老年群體急診醫療利用與非計劃性返診之探討__臺灣人文及社會科學引文索引資料庫

:::

詳目顯示

第 1 筆 / 總合 1 筆

/1頁

來源文獻資料
摘要
外文摘要
引文資料

題名：	老年群體急診醫療利用與非計劃性返診之探討
書刊名：	臺灣老人保健學刊
作者：	黃耀緯／游斯雯／簡戊鑑
作者(外文)：	Huang, Yao-wei／Yu, Si-wen／Chien, Wu-chien
出版日期：	2010
卷期：	6:2
頁次：	頁158-167
主題關鍵詞：	老年人；急診；返診；醫療利用；品質；Elderly；Emergency；Revisit；Medical service utilization；Healthcare quality
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:3 共同引用:0 點閱:67

前言：老年群體因身體機能退化，因此使用急診醫療資源的次數較為頻繁，非計劃性急診返診的情況也較為嚴重。目的：本文以文獻回顧方式，對國內外老年群體的「急診醫療利用」及「非計劃性急診返診」進行探討。方法：將搜尋文獻區分成「老年群體急診醫療利用」及「非計劃性急診返診」兩大類別，以相互交叉回顧方式進行文獻探討。結果：在病患生理機能方面，老年群體因身體機能退化及認知功能下降，且擁有諸多共伴疾病導致病患常至急診就醫，非計劃性返診情形亦較為頻繁；在精神狀態方面，老年群體常因年事已高，生活孤獨及缺乏社會支持，且患有諸多疾病，因此常有憂鬱抑鬱的情況，亦為返診原因之一；此外，老年群體至急診就醫時，常會產生暫時性的譫望，醫療服務人員應審慎視之。結論：醫療為連續性的服務，醫療體系應做好中、長期照護規劃，並與社區結合，落實家庭醫師制度，促使老年群體能獲得安全性、適切性、可近性、連續性及完整性的全人醫療照護。

以文找文

Background: The degeneration of physical function of elderly people caused the high-frequency use of emergency care and non-plan revisit emergency by the patients become serious gradually. The impact of health care system results from speedy aging on demographic structure. Aims: This article is based on paper reviewing on journals, discussing both domestic and overseas aged group using emergency medical service and non-plan emergency revisiting. To analysis factors (relevantly factors) of elderly people use emergency medical service and revisiting by non-plan emergency patients. Methods: All data are distinguished into two main parts: the utilization of elderly people on emergency medical service and non-plan emergency revisiting. Cross reviewing methods are taken in this research. Results and conclusion: On the aspect of physiological function, degeneration of physical function, degradation on cognitive function and patients who also have other diseases in elderly people caused the high-frequency used on emergency resources and emergency revisiting by non-plan cases have become frequently as well. On mental aspect, living alone, lacking of society support and other accompanied diseases on elderly people often caused depression which is one of the reasons of emergency revisiting. Furthermore, medical staff should be aware of several situations such as temporary delirium may happen during the emergency treatment on elderly people and they should pay much attention on the issue of medical care continuously.

