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題 名 | 急診病患對轉門診追蹤醫囑順從性之探討=Clinic Follow-up Compliance Following Emergency Department Referral |
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作 者 | 李文正; 廖訓禎; 廖浩欽; 駱聰成; 林忠順; 李強忠; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 3:3 2001.09[民90.09] |
頁 次 | 頁9-16 |
分類號 | 419.39 |
關鍵詞 | 急診; 門診追蹤; 順從性; Emergency department; Out-patient clinic follow-up; Compliance; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:針對急診預約門診追跌的病忠,探討影響病患回到門診追蹤的原因。 方法:在桃園某醫學中心的急診室,於民國89年2月1日至28日的一個月期間,以前瞻性的方式收集被以電腦預約3日內門診追蹤的成人非外傷急診病例,共有189人完成病歷回顧與電話問卷調查,平均年齡為49.7±17.1歲,其中男性有97人。 結果:有按照電腦預約門診時間回診者共145人(76.7%)。女性較男性未回診的比例稍高(26.1%對20.6%,p=0.374),教育程度越高未回診的比例越高(p=0.193),回診科別為該科舊病人時較新病人有轉多的未回診的比例(45.8%對20.0%,p=0.005),病人住距離院之遠近則表現出相似的回診率(76.2%對76.8%,p=0.951),未回診較有回診呈現象(平均年齡44.9±15.5歲對51.1±17.3歲,p=0.043),有無將病情解釋清楚似乎並不會影響回診率(76.9%對75.0%,p=0.865),對整個急診治療過程越不滿意時有越低的回診比例(p=0.040)。 結論: 急診成人非外傷病患若年級較輕、對治療過程較不滿意或預約噡診科別為該科舊病人時,其門追蹤之順從性較低,急診醫師如認為病情可能會產生變化時,應留置病人繼續檢查治療。 |
英文摘要 | Objective: The analysis focused on patients who are emergency cases given clinic follow-up appointments to identify the factors affecting patients’ clinic follow-up compliance. Method: This study collected prospectively adult non-traumatic emergency cases given a clinic follow-up appointment in 3 days by computer over a one month period from February 1 to 28, 2000. The study was carried out at the emergency room of a medical center at Taoyuan. The chart review and telephone questionnaire were completed by 189 persons. The average age was 49.7±17.1 years old. There were 97 males patients. Results: Of the computer appointments made, 145 persons 976.7%) revisited the clinic. Females showed a higher rate of failed appointment than males (26.1% versus 20.6%, p=0.374), as who had previously had a follow-up appointment (45.8% versus 20.2%, p=0.005). Distance from the patients’ residence to the hospital made no difference (76.2% versus 76.8%, p=0.951). however, the group that failed to keep their appointments showed a lower average age (average age 44.9±15.5 versus 51.1±17.3 years old, p=0.043). Whether the diagnosis was clear-cut or fuzzy had no effect (76.9% versus 75.0%, p=0.865). dissatisfied patients showed had a lower rate of compliance (p=0.040). Conclusion: Adult non-traumatic emergency patients, who are younger, are more dissatisfied with the treatment or who have previously had a follow-up appointment have a lower rate of compliance. If emergency physicians think the diagnosed condition is significant and requires attention in these groups of patients, then they should admit the patient for ongoing treatment and examination. |
本系統中英文摘要資訊取自各篇刊載內容。