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find Keyword "门诊" 82 results
  • Medication Usage Analysis on Over-60-Year Old Patients in the West China Hospital of Sichuan University: Investigation on Disease Constitution of Outpatients in 2011

    Objective To provide baseline date for further research by retrospectively investigating the disease constitution of over-60-year old patients in the West China Hospital of Sichuan University in 2011. Methods The information of over-60-year old outpatients was extracted from HIS and their diagnoses were classified by ICD-10. The data of single disease among top 3 categories of diseases were rearranged and analyzed by Excel software. Results The total of over-60-year old outpatients was 895 123 person-time in 2011, accounting for 19.65%, including 716 826 person-time in specialist outpatient clinics. The specialist diagnoses of 683 491 person-time could be classified by ICD-10, accounting for 95.35% of specialist outpatients. The top 12 diseases were neoplasm, circulatory, digestive, factors influencing health status and contacting with health services, respiratory, musculoskeletal system and connective tissues, nervous, eyes, symptoms/signs and abnormal clinical and laboratory findings, non-classified, mental and behavioral disorders, endocrine, and genitourinary system diseases, and the cumulative constituent ratio was 92.96%. The main pathogenic sites of neoplasm were bronchus and lung (21.98%), esophagus (8.66%), stomach (8.10%), rectum (7.37%), prostate (5.86%), and liver and intrahepatic bile ducts (5.55%), with a cumulative constituent ratio of 57.72%. The main disease burden in circulatory system was hypertension (39.50%), chronic ischaemic heart disease (11.17%), and cerebral infarction (9.70%), and the cumulative constituent ratio was 60.38%. While the main disease burden in digestive system was gastritis and duodenitis (24.98%), other diseases of digestive system (9.26%), and other diseases of liver (8.90%), and the cumulative constituent ratio was 43.13%. There were more female than male among the over-60-year old outpatients (50.67% vs. 49.33%), and male was higher than female only in the incidence of neoplasm, respiratory, factors influencing health status and contacting with health services, and genitourinary system diseases. The disease constitution ratio of 60-69 years old patients was 58.21%. The top 3 neoplasm were the malignant tumors in digestive (38.20%), respiratory and intrathoracic organs (24.70%), and lymphoid, haematopoietic and related tissue (11.97%), with a cumulative constituent ratio of 74.87%. Conclusion The top 3 disease burden of over-60-year old outpatients in West China Hospital were neoplasm, circulatory and digestive diseases, which reflects the trend and law of treatment demands of old patients. It needs to deeply analyze the frequency and flow pattern of patients, and to provide evidence for preventing and treating geriatric diseases.

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  • Quota Payment of Dialysis Treatment of Outpatients in Chengdu: A Cross Sectional Study

    Objective To explore the medical insurance quota payment of dialysis treatment for outpatients with end-stage renal disease in Chengdu from following aspects, evaluation indexes and reasonable amount, so as to provide scientific basis for the payment of single disease. Methods A questionnaire survey was conducted to collect the cost information of patients, and to formulate the assignment of evaluation indexes according to the therapeutic principles and statistical results; Delphi method was adopted to determine the assignment and the standard of quota payment. Results A total of 17 dialysis organizations approved by Chengdu municipal medical insurance were involved in this study. Of 700 questionnaires distributed, 686 were retrieved. After excluding 26 questionnaires for incomplete filling and incorrect treatment information, a total of 660 questionnaires were included actually, accounted for 94.28% of all informants. The results of survey showed that, the hemodialysis treatment rate accounted for 84% (555/660) of all informants, while the peritoneal dialysis treatment rate accounted for 16% (105/660). By assessing the project assignment of outpatient dialysis treatment, the minimum annual payment of hemodialysis was RMB 118 242.75 yuan, while that of peritoneal dialysis was RMB 96 498.00 yuan. Conclusion The quota payment of outpatient dialysis shows b evidence after adopting the treatment project assignment. The grading quota payment of outpatient dialysis enables the medical insurance fund to be more reasonably used.

