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題名 | 群醫型衛生所電腦化醫療保健門診之實驗--高血壓、糖尿病患者照護=A Development of Computerized Model for Outpatient Clinics in Two Group Practice Centers |
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作者 | 柯麗貞; 黃香宇; 陳妙青; 林金玉; | 書刊名 | 公共衛生 |
卷期 | 24:3 1997.10[民86.10] |
頁次 | 頁151-163 |
分類號 | 415.382、415.382 |
關鍵詞 | 醫療保健門診; 群醫型衛生所; 電腦化; 高血壓; 糖尿病; Preventive medicine in outpatient clinic; Group practice center; Computerization; Hypertension; Diabetes mellitus; |
語文 | 中文(Chinese) |
中文摘要 | 本研究的目的是建立一電腦化高血壓、糖尿病門診工作模式,包括修改衛生所資 訊系統,將門診服務標準化,並建立追蹤制度,以提升衛生所對高血壓、糖尿病門診病患 的服務品質。考量模式執行之可行性及方便性,立意選取醫療門診量較大(甲)及門診量適 當(乙)之群醫型衛生所各一所進行模式之建立。收集模式介入前、後衛生所對高血壓、糖 尿病門診患者服務之差異,以平均值、百分率及內容分析法分析資料。執行本模式時,停 止辦理慢性病保健門診,整合應用原慢性病保健門診與醫療門診的護理人力,在投入的護 理人力不變的情形下,實驗結果發現乙衛生所半年保健指導數實驗前後增加了80.9%;甲衛 生所則差異不大,但服務對象不限於收案個案,而涵蓋所有門診高血壓、糖尿病患者。兩所 衛生所均能依據電腦列印之名單追蹤管理逾期未就醫者, 其追蹤完成率可達 61% 及 88%; 且甲衛生所逾期未就醫數逐月減少;乙衛生所則能依據電腦列印名單於兩週內追蹤病情控制 不理想患者,比率可達 92%。另同儕及專家認為本工作模式可推展至其它衛生所,以改善衛 生所的門診醫療品質,總之,本模式可以提昇群醫型衛生所門診高血壓、糖尿病患者之照護 服務品質及工作效率。本研究亦依據實驗結果提出相關建議,作為將來推展此模式的參考 。 |
英文摘要 | The purpose of this study is to develop a computerized model"abbreviated as HTDM" including modification of Primary Health Information System (PHIS), standardization of ambulatory service, and initiation of patient follow-up system for outpatient clinic to improve the quality of service for hypertension and diabetes mellitus outpatients. We selected two group practice centers (A center with large number of outpatients and B center with moderate number of outpatients) by purposive sampling. With data collected before and after the implementation of the model and analyzed by descriptive statistics. We found the results as follows:1. The HTDM model can integrate the nursing manpower of the chronic preventive clinic with those of the outpatient clinic. The number of outpatients receiving health counseling had increased 80.9% within a half year without changing the number of nursing staff in B center while there is no difference in A center. But A center was able to provide health counseling not only for all outpatients, but also for patients at home visits. 2.The follow-up rate for outpatients who do not comply with regular visits are 61% and 88% in A and B center respectively by using the reminder sheet printed from the computer and the number of this kind of patients has gradually decreased per month in A center. 3.The follow-up rate within 2 weeks for patients with poor health condition is 92% by using the reminder sheet printed from the computer in B center. 4.The peer group suggested that other health centers could implement the HTDM model to improve their quality of ambulatory clinic services. This model shows clearly it can improve the quality and effeciency of care for hypertension and diabetes mellitus outpatients, therefore, we strongly recommand the use of the HTDM model in other group practice centers. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。