2025年WONCA世界大會「亞太家庭醫學最新進展研討會」回顧：六國現況、挑戰與革新之啟示
 
許晴瑞¹ 陳秀娟¹ 李孟智^1,* 程劭儀² 張必正³ 黃振國⁴
 

本文報告2025里斯本WONCA (World Organization of Family Doctors)世界大會舉辦「亞太家庭醫學最新進展研討會」，回顧澳洲、中國大陸、台灣、日本、菲律賓、印尼六國家庭醫學的發展現況、挑戰與社區照護中的革新，以為參考。
各國進展重點如下：澳洲制度成熟但面臨人力短缺與財務壓力，正推動論質計酬、數位轉型與擴大健保總額；中國大陸推行家庭醫師簽約服務以提升基層利用率，惟面臨品質與區域差異之挑戰；台灣透過法規保障病人自主權，在安寧緩和醫療展現高品質與國際影響力，但在非癌照護與人力上仍有進步空間；日本因應超高齡社會，致力於推動「30分鐘生活圈」的社區整合照護系統與跨專業團隊訓練；菲律賓與印尼則皆透過國家法令（如《全民健康法》、《2023年健康法》）強化家庭醫師在社區的主體性，並致力於改善訓練體系與醫療資源分布不均之問題。本文末綜整各國經驗，提出對台灣家庭醫學發展之啟示。
(台灣家醫誌2026; 36: 90-98) DOI: 10.53106/168232812026063602003
 
關鍵詞：世界家庭醫師組織、亞太地區、最新進展、社區衛生、基層醫療保健照護

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¹衛生福利部台中醫院家庭醫學科
²台灣大學醫學院附設醫院家庭醫學部
³張必正家庭醫師診所
⁴黃振國診所
受理日期：114年12月5日 修改日期：115年2月10日 同意刊登：115年3月3日
^*通訊作者：李孟智 通訊地址：台中市西區三民路一段199號 Email：mengchihlee@gmail.com

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A Review of the 2025 WONCA World ConferenceSymposium on Recent Advances in Asia-Pacific FamilyMedicine: Current Status, Challenges, and Insights forInnovation across Six Nations
 
Ching-Jui Hsu¹, Hsiu-Chuan Chen¹, Meng-Chih Lee^1*, Shao-Yi Cheng²,Brian Bih-Jeng Chang³ and Cheng-Kuo Huang⁴
 

This paper reports on the "Symposium on Recent Progress in Family Medicine in the Asia-Pacific Region" held during the 2025 WONCA (World Organization of Family Doctors) WorldConference in Lisbon. It reviews the current development, challenges, and innovations incommunity care across six countries/regions—Australia, Mainland China, Taiwan, Japan, thePhilippines, and Indonesia—to serve as a strategic reference.
The key progress of each nation is summarized as follows: Australia possesses a maturesystem but faces health workforce shortages and financial pressures; it is currently promoting valuebasedfunding, digital transformation, and the expansion of the Medicare budget. Mainland China isimplementing family doctor contract services to increase primary care utilization, though it faceschallenges regarding quality consistency and regional disparities. Taiwan has demonstrated highqualitypalliative care and international influence through legal frameworks protecting patientautonomy; however, there is still room for improvement in non-cancer care and manpowerdistribution. Japan, in response to a super-aging society, is dedicated to promoting the "CommunitybasedIntegrated Care System" within a "30-minute living radius" and interdisciplinary teamtraining. The Philippines and Indonesia are both leveraging national legislation (such as theUniversal Health Care Act and the Health Law of 2023) to strengthen the central role of familyphysicians in the community, while striving to improve training systems and address the inequitabledistribution of medical resources. Finally, this paper synthesizes these international experiences toprovide insights for the future development of family medicine in Taiwan.
(Taiwan J Fam Med 2025; 35: 90-98) DOI: 10.53106/168232812026063602003
 
Key words: Asia-Pacific region, community health, primary health care (PHC), recent progress,World Organization of Family Doctors (WONCA)
 

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¹Department of Family Medicine, Taichung Hospital, Ministry of Health and Welfare
²Department of Family Medicine, National Taiwan University Hospital
³Brian's Family Doctor Clinic
⁴Cheng-Kuo Huang Clinic
Received: December 5, 2025; Revised: February 10, 2026; Accepted: March 3, 2026.
^*Corresponding author