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  • Status Survey of MRI Examination in Children in Sichuan Provincial People’s Hospital from 2010 to 2012

    Objective To investigate the situation of MRI examination in children in outpatient and inpatient departments of the Sichuan Provincial People’s Hospital from 2010 to 2012, so as to provide favourable basis for the choice of imaging examination in children. Methods The materials of electronic reports of MRI examination in paediatric inpatient and outpatient departments from 2010 to 2012 were collected, categorized, and analyzed. Results a) 2 148 children underwent MRI examination in the Sichuan Provincial People’s Hospital from 2010 to 2012. The total number of patients increased with year. Boys were more than girls. The positive incidence was slightly decreased. The number of outpatients was more than inpatients, but the positive incidence was lower in outpatients. b) The total numbers of examination position were increased with year and the number of single position examination was the most (accounted for than 85% of the total numbers). The main examination positions included: head, MRA of the head, cervical column, knees, lumbar column, pituitary gland, thoracic column, and abdomen. The examination positions diversified gradually. The application of examination technique also increased gradually. c) The systemic disease spectrum of positive cases in MRI examination included 9 categories, which accounted for 42.86% of ICD-10. The nervous systematic disease, muscle, skeleton and connective tissue disease were the categories. The major disease types were stable during the recent 3 years. The increase was obvious in injuries of the knees, malacosis and atrophy of the brain, the deformity of the brain. Conclusion The total numbers of the patients and positions examined increased gradually with year in the Sichuan Provincial People’s Hospital from 2010 to 2012. The applications of MRI in the head, limbs and joints, and soft tissues were more extensive. Children diagnosed as positive results had diseases of the central nervous system, limbs and joints, and connective tissue disease.

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  • 四川大学华西医院门诊特殊疾病结算服务管理探讨

    探讨医疗保险制度下的门诊特殊疾病的结算服务方法,并针对结算服务的现状及存在的问题,依据省、市两级门诊特殊疾病核算特点,采取扩充结算窗口、完善结算软件系统、强化人员业务培训等改进措施,提高结算服务速度和质量,为医疗保险门诊特殊疾病工作的顺利推进奠定基础。

    Release date:2016-08-26 02:09 Export PDF Favorites Scan
  • 优化门诊服务流程 提高患者满意度

    目的 总结优化门诊环境与流程、提高门诊服务能力的方法与经验。 方法 2011年初通过改造和优化门诊环境及服务流程,强化服务意识,提高护理人员业务素质等方法,着力解决门诊服务中存在的相关问题,并以调查问卷方式对优化前后的效果进行比较评价。 结果 优化后,门诊就诊环境大为改善,服务流程得以改进,服务能力有所扩展,患者的就医满意度比2010年上升了14.84%,意见投诉则下降68.42%。 结论 合理的就诊流程及人性化主动服务,可以改善门诊患者的就医感受并提高患者满意度。

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  • 精神科门诊患者的护理体会

    目的 总结交流精神科门诊护理的特点与经验。 方法 根据精神科患者人格特点和认知行为的特殊性,通过改善就医环境,优化就医流程;针对不同类型的精神疾病患者采用不同的应对处置技巧;强调和推行个体化服务模式;大力推广健康教育等措施,改善和提高精神科门诊护理质量与水平。 结果 就医流程的优化,使门诊候诊时间大为缩短,减少了门诊突发事件的几率;不同的处置技巧,有效地控制和减少患者诊治时段的冲动与焦虑;个性化的护理服务和健康教育,增进医患间的沟通与交流,使患者得到更多的疾病知识指导,增强了治疗依从性,患者和家属满意度提高。 结论 精神科门诊护士不但要有扎实的专业知识和技能,高度的同情心,还须有敏锐的观察力和良好的沟通技巧,为门诊工作的顺利开展、管理及干预策略的制定提供依据。

