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頁籤選單縮合
題名 | 一所公立醫學中心精神科住院病患之分析=Analysis of the Psychiatric Inpatients in a Medical Center |
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作者 | 蔡世仁; 陳展航; 沈楚文; Tsai, Shih-jen; Chang, Chin-hong; Sin, Cho-boon; |
期刊 | 慈濟醫學 |
出版日期 | 19960300 |
卷期 | 8:1 1996.03[民85.03] |
頁次 | 頁55-59 |
分類號 | 415.952 |
語文 | chi |
關鍵詞 | 住院天數; 診斷; 精神科住院病患; Days of stay; Diagnoses; Psychiatric inpatient; |
中文摘要 | 本研究回溯一所公立醫學中心一年內精神科住院病患的臨床資料並作 分析,以期作為醫療政策及保險付費的參考。住院病患共計770人次,收集之資 料包括性別、年齡、身份、診斷,住院天數、強制入院、一年內再入院與出院類 別,並作相關分析比較。結果顯示住院病患以20歲至39歲及60歲至69歲兩個年齡 層最多;出院診斷以精神分裂症及情感性疾病最多,老年患者有高比率的器質性 精神症;住院天數與性別、年齡無關,但其出院診斷相關;一年內再入院之人次佔 入院人次之24;自動出院率為15;出院病患有8轉其它機構。其它分析及與過去報告 的比較,在文內討論。(慈濟醫學1996:8:55-59) |
英文摘要 | This retrospective study describes characteristics of 770 psychiatric inpatients in a medical center during a one year period. Information collected on the inpatients' included sex, age, marital status, diagnosis, days of stay, the circumstances of admission, and the circumstances of discharge and readmission if they occurred during the one-yearperiod. The results show that there were two ages when admission peaked. The majority of psychiatric disorders were mood disorder and schizophrenia. A significant age difference was found between inpatients diagnosed with these two disorders. Geriatric patients had a large proportion of organic mental disorders. Hospitalization was longer for inpatients with schizophrenia than for those with either neurosis or substance abuse. Neither sex nor age affected the days of stay. In the one-year period the rate of discharges against medical advice (DAMA) was 15, and the rate of readmission was 24. Eight percent of the patients who were discharged were transferred to other institutions. Other analyses and comparisons with previous reports are included in this article. The need for further epidemiological and hospital utilization studies to provide essential data for rational planning of psychiatric services and reimbursement isemphasized.(Tzu Chi Med J 1996; 8: 55-59) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。