#ai

Lancet 柳葉刀刊出投書

讓兩大AI都閱讀內容後，問：

Are there any other relevant news or messages to refute or retract this text? Any controversies that have arisen from it? （是否有新聞或消息駁斥文章-或要求收回？文章是否引起任何爭議？）

回答：ChatGPT 說沒有，Perplexity 則反映這幾天的實際情況（政府和醫院官方回應）。

以下一字未改刊出兩AI的回答。

#paste/b

Chatgpt

目前，尚未有明確的官方聲明或媒體報導對《刺胳針》2025年4月26日刊登的〈Taiwan’s national health care on the brink of systemic collapse〉信件提出反駁、撤回或引發重大爭議。

然而，台灣的健保制度確實面臨長期結構性挑戰，例如醫護人力短缺、過度使用醫療資源、薪資停滯以及醫療人員過勞等問題。這些問題已被多位學者、政府官員和媒體指出。例如，前健保署署長李伯璋在2023年的一篇社論中提到，台灣民眾平均每年就診次數高達14次，遠高於其他國家的平均值，導致醫療人員負擔沉重，並呼籲推動分級醫療和合理的自付機制，以減輕醫療體系的壓力。 (Taiwan’s health care system: The next 20 years, We must support healthcare reform - Taipei Times)

此外，《刺胳針》在2024年8月也曾刊登過一封標題為〈The Taiwan health-care system: approaching a crisis point?〉的信件，指出台灣醫療體系正面臨危機。該信件後來因未附上編輯註解而被更正，並補充說明《刺胳針》對領土主張保持中立立場。 (The Taiwan health-care system: approaching a crisis point? | CoLab)

總體而言，雖然2025年的這封信件引發了對台灣醫療體系現況的關注，但目前尚未出現具體的反駁或撤回聲明。這反映出該信件所提及的問題在台灣社會中確實存在，並且需要持續關注和改革。 (The “Societalization” of pandemic unpreparedness: lessons from Taiwan’s COVID response - PMC)

Perplexity

Official Government Response and Refutation / 官方政府的回應與駁斥

Taiwan's Minister of Health and Welfare, Chiu Tai-yuan, publicly criticized the Lancet letter for containing "multiple inaccuracies" and harming the morale of frontline health workers. / 台灣衛生福利部長邱泰源公開批評《柳葉刀》的信件包含「多項不實之處」，並損害了第一線醫護人員的士氣。

He specifically disputed the claim that Taiwan's hospitalized COVID-19 mortality rate during the 2022 Omicron surge was 58.2%, stating that the actual case fatality rate was 0.16%, lower than Japan's 0.2%. / 他特別反駁了關於台灣在2022年Omicron疫情期間住院COVID-19患者死亡率為58.2%的說法，指出實際病例死亡率為0.16%，低於日本的0.2%。

Chiu also corrected the letter's figures on nurse staffing, noting that Taiwan has 83 nurses per 10,000 people (not 62), which compares favorably internationally, though he acknowledged ongoing challenges. / 邱部長還糾正了信中關於護理人員配置的數字，指出台灣每1萬人有83名護士（不是62名），這在國際上具有優勢，儘管他承認仍存在挑戰。

The government announced it would formally respond to The Lancet to clarify the situation and defend the National Health Insurance system. / 政府宣布將正式回應《柳葉刀》，以澄清情況並捍衛全民健康保險制度。

Retraction and Admission of Errors by the Authors' Institution / 作者機構的撤回與錯誤承認

China Medical University Hospital (CMUH), where the letter's authors work, issued a statement admitting the letter contained factual errors and that the doctors were "deeply apologetic" for the mistakes. / 中國醫藥大學附設醫院（CMUH），即該信作者的工作地點，發表聲明承認該信包含事實錯誤，並且這些醫生對這些錯誤「深感歉意」。

CMUH clarified that the 58.2% figure was a misreading of a study: it referred to the percentage of critically ill, intubated COVID-19 patients infected with the Omicron variant, not the mortality rate for all hospitalized patients. / 中國醫藥大學附設醫院澄清說，58.2%的數字是對一項研究的誤讀：它指的是感染Omicron變種的重症、插管COVID-19患者的百分比，而不是所有住院患者的死亡率。

The hospital also corrected the nurse staffing figure, stating the real number was 78 per 10,000 people in 2021, not 62 as claimed in the letter. / 該醫院還糾正了護理人員配置的數字，聲稱2021年的實際數字是每1萬人78人，而不是信中所稱的62人。

CMUH and the authors have formally requested The Lancet publish a correction and compiled a detailed list of mistakes for rectification. / 中國醫藥大學附設醫院和作者已正式要求《柳葉刀》發表更正，並編制了詳細的錯誤清單以進行糾正。

Broader Context and Impact / 更廣泛的背景與影響

The controversy has caused confusion and concern within Taiwan's medical community. / 這場爭議已在台灣醫療界引起了混亂和擔憂。

The hospital and government have both emphasized the high standards and ongoing improvements of Taiwan's health-care system. / 醫院和政府都強調了台灣醫療保健系統的高標準和持續改進。

The incident has been widely reported in Taiwanese media, and the swift admission of error by the hospital, along with the planned correction in The Lancet, indicates a clear retraction of the erroneous claims. / 該事件已在台灣媒體上廣泛報導，醫院迅速承認錯誤，以及計劃在《柳葉刀》上進行更正，都表明已明確撤回了錯誤的主張。

In summary: / 總結：

There has been a strong and immediate response from both Taiwan's health authorities and the authors' own institution, refuting and retracting the key claims made in the Lancet letter. / 台灣衛生主管部門和作者的機構都做出了強烈而迅速的回應，反駁並撤回了《柳葉刀》信中的關鍵主張。

The controversy has led to an official correction process and public clarification of the actual situation in Taiwan's health-care system. / 這場爭議已導致官方的更正流程和公眾對台灣醫療保健系統實際情況的澄清。