- 期刊
一個新成立私人中型醫院復健科成長之探討
The Development of Department of Physical Medicine and Rehabilitation A New Private General Hospital
摘要
一個新成立中型醫院復健科的設立與拓展．是一個有趣而值得探討的題目。這篇研究是以新光醫院自開幕〈81年9月3日〉至82年8月31日，約一年期間，所有接受復健醫療服務之住院與門診病患為對象，根據一份前瞻性訪查表，就:〈一〉、病人的來源，〈二〉、疾病的分類〈ICD-l0〉，〈三〉、影響復健科成長之因素，加以探討研究。結果發現:〈一〉、病人的來源以大眾媒體介紹〈40.20%〉最多，居處也以醫院鄰近地區為主(69.87%〉，勞農保身份居大多數(佔門診病人中的75.83%〉，職業以自由業〈43.64%〉最多。〈二〉、疾病分類方面，就住院病人而言，以腦血管病變〈28.24%〉最常見；就門診病人而言．以關節炎〈19.58%〉及背痛〈15．56%〉最為常見。〈三〉、復健治療的良好管理、夜間門診及治療的開辦、保險業務的有無、大眾媒體的應用、與院內各科問良好關係的維持以及復健醫師和治療師的素質等、均是影響復健科成長的重要因素。
並列摘要
The set-up and development of the rehabilitation epartment in a new, middle-sized hospital is an interesting subject and worth to be studied. We prospectively investigated the inpatients and out-patients who had received ehabilitation therapy during the one year period from the opening of Shin Kong Wu Ho-Su Memorial Hospital, Sep 3, 1992, to Aug 31, 1993. The patients' data were analyzed by three major categories: (1) the sources of the patients, (2) the diagnosis of the diseases (ICD-10), (3) the factors relating to the growth of the rehabilitation department. The results showed: (1) mostof our patients came via the introduction of the public transmission (40.20%), lived close to the hospital (69.87%), had Labor or Farmers' Health Insurance (75.83%), and had liberal vocation (43.64%), (2) about the disease classification, cerebral vascular accidents (28.24%) were the most common diseases in inpatients; arthritis (19.58%) and back pain (15-56%) were the most frequent diseases in outpatients, (3) good administration, evening OPD and evening physical therapy service, health insurance, taking the advantage of public transmission, good cooperation and communication with other departments, and high quality of physiatrists and therapists were the important factors relating to the growth of the rehabilitation department.