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頁籤選單縮合
題 名 | 急性心肌梗塞醫療品質與費用的探討=Study of Quality and Expenses in AMI Patients |
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作 者 | 彭奕欣; 姚敏瓊; 黃秋宗; 張永源; | 書刊名 | 安泰醫護雜誌 |
卷 期 | 15:2 2009.06[民98.06] |
頁 次 | 頁97-110 |
分類號 | 419.45 |
關鍵詞 | 急性心肌梗塞; 醫療品質; 臨床準則; Acute myocardial infarction; Medical quality; Clinical guidelines; |
語 文 | 中文(Chinese) |
中文摘要 | 心臟疾病為十大死因排名第三,而又以急性心肌梗塞死亡率最高,若能在適當的時機給予適當的醫療處置,可降低急性心肌梗塞病人死亡的風險。有鑑於此,本研究以回朔探討東部某區域醫院急性心肌梗塞住院病人,符合臨床準則項目多寡與醫療品質及醫療費用之相關性。研究結果發現,急性心肌梗塞住院病人符合臨床準則項目多寡與併發症、死亡率、30天再住院率有顯著差異;與住院天數、醫療費用沒有顯著差異;病人年齡與費用有顯著正相關;平均住院天數、醫療費用、有無併發症與同體系其他院區有顯住差異。結論,依臨床準則執行醫療處置,可降低急性心肌梗塞病人死亡率,並減少醫療費用花費,國內應大力推動疾病臨床治療準則,提昇醫療機構照護品質並讓醫療費用支出達到最大效益。 |
英文摘要 | Heart disease has been the third place of the top ten cause-of-death of our country in recent years. Amongst the acute myocardial infarction has the highest mortality rate. However, the mortality rate of AMI can be lowered should the appropriate medical treatments could be given in appropriate time. Therefore, the purpose of this study is to retrospectively investigate the relation between the compliance of clinical indicators of AMI inpatient and medical quality and medical expenses. Our study found that the numbers of compliance items in clinical guidelines are statistically significant in association with the complications, mortality rate, and readmission in 30 days. And we did not find the significance in length of stay and medical expenses. The age of AMI patients is significantly associated with expenses. And the female is significantly higher than the male patients in length of stay. The average length of stay, medical expenses, and complications significantly has the variation among the three studied hospitals in the same multi-hospital system. In conclusion, complying with evidence-based AMI clinical guideline can reduce the mortality of AMI patients and medical expenses. It is recommended that we should greatly promote clinical practice guideline in medical care and improve medical quality, and maximize the effort of medical expenses. |
本系統中英文摘要資訊取自各篇刊載內容。