- 期刊
新莊地區開業醫師參與轉診制度之初步研究
A Pilot Study of General Practitioners Participating the Patient-Referral System in Shin-Chuan Area
摘要
本實驗計畫以在台北縣衛生局登記之新莊地區155名開業醫師爲對象，首先歡求開業醫師同意參與轉診病人至省立台北醫院（省北），並由專人負責轉診資料的收集與病人之追綜，然後再以問卷調查開業醫師之轉診情況以及對此實驗性計畫中擔任轉診醫院之建議，以做爲省北推動轉診制度的參考。 在參與轉診制度意願調查中，155名開業醫師有53名同意；影響參與意願的因素包括在新莊市內開業，醫學系畢業之醫師資格，年齡在50歲以下和以回信方式表示態度者。在其後的兩個月內病人持轉介單來省北共11名，住院病人有9名，出院後能夠回開業醫師處追踪有7名。 對53名同意參與的開業醫師再以問卷調查過去兩個月內之轉診情況。結果爲：共轉人數285人，轉診率在5%以下占66.0%，2/3病人轉至其它私人醫院，1/3轉至公立醫院，轉診目的主要爲安排往院和急診照會共占68.3%。開業醫師對省北辦理轉診制度之建議事項主要爲轉診管道的暢通、改喜醫院病人服務品質、開放設備給開業醫師、指派專家前往診所指導，辦理繼續性教育以及雙向的轉診制度之實施等。 本文針對上述之結果就開業醫師和醫院管道的立場分析討論。
關鍵字
無資料並列摘要
The objectives of this study intend to find out the problems for a patient-referral system between general practitioners (GPs) and hospital specialists established in Shin-Chuan area, Taipei county. At first GPs were recruited to participate the plan for their patients referred to Taipei Provincial Hospital (TPH). GPs who agreed to involve were contacted later. In the following 2 months, their patients referral to the TPH were collected. Then, the actual patient referral during these periods in their practice was investigated by questionare. There were 53 among 155 GPs in Shin-Chuan area agreed to participate. The significant influencing factors were the practicing site near TPH, graduates from medical schools, age less than 50 years old and quick response by questionare-answer letter. In the following 2 months. 11 patients were referred to TPH. Nine of them were admitted and 7 were able to be followed by their GPs after discharge. The actual referral situation by questionare during the observation period were 285 patients referred by 50 GPs. The referral rate below 5% was 66%. Two third patients were referred to private hospitals in Taipei city and the others went to public hospitals. The major requirements for referral were arrangement for admission (49%) and emergency consultation (19%). The opnions to highlight the referral system between GPs and specialists at TPH included to use direct communication, to improve care quality in hospital, to permit GPs to use hospital facility and to conduct continuing medical education as well as to carry out two-way referral.
延伸閱讀
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