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| 題 名 | 門診C型肝炎照護改善專案之成效=The Effectiveness of the Outpatient Hepatitis C Care Quality Improvement Project |
|---|---|
| 作 者 | 劉子秸; 陳汶均; 洪憶雯; 李珈妮; 蔡明芳; 林勤曄; | 書刊名 | 健康促進研究與實務 |
| 卷 期 | 7:2 2024.12[民113.12] |
| 頁 次 | 頁62-68 |
| 分類號 | 419.82 |
| 關鍵詞 | C型肝炎; 門診照護品質; 醫療資訊系統; C型肝炎篩檢涵蓋率; 個案追蹤; Hepatitis C; Outpatient care quality; Healthcare information system; Hepatitis C screening coverage rate; Case tracking; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29442/HPRP.202412_7(2).0004 |
| 中文摘要 | 目的 本研究旨在提升門診C型肝炎患者照護品質,透過增進患者對肝病防治的知識和自我管理能 力,降低因延誤就醫所造成的健康風險,並提升門診患者C型肝炎篩檢涵蓋率,以期有效降低肝 癌、肝硬化等相關疾病的併發症與死亡率。 方法 針對門診符合C型肝炎篩檢或衛教,卻未執行篩檢或衛教及C型肝炎未定期回診者。研究團 隊透過特性要因圖,經隨機抽取樣本進行電訪患者、詢問醫師,找出六項真因。依據真因驗證結 果,擬定四項改善對策,包括:與醫囑系統相關、與個案管理相關、與初篩初用藥相關、以及與 肝病衛教相關等。 結果 改善對策實施後,門診患者C型肝炎篩檢涵蓋率由98.5%提升至99.5%,C型肝炎完治率96.3%提 升至100.0%,肝功能高的患者接受衛教指導比率由93.3%提升至97.6%。同時,配合嘉義市整合性篩 檢計畫,建置BI智慧管理-C肝風險潛勢地圖,分析C型肝炎篩檢區域問題,針對高風險地區優先執 行篩檢,進一步提升篩檢與治療效率。 結論 本專案結合醫療資訊系統與通訊平台,明顯提高了C型肝炎篩檢及個案追蹤成效,成功提升C 型肝炎完治率並降低延誤就醫的情況。多元化的衛教方式,透過網路和數位學習,加強民眾對肝 病防治的知識及自我管理能力,以達降低肝病相關併發症與死亡率。 |
| 英文摘要 | Objectives This study aims to improve care quality for hepatitis C outpatients by enhancing their knowledge of liver disease prevention and self-management, reducing health risks from delayed consultations, and increasing screening rates. It seeks to lower complications and mortality from liver diseases, such as liver cancer and cirrhosis, to improve patient outcomes. Methods This study targeted outpatients eligible for hepatitis C screening or education but lacking participation. Using a cause-and-effect diagram, six root causes were identified through patient interviews and physician input. Four improvement strategies were developed, focusing on medical order systems, case management, initial screening and treatment, and liver disease education. Results After implementing improvement strategies, hepatitis C screening coverage among outpatients rose from 98.5% to 99.5%, and the cure rate increased from 96.3% to 100.0%. Educational guidance for patients with elevated liver function improved from 93.3% to 97.6%. Additionally, a BI-based Hepatitis C Risk Potential Map was developed with Chiayi City's program, enabling prioritized screenings in high-risk areas and improving efficiency. Conclusion This project integrated healthcare information systems and communication platforms, improving hepatitis C screening, case tracking, and cure rates while reducing care delays. By employing diverse educational methods, including online and digital learning, it enhanced public awareness of liver disease prevention and selfmanagement, reducing complications and mortality and improving overall health outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。