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題名 | 精實醫療之監所藥事服務=Lean Principle in Imprisoned Clinical Pharmaceutical Service |
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作者姓名(中文) | 徐右繡; 顏金鳳; 藍慈惠; 顏大欽; | 書刊名 | 藥學雜誌 |
卷期 | 30:2=119 2014.06[民103.06] |
頁次 | 頁111-116 |
分類號 | 418.1 |
關鍵詞 | 監所; 共病; 精實醫療; |
語文 | 中文(Chinese) |
中文摘要 | 自2010年11月以來,國民健康保險局 (2013年8月起改制為國民健康保險署) 在高 雄的某監所,進行大規模策略的更改,就是促成約1500名男性監獄受刑人,和約700 名女性受刑人,加入健保,而使其受益於醫療及護理。骨科門診病人,除了骨關節神 經病變的診斷以外,也常有各種的共病,需要一併醫療:例如慢性疾病:糖尿病、高 血壓、代謝性疾病等,各種發病可以相互掩蓋真正診斷,而造成多重用藥的困擾。相 對的,在擁擠的環境下,高接觸傳染性的環境中,疥瘡的流行率是10%左右,污染的 傷口,可能會導致進一步蜂窩性組織炎、或深度骨性感染。持續及整合療法組合,必 須處理包括:上呼吸道感染、泌尿道疾病、腎臟病、皮膚病、替代療法藥物、甚至於 HIV 人類免疫病毒等。經過精實醫療的藥事服務,治療的病人可能因此受益於簡單的 措施,可以減少全身性或與一些醫療處置相關的併發症,進而節省醫療資源,讓監獄 收容人感受到醫療品質的有效提升。 |
英文摘要 | Since 2010, imprisoning medication in Kaohsiung proceeded massive change due to the policy of the National Health Insurance. There were about 1500 male prisoners and 700 female prisoners benefited from medical and nursing care. In the orthopedic outpatients, the diagnosis of a compression neuropathy may be straightforward. However, various medical co- morbidities can obscure the diagnosis each other. Besides the crowded and easily infected environment, the prevalence of scabies is about 10%, contamination of scrunched wounds may lead to cellulites or profounder bony infection. Therapies of lean principal including to deal with the upper respiratory infection、human immune virus deficiency、urinary tract infection、diabetes、chronic kidney disease、hypertension、skin lesions、even the alternative medication. Patients undergoing treatment may benefit from temporizing measures to reduce systemic complications associated with some procedures. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。