查詢結果分析
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頁籤選單縮合
題 名 | Emergency Department Patients Who Leave without Being Seen by a Doctor: The Experience of a Medical Center in Northern Taiwan=未經診視自行離開急診部門病患之探討 |
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作 者 | 廖浩欽; 廖訓禎; 胡百敏; 李強中; 陳進明; 王豐林; | 書刊名 | 長庚醫學 |
卷 期 | 25:6 2002.06[民91.06] |
頁 次 | 頁367-373 |
分類號 | 419.39 |
關鍵詞 | 未經診視自行離院; 急診部門; Leave without being seen; Emergency department; |
語 文 | 英文(English) |
中文摘要 | 背景:本研究主要目的在了解病患未經診視即離開急診部門之因素,及其離開急診後是否有再尋求其他的醫療處置。 方法:本研究於1999年1月1日起至6月30日止,於臺灣北部一所醫學中心急診部門針對經診視即離開急診部門之病患進行一橫斷式研究,資料蒐集來源除包括經病歷回顧所獲得之人口變項資料、就醫主訴及嚴重度外,主要為於病患離開急診部門三週內所進行之結構式電話問卷調查。 結果:於資料蒐集期間該醫學中心急診部門共有74,485就醫人次,其中有77(0.1%)名病患未經診視即離開,大部分未經診視即自行離開急診部門的病患其疾病嚴重度較低度較低(75/77),58%(45/77)的病患在掛號後一小時內自行離開。77名未經診視即離開病患中有39.0%(30/77)電訪成功;訪問結果發現病患離開急診之主要原因依序為等候時間過長(53.3%)、急診部門看起來很忙(20.0%)及自行轉至門診就醫(13.3%)。九成的受訪者均認為他們應在例急診就醫的60分鐘內被醫師診視;約有一半(46.6%)的受訪者於離開該急診部門後一天內有再尋求醫療協助。 結論:本研究發現本急診部門的未經診視即離開病患與總急診就醫人次之比率很低,僅0.1%,且此類病患就醫時之疾病嚴重度較低,而離開之原因主要為等候時間過長;約有一半的受訪者於離開急診部門後一天內再尋求醫療協助。 |
英文摘要 | Backgorund: To determine why emergency department (ED) patients leave without being seen (LWBS) by a physician and to ascertain whether they receive alternative medical care. Methods: A cross-sectional study was conducted of patients who left without being seen by a physician between January 1 and June 30, 1999 in a medical center ED in northern Taiwan. Medical records were reviewed for population demographics, presenting complaints, and clinic acuity rating. Follow-up telephone interviews were conducted within 3 weeks after the patient left the ED. Results: Of 74,485 registered patients, 77 (0.1%) left without being seen by a doctor, and follow-up was achieved for 39.0% (30 of 77) of these. Ninety-seven percent (75 of 77) had low acuity ratings, and 58% (45 of 77) left within 60 min after registration. The respondents cited the following 3 leading reasons for leaving: prolonged waiting times (16 of 30, 53.3%), ED appeared busy (6 of 30, 20.0%), and self-referral to the hospital outpatient department (4 of 30, 13.3%). Most respondents believed that they should have been evaluated by a physician within 60 min of presentation. About half (14/30, 46.6%) of them sought further medical care within 24 h after they left the ED. Conclusion: In our study, only 0.1% of patients who sought care in the ED left without being seen by a physician. The majority of survey respondents had a low acuity rating and left because of long waiting times. Half of the patients who left without being seen sought alternative medical care. |
本系統中英文摘要資訊取自各篇刊載內容。