國內外與台灣921 地震的震災經驗中發現，災區中大部分醫院建築結構耐震方面皆有傑出的表現，至少都能達到「大震不倒」顧及建築物內人員安全的程度；但由於院內功能性設施的損壞，導致醫療設備物無法發揮正常的性能，使得醫院醫療功能受阻甚至無法運作，未能在災後第一時間發揮緊急醫療功能，甚至必須在震後付出高額費用維修受損的設備物。醫院建築在震後必須維持醫療機能以處理大量湧入的急診病患，並保護醫院中行動不便的病患，因此在提昇醫院建築結構的耐震力時，必須共同提昇功能性設施的耐震能力，至此才能完全保障醫院人員安全與急救醫療功能。

本論文透過已建立的功能性設施耐震評估方法，對高屏地區八家區域級醫院進行調查評估，列出破壞風險，並提供補強策略之建議，達到災害預防的效果並增加醫院對功能性設施的重視。

八十九年起衛生署關於醫院非結構、功能性設施的科技研究計畫針對地區級以上的急救責任醫院進行評估，至今已完成十八家醫院，累計有數十筆機電系統邏輯樹圖與近千筆重要機電系統設備物的耐震性能評估，因此本文整合這些調查結果，藉統計分析來瞭解醫院重要機電系統特性與常見之耐震缺。最後分析出經常影響系統分數高低的關鍵性耐震弱點設備物，以供未經非結構物詳細耐震檢測程序之醫院，得以設定優先改善設備物的準則。

People may learn from the Chi-Chi Earthquake and other past earthquake experience that many hospitals structures have high seismic capacity to resist earthquake. But many hospitals could’t maintain emergency medical operations because of the damages and malfunctions of the operational and functional components (OFC).Because of hospitals may spend lots of money to repair or to replace broken OFC after an earthquake. Hospitals should maintain their emergency medical function in order to respond to the injuries at a short time and to protect handicapped, therefore, improvement of OFC’s seismic capacity is needed in Taiwan.

This study composes of two parts. Firstly, seismic evaluation for OFC systems is conducted in 8 regional hospitals in the southern of Taiwan to identify seismic resistant
weak links. Through this evaluation, seismic weak links that lead to suggestions for retrofit in order to keep hospitals′ emergency medical operations normal is recommended.

Secondly, DOH (Department of Health, executive Yuan, Taiwan) published researches
that included seismic evaluation for OFC systems of 18 regional responsibility ospitals.
This study summarized all the evaluation results into statistics to identify properties and common seismic resistant defects of electrical and mechanical system in hospital
buildings. Moreover, this study also identified electrical and mechanical equipment,
which were seismic resistant weak links. These analysis results provide hospitals
guideline to perform seismic retrofit design without detail evaluation.

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