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題 名 | 利用電腦實施門診結核病提報作業之改善與研究=Computerized Automatic OPD Tuberculosis Reporting System |
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作 者 | 呂春美; 池麗寬; 張進祿; 林建智; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 8:6 1998.12[民87.12] |
頁 次 | 頁718-729 |
分類號 | 412.452 |
關鍵詞 | 結核病提報作業; Tuberculotic disease reporting system; |
語 文 | 中文(Chinese) |
中文摘要 | 傳染病通報作業不僅是感染控制工作極重要的項目,隨著衛生署政策的改變與影響,逐漸成為醫院在申報健保給付上不可忽略的一環。本院為建立因應對策,感控小組構思發展利用電腦作為傳染病提報之輔助工具,自1997年8月開始實施「門診結核病電腦自動提報作業」。提報方式是當診間醫師批價輸入疾病代碼符合系統之控制代碼時,電腦會自動辨別是否已提報過,再載入提報系統連線至感染控制室,做提報單列印與病例統計。經過八個月的實施過程與評值,發現:(1)門診肺結核病提報率由原40% 提高至90% 以上。(2)提報資料的完整性有顯著改善。(3)提報醫師對本作業的實施,80%以上很同意是帶來方便與節省時間,同時很同意是較有意願去提報的。(4)在改善醫療管理品質上,有助提昇感染控制業務管理的能力。經此研究顯示,利用電腦實施門診結核病提報作業,不僅簡化流程也提高工作人員之生產力,同時也是改善醫院形象,朝向「現代化」趨勢和「自動化」的必要性,更是醫院管理者對感染控制品質重視上,值得改變與投資的考慮。 |
英文摘要 | Reporting of communicable diseases to health authority is an integral part of the infection control operations. In Taiwan, it has become a necessary task of the hospital in order to receive payment from National Health Insurance for the care of the patient. To facilitate the work, we have devised a "Computerized Automatic OPD Tuberculosis Reporting System". When a doctor keys in the code of the disease, the computer will recognize whether the case has been reported, then connect to the infection control office to be printed out for the reporting and registration. The system has been put to work since August, 1997. After 8 months of trial, we have found an increase in the rate of tuberculosis reporting from 40% to 90%; an apparent improvement in provision of the demographic and other clinical data; and heightened willingness of the physicians to report. More than 80% of the doctors surveyed agree that the system makes it more convenient and time saving. Our computerized system simplified and expedited the tuberculosis reporting procedure and improved the quality of the infection control operations of the hospital. The system may be expanded to the other reportable communicable diseases. |
本系統中英文摘要資訊取自各篇刊載內容。