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頁籤選單縮合
題 名 | Referral Severity, Initiative, and Return of Middle Aged Women with Cervical Cancer=中年子宮頸癌婦女轉診嚴重度,啟動,及回診之邏輯迴歸研究 |
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作 者 | 許文燦; 李昭男; 蔡佩玲; 林相如; 蘇建銘; | 書刊名 | 中臺灣醫學科學雜誌 |
卷 期 | 3:1 1998.03[民87.03] |
頁 次 | 頁1-8 |
分類號 | 417.2832 |
關鍵詞 | 中年人; 轉診; 嚴重度; 邏輯迴歸; Cervical cancer; Middle adult; Referra; Severity; Logistic regression; |
語 文 | 英文(English) |
中文摘要 | 就中年婦女而言,子宮頸癌是全世界性的疾病,因而臺灣臨床醫師亦關心中年婦女子宮頸癌的照顧。然而少有研究探討轉診啟動與嚴重度的關係,或與中年婦女子宮頸癌回診原轉診醫師及醫學中心之會診醫師之傾向的關係。 本研究亦評估婦女國際婦產科聯盟(FIGO)之臨床期數與臨床嚴重度。組織病理亦用以確立診斷。在全部子宮頸癌轉診中,17.88%由病患或家屬啟動,82.12%由基層醫師啟動。較高之臨床期數及較嚴重之臨床嚴重度與由病人主導之轉診有相關。控制病患之婚姻狀態,家庭種類,醫療給付方式,組織病理組,臨床期數與臨床嚴重度之後,本研究顯示若由基層醫師啟動轉診,子宮頸癌中年婦女較可能回到原基層醫師或三級教學醫院之會診醫師。因此由醫師主導之轉診其基層醫師或會診醫師之追蹤診療,較有可能發生。 |
英文摘要 | Few studies have considered the association between referral initiative and illness severity as well as the tendency of middle aged patients with cervical cancer to return to the referring doctor and/or the consultant at a medical center. This study included 509 referral patients aged 35-64 with cervical cancer diagnosed from 1987 to 1995. These patients were referred to the tertiary teaching hospital by a total of 92 primary care gynecolo gists. Clinical stage and severity were assessed in each patient according to the International Federation of Gynecology and Obstetrics (FIGO) criteria as well as Sears's and Charlson's Classification. Histopathologic results were reviewed to confirm the diagnosis. Of all the cervical cancer referrals, 17.88% referrals were initiated by patients or families and 82.12% were initiated by primary care doctors. Higher clinical stage and greater clinical severity were found in the patient referral group. After controlling for age, marriage, education, family type, medical payment, histopathology, clinical stage, and clinical severity characteristics, this study showed that if the referral was initiated by primary care doctors, middle aged patients with cervical cancer were likely to return to the primary care doctors and the tertiary teaching hospital. Adequate continuity of care was more likely to occur when the referral was initiated by primary care doctors. |
本系統中英文摘要資訊取自各篇刊載內容。