health knowledge to the public in an approachable way. Therefore, the nutrition promotion "my healthy meal plate" publicity of the Health Promotion Administration has abandon the the past grams of protein, vegetables and fruits form, and adopted the units that are easier for the public to understand, such as amount of a palm or a fist.
In February 2021, Wang,Ying-Wei returned to Hualien Tzu Chi Hospital after his secondment with the Health Promotion Administration expired. This 19-year-old young man who came from Hong Kong has been engaged in rural medical treatment in Taiwan for more than 40 years. His parents bone ashes have long been enshrined in Hualien, the "Hometown" he emotionally identifies with. He believes that people cannot live without ideals, and "protecting the health of the whole people, with happy life and a good end" is his original intention that will never change since he practiced medicine.
The above manuscript is excerpted and rewritten from {from happy life to a good end: Dr. Wang,Ying-Wei's integrated health care}
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