對成癮醫學專家的迫切需求
The urgent need for more addiction medicine specialists
Updated at: June 9, 2026 at 09:45 AM
成癮醫學常被稱為「醫學界秘而不宣的秘密」。
Addiction medicine is often called 'medicine's best-kept secret.'
儘管數百萬人飽受物質使用疾患(Substance Use Disorders, SUDs)之苦，醫療保健體系卻面臨治療這類病患的專科醫師嚴重短缺的問題。
While millions suffer from substance use disorders (SUDs), the healthcare system faces a critical shortage of specialists to treat them.
許多醫學生與住院醫師在培訓期間鮮少接觸該領域，導致他們在處理複雜的成癮案例時顯得準備不足。
Many medical students and residents rarely encounter this field during their training, leaving them unprepared to manage complex addiction cases.
此外，勞動力高齡化意味著現有的專科醫師即將退休，進一步威脅到醫療資源的枯竭。
Furthermore, an aging workforce means that current specialists are nearing retirement, threatening to deplete our resources even further.
污名化的觀感、僵化的培訓途徑以及制度上支持不足等障礙，讓許多人對進入該專業望而卻步。
Barriers such as stigmatized perceptions, rigid training pathways, and insufficient institutional support discourage many from entering the specialty.
其後果極其嚴重：對於像是鴉片類藥物使用疾患之藥物治療等救命且具實證基礎的醫療手段，多數有需求的病患仍無法取得。
The consequences are dire: life-saving, evidence-based treatments, like medication for opioid use disorder, remain inaccessible to most who need them.
為了解決此問題，我們必須將成癮教育納入醫學核心課程，並授權全科醫師提供整合性的照護。
To address this, we must integrate addiction education into core medical curricula and empower general practitioners to provide integrated care.
透過改革政策並在醫療系統內部培育支持性的文化，我們能從反應式模型轉型為永續且公平的成癮治療方法。
By reforming policy and fostering a supportive culture within health systems, we can transition from a reactive model to a sustainable, equitable approach to addiction.
解決這場危機需要超越個人的努力，轉向系統性的變革，以確保成癮醫學能成為現代醫療保健中一個標準且易於取得的支柱。
Solving this crisis requires moving beyond individual effort toward systemic change, ensuring that addiction medicine becomes a standard, accessible pillar of modern healthcare.
