傳染病防治醫療網作業辦法

These Regulations are enacted pursuant to Paragraph 4, Article 14 of the Communicable Disease Control Act (hereinafter referred to as the “Act”).

The division of the communicable disease control medical network by region stipulated in these Regulations is set forth in the Appendix.

The central competent authority may, pursuant to Paragraph 2, Article 14 of the Act, designate one commanding officer and two deputy commanding officers for each region of the communicable disease control medical network.

1Regional commanding officers shall, in accordance with the instructions of the central competent authority, perform the following duties, and the deputy commanding officers shall assist accordingly:

21. Review relevant plans of each region in the communicable disease control medical network;

32. Provide guidance to and assess local competent authorities and medical institutions regarding infectious disease prevention and control matters;

43. Provide guidance to and assess the annual transport drills conducted by local competent authorities and medical institutions for communicable disease patients who are critically ill, infants and young children, hemodialysis patients, pregnant women, or other special categories of patients;

54. Assist the central competent authority in coordinating communicable disease resources both within and outside the regions to conduct emergency response operations when an epidemic occurs across multiple municipalities or counties (cities);

65. Assist in planning post-epidemic recovery efforts; and

76. Conduct other tasks as instructed.

8The regional commanding officers may invite experts and scholars in medicine, infection control, public health, and other related fields as well as representatives of local competent authorities, to advise on the communicable disease prevention and control matters in the region.

1During the operational period of the Central Epidemic Command Center (hereinafter referred to as the “Command Center”), in accordance with the instructions of the Command Center commander, the regional commanding officers shall command, coordinate, and assign the following responsibilities, and the regional deputy commanding officers shall assist accordingly:

21. Conduct case assessment, epidemiological investigation, infection control in medical institutions, and other related matters within the region;

32. Designate, requisition, mobilize and allocate hospitals, hospital beds and personnel within the region;

43. Activate isolation and treatment of patients with communicable diseases at medical institutions within the region;

54. Assist the Command Center in coordinating communicable disease resources to conduct emergency response operations when an epidemic occurs across multiple municipalities or counties (cities);

65. Assist in planning post-epidemic recovery efforts; and

76. Conduct other tasks as instructed.

1The local competent authority shall, based on the characteristics and the distribution of medical facilities within the region, designate isolation hospitals to admit patients with communicable diseases who require isolation and treatment. Furthermore, the local competent authority shall, based on the public health needs related to disease control within the region and after consultation with the regional commanding officer, designate principal hospitals from among the isolation hospitals. The local competent authority shall submit the list of designated isolation hospitals and principal hospitals to the central competent authority for record and reference.

2The central competent authority shall establish classification criteria for the emergency medical care capacity of isolation hospitals for communicable diseases and conduct assessment accordingly. The local competent authorities shall encourage the participation of isolation hospitals in the capacity classification assessment.

3The central competent authority shall, based on the assessment results referred to in the preceding paragraph and after consultation with the regional commanding officer, designate the core hospitals.

4Core hospitals shall assist in enhancing the communicable disease care capacity of isolation hospitals within the communicable disease control medical network.

Each isolation hospital shall employ at least one infectious disease physician certified by the Infectious Diseases Society of Taiwan. However, in medically underserved areas where such board-certified infectious disease physicians are unavailable, isolation hospitals may employ a board-certified physician who has completed hospital infection control training recognized by a professional society within the preceding year.

1The designation of an isolation hospital shall be valid for a period of three years; upon expiration, re-designation or a one-time extension may be granted; the extension period shall not exceed three years.

2The competent authority may revoke the designation of an isolation hospital under any of the following conditions:

31. Failure to comply with the relevant regulations on isolation wards as required by the Establishment Standards for Medical Institutions.

42. Failure to comply with the provisions of the preceding Article.

53. Other conditions where the competent authority, upon evaluation, deems revocation of the designation necessary.

1Isolation hospitals shall implement the following measures in the admission of patients with communicable diseases:

21. On-site admission to the hospital.

32. Where necessary due to public health and epidemic prevention needs, patients may be transferred to principal hospitals or other designated facilities.

43. Patients with special communicable diseases that are highly contagious and have a high fatality rate, whether imported from abroad or involves limited local transmission, may be transferred to a core hospital when necessary.

5When no communicable disease outbreak has occurred, isolation hospitals may use isolation wards for communicable diseases as general wards.

6During the operational period of the Command Center, facilities admitting patients with communicable diseases shall operate in accordance with the instructions of the Command Center commander and shall not be subject to the restrictions set forth in Paragraph 1.

Isolation hospitals shall admit patients with communicable diseases or undertake necessary treatment measures in accordance with the provisions of the preceding article. If an isolation hospital is unable to provide appropriate admission or necessary treatments, it shall first provide suitable initial care and arrange for referral of the patient or report the case to the competent authorities for assistance.

Isolation hospitals shall fully cooperate with the competent authorities in inspecting and reviewing the policies of the communicable disease control medical network, as well as the facilities, equipment, protective devices and operational quality of isolation wards. Isolation hospitals shall also establish an emergency response plan for infectious diseases, which includes ward/area segregation and triage measures, and conduct regular drills.

The local competent authorities and isolation hospitals shall document and plan the mobilization of available personnel, supplies, facilities and transportation vehicles, and conduct drills at intervals determined by necessity.

1During the operational period of the Command Center, isolation hospitals shall give priority to admitting infectious disease patients in accordance with the instructions of the commander of the Command Center or the regional commander or regional commanding officer. When necessary, isolation hospitals shall provide isolation treatment in specific areas or implement measures such as ward/area segregation, triage, or zoned care.

2Hospitals referred to in the preceding paragraph and isolation facilities established under the instructions of the Command Center commander shall coordinate with the operation of the communicable disease control medical network.

3Where a regional commanding officer, upon assessment, deems it necessary to activate isolation hospitals or to request cross-regional support, a written statement of reasons shall be submitted for approval by the Command Center commander. In cases of emergency, verbal approval may be obtained in advance, and a written report shall be submitted within three days after activation.

4Activation is terminated on the date instructed by the Command Center commander or on the date the Command Center is dissolved. The Command Center may first notify the activated hospital verbally, and shall submit a written notice within three days after the termination of activation.

1The competent authorities may, at their discretion, provide subsidies for personnel training and drills conducted by isolation hospitals, as well as for the procurement and maintenance costs of isolation ward facilities and equipment.

2When an isolation hospital’s operations are affected due to its activation for admitting and treating patients with communicable diseases under the preceding article, the central competent authority may subsidize the difference between the total medical expenses incurred by the affected hospital under the National Health Insurance during the activation period and those of the corresponding period in the preceding year. If the Command Center has been in operation for more than one year, the central competent authority may subsidize the difference between the total National Health Insurance medical expenses during the activation period and those of the corresponding period one year prior to the establishment of the Command Center, as directed by the commander of the Command Center.

3During the operational period of the Command Center, dedicated infection control personnel at isolation hospitals may be eligible for discretionary allowances or subsidies.

4The subsidy period for the preceding two items shall commence from the month of activation and continue until three months after the month in which the activation is terminated.

These Regulations shall take effect on January 1, 2026.