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題 名 | 某區域醫院超長住院案例之相關因素探討=Factors Related with the Extra-length Hospitalization Patients: Cases from a Regional Hospital |
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作 者 | 吳筱芸; 宋淑英; 楊宗盛; | 書刊名 | 寶建醫護與管理雜誌 |
卷 期 | 8:2 2010.12[民99.12] |
頁 次 | 頁45-54 |
分類號 | 419.39 |
關鍵詞 | 超長住院; 住院天數; 出院狀況; Extra-length hospitalization; Hospitalization days; Discharge; |
語 文 | 中文(Chinese) |
中文摘要 | 改善超長住院指標有助於提升經營管理效益,透過探討超長住院個案相關因素,掌握品質問題,來改善機構內超長住院的現象,南部某區域醫院之超長住院病患以男性較多,且年齡層大多分佈在老年人口(61 歲以上),女性平均年齡高於男性。內科病患之平均住院日為39.3 天高於外科病患的36.1 天,P 值(0.031)<0.05 顯示不同科別之住院天數有顯著差異。統計各科住院原因,內科病患有14%為敗血症患者,外科病患有4.5%為結腸惡性腫瘤、伴有腦梗塞之腦動脈阻塞、未明示或慢性十二指腸潰瘍併穿孔、腸或腹膜黏連併阻塞、肝膿瘍及慢性肝病之後遺症及受傷後之硬腦膜下出血未提及開放性顱內傷口。病患不願出院原因統計有86.9%為疾病因素-擔心病況不穩或合併症治療中。追蹤病患後續安置情形,繼續接受醫療照護者佔32.4%,因個案大多為高年齡層之病患,且伴有多重疾病因素,病情尚未穩定,因此往往是醫師、病患或家屬決定出院與否的最大的考量。 |
英文摘要 | An improvement in the extra-length hospitalization can assure a better managerial effectiveness for a hospital. Based on the analyses on extra-length hospitalization cases, exploring the causes that may stemmed from service quality would be a possible approach. The case hospital in this research located in southern Taiwan. Patients with extra-length impatient problems were mostly male gender with older ages (61 years and above). Average hospitalization was 39.3 days for patients who were admitted by the internal medicine department, and 36.1 days for those admitted by the surgical departments. The statistical result shows significant differences in terms of hospital departments (p=0.031). Causes for these patients were 14 % by septicemia for internal medicine, 4.5% by colon malignant tumor, along with cerebral artery blocking of cerebral infarction. Other included were a duodenal ulcer with perforation, or the intestines or the peritoneum adhere and block, liver pus sore, and the sequela of chronic liver disease, as well as a subdural hemorrhage after injuries and unmentioned open encephalic wound. The majority of patients who against discharge are those concentrated on worrying deterioration of the diseases or the complications caused by the disease (86%). There were 32.4% of these patients remained hospitalization in the case hospital, whom were aged patients with multiple diseases and were in unstable biological. These patients would be a challenge to both the physician and the patient (and the family as well) in a decision of discharge. |
本系統中英文摘要資訊取自各篇刊載內容。