法學期刊
論著名稱: 提升門診整合照護成效執行策略
編著譯者: 陳蓉芳王雅萱陳佩琪朱麗鈴蘇慧真
出版日期: 2019.01
刊登出處: 台灣/醫療品質雜誌第 13 卷 第 1 期 /54-59 頁
頁  數: 6 點閱次數: 102
下載點數: 24 點 銷售明細: 權利金查詢 變更售價
授 權 者: 財團法人醫院評鑑暨醫療品質策進會 授權者指定不分配權利金給作者)
關 鍵 詞: 整合照護多重用藥雲端藥歷
中文摘要: 目的:本研究運用品管圈手法,如何以現有的醫療人力照護大量整合病人;本活動採取策略性的改善,達到持續進行全面性照護。
方法:採取策略性改善(1)先篩選出優先照護之病人;(2)針對『重大傷病』病人給予最適合的藥事照護;(3)改善病人追蹤遺漏問題;(4)進行擴大衛教診間提升服務品質。
結果:在降低跨院降血壓、血糖、血脂藥物日數重複率與去年同期相比分別降低 75%、20%、38%。整合照護病人每月平均費用由 11.26% 降低至 -8.01%、就醫次數由 6.23% 降低至 -13.59% 及三高方面皆有進步。
結論:本活動由圈員共同進行照護,達到降低醫療資源浪費,並提升用藥安全。
英文關鍵詞: Integrated servicespolypharmacyPharmaCloud system
英文摘要: Objectives: This study employed quality control circle techniques to investigate how existing healthcare manpower can be used to care for a large number of patients. Strategic improvements were applied to achieve continuous comprehensive care.
Methods: The following strategic improvements were adopted: (1) Patients who require priority care were identified first. (2) Patients with catastrophic illnesses were given appropriate pharmaceutical care. (3) Improvements were implemented to avoid patient loss to follow-up. (4) Health education diagnostic rooms were expanded to improve service quality.
Results: The hospital-wide day repetition rate for blood pressure–, blood glucose–, and blood lipid– lowering drugs decreased by 75%, 20%, 38%, respectively, compared with data for the same period in the former year. Thus, hypertension, hyperglycemia, and hyperlipidemia control improved. The average monthly integrated patient care costs decreased from 11.26% to -8.01% and the number of medical treatments decreased from 6.23% to -13.59%. .
Conclusions: Caring performed by circle members reduced medical resource wastage and improved medication administration safety.
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