頁籤選單縮合
題 名 | 某醫學中心家庭醫學科病房住院病患疾病診斷之現況=Current Status of Diseases for Hospitalization at the Department of Family Medicine in a Medical Center |
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作 者 | 黃建勳; 黃國晉; 劉文俊; 梁繼權; 呂碧鴻; 陳慶餘; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 11:4 2001.12[民90.12] |
頁 次 | 頁172-179 |
分類號 | 419.55 |
關鍵詞 | 家庭醫學科; 住院病患; 疾病診斷; Inpatient care; Diagnosis; Chronic disease; Acute illness; |
語 文 | 中文(Chinese) |
中文摘要 | 住院病人的照顧是家庭醫學專科醫師養成訓練計畫中重要的一部份,而家庭醫學科病房的設置,提供了更方便且周全的訓練內容。本研究的主要目的是調查臺大醫院家庭醫學科過去兩年內住院病患常見疾病之分佈,進而作為未來專科醫師教育訓練及醫療照顧的參考。樣本取自臺大醫院家庭醫學科病房自1999年7月至2001年6月間的住院資料,內容包括年齡、性別、住院天數和最多六個診斷之ICD9-CM代碼等,再以Rosenblatt發展之「聚集方法」重新編碼,並加入國人常見的肝病、結核病和高脂血症三個疾病的新代碼。共計1,183住院人次,男、女分別佔47.6%及52.4%,平均年齡為58.2±18.4歲,其中以65歲以上的老年人最多,佔42.7%。住院之主要原因(主診斷)以皮膚或軟組織的感染(11.4%)、泌尿道感染(10.8%)及下呼吸道感染等(7.9%)之急性病症,或癌症及腦血管疾病等為主;而全部的診斷則以慢性病居多,包括糖尿病(29.2%)、高血壓(29.0%)及肝病(14.7%)等。此外,住院病患中罹患癌症前三名依次為肝癌(31.7%)、肺癌(22.1%)及大腸直腸癌(11.0%)。所有病人平均住院日數為12.1天,平均診斷數為3.7個,住院天數與年齡及診斷數明顯相關;轉科率為9.5%,其中以轉至外科(37.2%)和內科(31.0%)的比率最高。結果顯示,家庭醫學科病房之住院病患以中老年人為主,常見的診斷為內科慢性疾病,但住院原因則以急性病症為主,且疾病型態與門診有明顯差異。因此,未來要設立家庭醫學科病房的醫院,建議必需加強某些疾病照顧的專業訓練,以提供病人更周全的醫療照顧。 |
英文摘要 | Inpatient care is one of the most important training courses for the family physicians. The study was designed to investigate the pattern of diseases of the inpatient ward at the Department of Family Medicine of a medical center. We reviewed charts of 1,183 admissions during the period from July 1999 to June 2001. Diagnoses of these patients were recorded according to the ICD-9-CM system, and were re-coded by the modified Rosenblatt's Cluster Method. 47.6% of the patients were male with the remaining 52.4% were female. The mean age was 58.2±18.4 years old. The average length of stay was 12.1 days, and the mean number of diagnoses was 3.7. The prevalent diseases found were the chronic disorders as diabetes mellitus (29.2%), hypertension (29.0%) and hepatic diseases (14.7%), etc. In addition, there were 12.3% of the patients with diagnosis of malignancy. But the main reasons for admission were the acute diseases or acute exacerbation in chronic disorders such as soft tissue infection (11.4%), urinary tract infection (10.8%) and low respiratory tract infection (7.9%). The patients with more diagnosis were found to stay longer in hospital. 9.5% of the patients were transferred to the other specialty wards during hospitalization. Our study shown that there were significant differences of the disease patterns between inpatient and outpatient cares. Further training will be needed for the family physicians who want to attend the inpatient care. |
本系統中英文摘要資訊取自各篇刊載內容。