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  • 门诊儿科处方不合理用药的调查与分析

    【摘要】 目的 了解分析门诊儿科处方用药情况,促进合理用药。 方法 随机抽取2009年1-12月的门诊儿科处方10 800张,根据《医院处方点评管理规范(试行)》及文献资料,对不合理用药处方进行分类和统计。 结果 不合理用药主要表现为遴选的药品不适宜,药物联用不适宜,溶媒不合理,用法、用量不适宜等。 结论 儿科医师应更好地掌握药物相关知识,提高门诊儿科处方的合理用药水平。

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • The Early Outpatient Care of the Patients Performed Liver Transplantation

    通过对1999年1月至2007年8月,肝移植病人术后门诊复查的情况做一总结,通过护理干预,使病人复查得到极大方便,并拓展了护理工作领域,提高了门诊护理工作的质量,并提升了医院的形象。

    Release date:2016-09-08 10:14 Export PDF Favorites Scan
  • Analysis of Outpatients’ Service Needs

    目的:为了在门诊“一切以病人为中心”的服务理念中体现人性化护理服务,为病人提供优质护理。方法:通过自行设计的问卷调查门诊病人的需求。针对这些需求及门诊护理工作的特点,提出作为门诊护士长及护士的管理要求。结果:病人需求最高的是高操的医疗技术和早就诊,早明确诊断,尽早治疗的迫切心理,各占95.18%、94.68%;其次是希望能有一简便、快捷、明了的就诊流程占88.59%,再其次为希望得到医护人员关注,对医护人员态度的要求比例也较高各占调查的85.17%和83.36%。结论:通过了解病人的需求,从护理的角度有针对性的实行有序管理,改善就诊流程,简化就诊手续,最终赢得病人的认可,使病人满意度提高至95%以上。

    Release date:2016-09-08 10:14 Export PDF Favorites Scan
  • Survey on Off-Label Drug Use in Pediatric Outpatients of West China Second University Hospital in 2010

    Objective To determine the extent of off-label drug use in pediatric outpatients of West China Second University Hospital in 2010, and to analyze its possible risk factors, so as to provide baseline data for getting acquainted with the extent of off-label drug use in pediatrics in China and developing policy of off-label drug use. Methods The stratified random sampling was conducted to select prescriptions of children aged 0 to 18 years in pediatric outpatients of the West China Second University Hospital in 2010. According to drug instructions, off-label drug use of prescriptions of all selected children was analyzed in the following aspects, the category of off-label drug use, age, category of drugs. In addition, an analysis was conducted to check the relationship between off-label use and following possible risk factors: age, sex, essential medicines and over-the-counter drugs. Results A total of 2 640 prescriptions with 8 588 medical advices involving 329 drugs were extracted and analyzed, with incidence rates of off-label drug use accounting for 76.59%, 40.88% and 83.89%, respectively. The main categories of off-label drug use were no pediatric information (35.57%), indication (25.44%), and dosage (25.31%). The top 2 age groups with highest incidence rate of off-label drug were neonates (54.35%) and adolescents (49.64%). The top 4 drugs with highest incidence rate of off-label drug were respiratory system medicines (48.12%), Chinese patent medicines (48.12%), digestive and metabolic system medicines (33.36%), and systemic anti-infectives (16.27%). The off-label use risks in all age groups in the hospital were indifferent, and the essential medicines and prescription medicines were likely to present higher risks of drug off-label. Conclusion Off-label drug use in pediatric outpatients is common with growth trend in pediatric outpatients of the West China Second University Hospital. On the one hand, drug instructions lack pediatric information, and on the other hand, it’s badly in need of developing relevant legislation, regulations or guidelines to regulate off-label drug use, providing more evidence by conducting clinical trials on pediatric drugs, encouraging the development and production of the applicable drugs and dosage forms for children, and establishing the children essential medicine list, so as to avoid doctor’s professional risk and ensure the safety of pediatric drug use.

    Release date:2016-09-07 10:58 Export PDF Favorites Scan
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