(原文自轉貼PTT轉貼)
                                                                                
Dr. Chien-Jen Chen
Minister
Department of Health
#100 Ai Kuo East Road
Taipei, Taiwan 100, ROC
                                                                                
                                                                                
18 December 2003
                                                                                
Dear Minister Chen:
                                                                                
This letter is to express my concerns about the recent controversial issue in
Taiwan related to allied health services, particularly to occupational therapy
(OT) services. I have received complaints from our OT colleagues in Taiwan that
a recent amendment of health insurance regulations allows rehabilitation
medicine physicians to execute OT services, given the law in your country
states that OT services should be carried out by certified occupational
therapists or OT assistants.
                                                                                
World Federation of Occupational Therapists (WFOT) is the key official
international organization for the promotion of OT around the world.  WFOT was
admitted into official relations with the World Health Organization (WHO) in
1959 and was recognized as a Non-Governmental Organization (NGO) by the United
Nations.  WFOT also has full professional relationships with many other
International Non-Governmental Organizations.
                                                                                
As the President of WFOT, I would like to share my witness with you about how
actively the occupational therapists from your country have engaged in the
business of WFOT. I applaud the success of the occupational therapists in your
country for achieving the international OT standards in professional education,
practice and research.  All of the five OT baccalaureate educational programs
in Taiwan have reached the WFOT Minimum Standards of Education for Occupational
Therapists and are included in the school list on WFOT website.  I have full
confidence that these certified occupational therapists have the competence to
provide high quality professional services.
                                                                                
While healthcare provision is emphasizing competence in professional practice
worldwide and with the development of the International Classification of
Function (ICF) by WHO, higher quality of OT services has been pursuing around
the world.  From the perspective of world health, only professionally trained
and qualified OT practitioners being legitimate providers of OT services
implies higher quality of healthcare.  If the health policy in your country
changes to allow people other than occupational therapy professionals to be
reimbursed for OT services, it is going opposite to the world healthcare
development.  The assurance of quality OT practice in your country will soon be
questioned by the world OT community.  We urge that OT services in your country
be provided only by qualified OT practitioners; and these services be
reimbursed only when provided by qualified OT practitioners.
                                                                                
I appreciate your acknowledging of the unique training background and the
professional requirements for occupational therapists. And I trust your wisdom
in resolving the current controversial issue.
                                                                                
Yours faithfully,
                                                                                
Kit Sinclair, PhD, OTR, FAOTA, FWFOT
President
                                                                                
cc. Ministry of Foreign Affairs, Taiwan ROC
Bureau of National Health Insurance
Ms. Hui-Fen Mao, President, Occupational Therapy Association of the Republic of
China
                                                                                
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