家庭醫學科門診之病人及疾病種類與住院醫師門診訓練相關性研究

病人預約制度是家庭醫學科門診作業之首要步驟，而門診作業主要提供家庭醫師訓練的重要場所之一，培養綜合性與連貫性照顧其病人與其家庭成員。此研究主要目的在於探討此門診預約制度對高雄醫學院家庭醫學科住院醫師訓練的影響。研究結果顯示，自1985年8月至1986年11月期間，就診病人之年齡層分佈均以16─64歲居多。門診數相同之住院醫師所診斷疾病數與病人數之分佈均有顯著差異，而慢性病之分佈則差異不大。此外，有40─60%之門診數超出一次理想門診人數。此異常現象妨礙家庭醫學門診功能的正常發揮。解決辦法有二：1.是修已門診預約制度之方法。2.如何對受訓醫師提供適量的病人與疾病種類，以便對病患及其家庭成員提供連貫性與整體性的醫療保健照顧。

關鍵字

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並列摘要

Patient appointments and scheduling of patients and physicians are the first step in family medicine practice. The goals of outpatient services are to train the family physicians, to provide comprehensive and continuing health care for the family and its members. We evaluated the effect of the appointment system upon residents’ training in a family medicine clinic of the Kaohsiung Medical College Hospital. The results were as follows: during the period between Aug. 1985 and Nov. 1986, a total of 2,220 patients and 5,891 out-patient encounters was recorded in this module. The subject age was mostly in the range of 16─64 years for all trainees. The distribution of the chronic diseases was relatively even for all except two trainees. For 4 residents, there were 40─60% more than the ideal patient numbers per session. This abnormal situation interferes with the normal functioning of family medicine clinics. The provocative results of this study suggest at least two important avenues for improvement. The first is to modify the appointment system. The second is to schedule the ideal amount of patients and kinds of diseases in order to provide comprehensive and continuous care for the family and its members.

並列關鍵字

patient appointment system ； family medicine residents' training

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家庭醫學科門診之病人及疾病種類與住院醫師門診訓練相關性研究

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