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題 名 | 「社區關懷醫師整合性照護--士林、北投區試辦計畫」的發展與成果分析=Development and Outcome Analysis of Pilot Community-based Family Physicians Integrated Care System in Shilin and Beitou |
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作 者 | 李龍騰; 詹其峰; 洪德仁; | 書刊名 | 北市醫學雜誌 |
卷 期 | 13:1 2016.03[民105.03] |
頁 次 | 頁1-14 |
分類號 | 419.56 |
關鍵詞 | 家庭醫師制度; 整合性照顧; 家庭訪視; 獨居; 社區關懷; Family physician system; Integrated care; Home visit; Living alone; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:臺北市立聯合醫院為落實家庭醫師制度,讓每個市民多一個貼心的醫師朋友,提出「醫院型家庭責任醫師制度試辦計畫」及「社區關懷醫師整合性照護- 士林、北投區試辦計畫」。本研究針對社區關懷醫師整合性照護試辦計畫到宅訪視,收案對象的相關資料進行研究。方法:本研究為橫斷性研究,探討社區關懷醫師整合性照護試辦計畫資料,以描述性統計分析收案對象之基本資料、收案來源、專業人員訪視次數等。發現:本研究到宅訪視的收案對象390 人,其中低收入戶331 人次(85%),獨居長者44 人次(11%),中低收入戶22 人次(6%),身心障礙者14 人次(3%)。有部分個案需要到宅訪視2 次以上(含),其原因以社福需求佔最多,達56 人次(57%),其次為心理支持45 人次(45%)與健康需求41 人次(41%),其他為多重用藥佔25人次(25%),特殊境遇佔18 人次(18%),資源轉介佔4 人次(4%)。結論:研究呈現出臺北市弱勢族群的健康服務需求,使個案獲得完整的醫療社福照護,方能落實家庭醫師制度,這些需求也正是我們未來進行社區關懷醫師的主要服務範疇。 |
英文摘要 | Objective: The Taipei City Hospital proposed the Community-Based Family Physician Integrated Care System to implement the family physician system so that every citizen has a considerable physician friend. The family physicians paid home visits to the participants and data were collected for analysis. Methods: This was a cross-sectional study focusing on citizens who joined the service project. We retrospectively collected the anonymous data that described the characteristics of participants and frequency of medical professional visits. Results: A total of 390 participants who received home visits were enrolled from September 2015 through December 2015, in which 353 (91%) were with low or middle-low income, 44 (11%) were living alone, and 14 (3%) were handicapped. Participants who were with low income and living alone had significant needs to be followed-up by physicians and social workers. The reasons of frequent home visit were welfare needs 56 (57%), mental support 45 (45%), medical needs 41 (41%), polypharmacy 25 (25%), special circumstances 18 (18%), etc. Conclusions: Participants who were with low income and living alone were vulnerable groups and needed more health care and social welfare assistance. |
本系統中英文摘要資訊取自各篇刊載內容。