以文找文

期刊論文
1.	Waitzkin, H.(1984)。Doctor-patient communication: clinical implications of social scientific research。JMMA，252(17)，2441-2446。
2.	王瀚儀、周義、龔嘉德、鍾昆融、李文輝(20070900)。The Use of Charlson Comorbidity Index for Patients Revisiting the Emergency Department within 72 Hours。長庚醫學，30(5)，437-444。延伸查詢
3.	李文正、廖訓禎、廖浩欽、楊坤儒、林忠順、駱聰成(2002)。急診72小時內再回診病人誤診比率和原因。臺灣急診醫學會醫誌，4，105-111。延伸查詢
4.	周明岳、周上琳、陳亮恭、顏鴻章、薛光傑、顏良羽(2007)。老年病患之急診醫療使用。臺灣老年醫學雜誌，2，225-233。延伸查詢
5.	周歆凱、黃興進、蔡明足、蘇喜、陳真吟(2009)。運用資料探勘之叢集分析技術探討急診72 小時在返診之病患特性。澄清醫護管理雜誌，5，13-20。延伸查詢
6.	葉宏明、林為森、蔡惠美、張淑媛、郭舒儀、吳宛倩(2002)。65歲以上老年人急診就醫行為調查--以某區域教學醫院為例。秀傳醫學雜誌，4，113-119。延伸查詢
7.	Graff, L.、Mucci, D.、Radford, M. J.(1988)。Decision to hospitalize: objective diagnosis-related group criteria versus clinical judgment。Annals of Emergency Medicine，17(9)，943-952。
8.	Takun, K.、Der Sahakian, G.、Bloch, F.、Kansao, J.、Dhainaut, J. F.(2006)。Health network to improve elderly patients' flow in emergency department。European Journal of Emergency Medicine，13(5)，260-263。
9.	McCusker, J.、Cardin, S.、Bellavance, F.、Belzile, E.(2000)。Return to the emergency department among elders。patterns and predictors，7(3)，249-259。
10.	Wu, C. L.、Wang, F. T.、Chiang, Y. C.、Chiu, Y. F.、Lin, T. G.、Fu, L. F.、Tsai, T. L.(2010)。Unplanned emergency department revisits within 72 hours to a secondary teaching referral hospital in Taiwan。The Journal of Emergency Medicine，38(4)，512-517。
11.	Yim, V. W.、Graham, C. A.、Rainer, T. H.(2009)。A comparison of emergency department utilization by elderly and younger adult patients presenting to three hospitals in Hong Kong。International Journal of Emergency Medicine，2(1)，19-24。
12.	Lin, C. H.、Hsu, C. W.、Teng, C.Y.、Sun, P. P.、Hsu, H. C.、Wung, Y. T.(2009)。Factors predicting transferal after psychiatric emergency management in the elderly。Psychiatry Clin Neurosci，63(6)，741-746。
13.	Martin-Gill, C.、Reiser, R. C.(2004)。Risk factors for 72-hour admission to the ED。The American Journal of Emergency Medicine，22(6)，448-453。
14.	Press, Y.、Margulin, T.、Grinshpun, Y.、Kagan, E.、Snir, Y.、Berzak, A.(2009)。The diagnosis of delirium among elderly patients presenting to the emergency department of an acute hospital。Archives of Gerontology and Geriatrics，48(2)，201-204。
15.	Ballabio, C.、Bergamaschini, L.、Mauri, S.、Baroni, E.、Ferretti, M., et al.(2008)。A comprehensive evaluation of elderly people discharged from an Emergency Department。Internal and Emergency Medicine，3(3)，249-245。
16.	Hellden, A.、Bergman, U.、von Euler, M.、Hentschke, M.、Odar-Cederlof, I.、Ohlen, G.(2009)。Adverse drug reactions and impaired renal function in elderly patients admitted to the emergency department: a retrospective study。Drugs Aging，26(7)，595-606。
17.	Augustine, J. J.(2008)。Emergency department managers warned of 'catastrophic' crowding due to elderly。ED Management，20(2)，13-15。
18.	Chen, Y. C.、Hwang, S. J.、Lai, H. Y.、Chen, T. J.、Lin, M. H.、Chen, L. K.(2009)。Potentially inappropriate medication for emergency department visits by elderly patients in Taiwan。Pharmacoepidemiology and drug safety，18(1)，53-61。
19.	Hungerford, D. W.、Pollock, D. A.(2004)。Alcohol interventions in emergency medicine: referral makes a difference。Lancet，364(9442)，1289-1290。
20.	Ionescu-Ittu, R.、McCusker, J.、Ciampi, A.、Vadeboncoeur, A. M.、Roberge, D.、Larouche, D.、Pineault, R.(2007)。Continuity of primary care and emergency department utilization among elderly people。Canadian Medical Association journal，177(11)，1362-1368。
21.	Jerrard D. A.、Chasm R. M.(2009)。Patients leaving against medical advice (AMA) from the emergency department-disease prevalence and willingness to return。The Journal of emergency medicine。
22.	Keith, K. D.、Bocka, J. J.、Kobernick, M. S.、Krome, R. L.、Ross, M. A.(1989)。Emergency department revisits。Annals of Emergency Medicine，18(9)，964-968。
23.	LaMantia, M. A.、Platts-Mills, T. F.、Biese, K.、Khandelwal, C.、Forbach, C.、Cairns, C. B.(2010)。Predicting hospital admission and returns to the emergency department for elderly patients。Academic Emergency Medicine，17(3)，252-259。
24.	Lazarovici, C.、Somme, D.、Chatellier, G.、Saint-Jean, O.、Espinoza, P.(2008)。Initial pattern of elderly patients and effect on their orientation after their visit in the emergency departments.Results from a national study。La Revue de médecine interne，29(8)，618-625。
25.	Chin, M. H.、Jin, L.、Karrison, T. G.、Mulliken, R.、Hayley, D. C.、Walter, J.(1999)。Older patients' health-related quality of life around an episode of emergency illness。Annals of Emergency Medicine，34(5)，595-603。
26.	Somme, D.、Lazarovici, C.、Drame, M.、Blanc, P.、Lang, P. O.、Gauvain, J. B.(2011)。The geriatric patient: Use of acute geriatrics units in the emergency care of elderly patients in France。Archives of Gerontology and Geriatrics，52(1)，40-5。
27.	Liaw, S. J.、Bullard, M. J.、Hu, P. M.、Chen, J. C.、Liao, H. C.(1999)。Rates and causes of emergency department revisits within 72 hours。Journal of the Formosan Medical Association，98(6)，422-425。
28.	Rodriguez-Molinero, A.、Lopez-Dieguez, M.、Perez Medina, I.、Tabuenca, A. I.、De La Cruz, J. J.、Banegas, J. R.(2010)。Cognitive assessment of elderly patients in the emergency department: A comparison between standard tools, medical records and physicians' perception。Revista Espan˜oladeGeriatri´a yGerontologi´a，45(4)，183-188。
29.	Rusnak, R. A.、Stair, T. O.、Hansen, K.、Fastow, J. S.(1989)。Litigation against the emergency physician: common features in cases of missed myocardial infarction。Annals of Emergency Medicine，18(10)，1029-1034。
30.	Rutschmann, O. T.、Chevalley, T.、Zumwald, C.、Luthy, C.、Vermeulen, B.、Sarasin, F. P.(2005)。Pitfalls in the emergency department triage of frail elderly patients without specific complaints。Swiss Medical Weekly，135(9/10)，145-150。
31.	Salvi, F.、Morichi, V.、Grilli, A.、Giorgi, R.、De Tommaso, G.、Dessi-Fulgheri, P.(2007)。The elderly in the emergency department: A critical review of problems and solutions。Internal and emergency medicine，2(4)，292-301。
32.	Salvi, F.、Morichi, V.、Grilli, A.、Spazzafumo, L.、Giorgi, R.、Polonara, S.(2009)。Predictive validity of the identification of seniors at risk (ISAR) screening tool in elderly patients presenting to two Italian emergency departments。Aging Clinical and Experimental Research，21(1)，69-75。

