- 期刊
台北榮民總醫院大德病房五年住院病患分析
A Five-Year Analysis of the Inpatient Service of the Hospice and Palliative Care Unit in VGH-Taipei
摘要
Since the establishment of the Dah-Der hospice palliative unit in the Veterans General Hospital-Taipei in July 1997, a total of 1,533 admissions were recorded with a computerized database until July 2002. We analyzed the data and compared the before and after implementaion of the ”pilot project on Per-diem payment for inpatient hospice services of Taiwan's National Health Insurance program” (PDP) to see if there were any differences. The results: the patients were mostly male (65.6%), with a mean of 67.4 years old (standard error 13.9, SE). The source of the patients was mostly referred from within the hospital (58.1%). The most common diagnoses were lung cancer, colon-rectal cancer, and gastric cancer. The average duration of the inpatient service time is 16.1 (±15.2, ±SD) days. Those patients discharged due to death or dying had an average duration of 14.2 (±14.6) days, whereas others discharged under stable condition had 21.9 (±15.5) days; there was a statistically significant difference between these two groups. 38% of known expired patients had received hospice palliative care for less than 7 days (late referral). After the implementation of the PDP, the average duration of hospital stay decreased from 17.5 (±16.4) to 14.5 (±13.5) days (P＜0.001). This increased the turn-over rate of the beds, and allowed the dying patients to be admitted to the Dah-Der ward. This means more families can have the opportunity of receiving holistic care and proper bereavement support.
關鍵字
無資料並列摘要
Since the establishment of the Dah-Der hospice palliative unit in the Veterans General Hospital-Taipei in July 1997, a total of 1,533 admissions were recorded with a computerized database until July 2002. We analyzed the data and compared the before and after implementaion of the ”pilot project on Per-diem payment for inpatient hospice services of Taiwan's National Health Insurance program” (PDP) to see if there were any differences. The results: the patients were mostly male (65.6%), with a mean of 67.4 years old (standard error 13.9, SE). The source of the patients was mostly referred from within the hospital (58.1%). The most common diagnoses were lung cancer, colon-rectal cancer, and gastric cancer. The average duration of the inpatient service time is 16.1 (±15.2, ±SD) days. Those patients discharged due to death or dying had an average duration of 14.2 (±14.6) days, whereas others discharged under stable condition had 21.9 (±15.5) days; there was a statistically significant difference between these two groups. 38% of known expired patients had received hospice palliative care for less than 7 days (late referral). After the implementation of the PDP, the average duration of hospital stay decreased from 17.5 (±16.4) to 14.5 (±13.5) days (P＜0.001). This increased the turn-over rate of the beds, and allowed the dying patients to be admitted to the Dah-Der ward. This means more families can have the opportunity of receiving holistic care and proper bereavement support.
參考文獻
被引用紀錄
延伸閱讀
- 徐鵬翔、許淑盆、陳玄康（2021）。醫院門診服務品質與病患滿意度關係之研究－以台北某醫院為例。中華創新發展期刊，5(3)，59-73。https://doi.org/10.30141/JID.202110_5(3).0005
- （2006）。醫療糾紛之因應V.S卓越的顧客服務－環台五週年慶研討會。聯新醫管，(59&60)，2-2。https://doi.org/10.29493/LHMN.200609.0002
- 許嘉祥（2020）。台中榮總灣橋分院復健科門診病患的治療滿意度分析。休閒運動健康評論，9(2)，105-117。https://www.airitilibrary.com/Article/Detail?DocID=a0000591-202009-202009160007-202009160007-105-117
- Leu, T. M., Chou, H. H., Lin, C. Y., Yu, Y. H., Huang, C. F., Wang, S. H., Hsu, Y. Y., Wang, H. Y., Wang, S. J., Hunag, Y. P., & C, M. C. (2003). Clinical Nurses' Attitude Toward Hospice Palliative Care of a Medical Center in Central Taiwan. 中山醫學雜誌, 14(3), 399-404. https://doi.org/10.30096/CSMJ.200309.0002
- 江季湘（2019）。The Implementation of Hospice Home Care in a Remote Area: A Case Study of a District Hospital of Southern Taiwan〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201902374