目的:解決醫學中心急診壅塞是改善醫護品質重要的一環,此研究欲探討醫學中心急診病患轉診至某區域教學醫院分流制度之達成率及滿意度。方法:本研究為回溯性研究,受訪對象為104 年至105 年間,依據「臺北市醫學中心急診待床轉院計畫」轉至和平婦幼院區所有個案,給予滿意度調查表,且104 年至105 年轉入和平婦幼院區共209 例個案,其中104 年為89 例,105 年為120 例,滿意度問卷回收209 份。結果:研究期間共209 例個案透過「臺北市醫學中心急診待床轉院計畫」轉至和平婦幼院區。病患對轉送過程滿意平均4.6 分(標準差0.6分),病房環境設施滿意度平均4.2 分(標準差0.9 分),對醫院行政效率滿意度平均為4.4 分(標準差1.6 分),對整體醫療過程滿意度平均4.6 分(標準差0.7 分),對病人安全措施滿意度平均為4.6(標準差0.6 分)分,對服務態度平均滿意度為4.2 分(標準差1.3 分)。結論:「臺北市醫學中心急診待床轉院計畫」使得民眾轉診意願增加,且病患對於轉診的過程及轉診醫院皆有相當高的滿意度。
Objectives: Resolving overcrowding i n emergency department of medical center is essential for the improvement medical care quality. The aim of this study was to explore the success rate and satisfaction of a referral system that diverts patients from emergency department of medical center to a regional teaching hospital. Methods: This retrospective study included all 209 patients referred from the emergency department of National Taiwan university Hospital to Taipei City Hospital Heping Fuyou Branch between January 2015 and December 2016 according to the Taipei Medical Center Emergency Department Referral Program. A satisfaction survey was conducted with 100% response rate. Results: The results showed that the mean score of referral procedure, referred hospital, medical procedure, patient’s safety and security, and service attitude were over 4. Conclusions: The program effectively increased public’s intension for referral, and the referred patients were satisfied with the referral procedure, medical procedure, patient’s safety and security, and service attitude.