學位論文
1.	吳秋芬(2008)。急診病患暫留時間與其照護結果之相關因素探討。國立陽明大學，臺北市。延伸查詢

其他
1.	行政院衛生署(2010)。全民健康保險統計，http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=10873&class_no=440&level_no=2$d20100320。
2.	Salute, M. d.(2010)。Annuario Statistico del Servizio Sanitario Nazionale，http://giorgiobertin.wordpress.com/2008/07/30/annuario-statistico-del-servizio-sanitario-nazionale/.$d20080730。

推文
推薦
引用網址
引用嵌入語法
轉寄

top

:::

相關期刊
相關論文
相關專書
相關著作
熱門點閱

1.	智能障礙者急診醫療利用的頻率與結果
2.	新冠肺炎疫情對急診返診率之影響探討
3.	探討曾有急診就醫經驗老年人之健康識能
4.	老人頻繁使用急診醫療的情形及其相關因素之研究
5.	急診病患三天內重返急診之相關因素分析：全人口代表性資料的研究
6.	照護連續性與醫療利用之相關性探討
7.	臺灣老年人口醫療利用與多重慢性病之分析研究
8.	急診老人醫療處置離院後的最新照顧

1.	台灣老年榮民背痛的醫療利用研究

無相關書籍

無相關著作

1.	12週坐式太極操對失智長者下肢肌力與日常活動功能之成效
2.	臺灣地區老人身體健康狀況與醫療利用之研究
3.	臺灣2009年65歲以上老人跌墜傷患住院醫療利用及影響因子之探討
4.	身心障礙老人的醫療福利利用需求分析
5.	老年人於全民健康保險中醫門診醫療服務之利用分析
6.	高齡友善、悠活臺北--臺北悠活村
7.	三軍總醫院附設護理之家服務特色分析
8.	三軍總醫院老人整合門診概況與特色
9.	獨居老年長者之心理需求探究
10.	安寧緩和與臨終關懷--美國經驗(2015)
11.	醫學中心附設護理之家--三軍總醫院附設思源護理之家
12.	公立老人機構典範--衛生福利部南區老人之家參訪報告
13.	吾愛吾家--讓長者們感受如同在家一樣的溫暖--宜蘭縣竹林老人養護院
14.	優質化的照顧型態--宜蘭縣私立瑪利亞老人長期照顧中心

QR Code

臺灣人文及社會科學引文索引資料庫系統

詳目顯示

臺灣人文及社會科學引文索引資料庫