CAJ | 학술논문

目的研究北京城区4家传统中医门诊患者复诊情况,并宣传复诊的重要性.方法于2010年4月至2011年3月在北京城区4家传统中医门诊随机选取120位初诊患者及380位复诊患者进行问卷调查,分析复诊率、影响复诊的相关因素及复诊原因.采用SPSS17.0软件进行统计学分析.结果在4所门诊中,复诊率最高为56.7％,总复诊率为47.0％;患者未复诊原因中,13.7％选择无疗效或疗效不显著,12.6％选择时间不允许,10.3％选择已经康复;在影响复诊的相关因素调查中,患者自判疗效的有无、医嘱是否要求复诊可能是影响患者选择复诊与否的相关因素;患者复诊原因中,73.0％的复诊者选择有疗效,35.9％选择医生医德高尚,32.0％选择医生嘱咐患者复诊.结论北京城区4家传统中医门诊的复诊率较低;无疗效或疗效不显著、时间不允许、已经康复是未复诊的前三位原因;患者自判疗效的有无和医嘱是否要求复诊与患者是否选择复诊相关;有疗效、医生医德高尚及医生嘱咐复诊是前三位复诊原因.
목적 연구북경성구4가전통중의문진환자복진정황,병선전복진적중요성.방법 우2010년4월지2011년3월재북경성구4가전통중의문진수궤선취120위초진환자급380위복진환자진행문권조사,분석복진솔、영향복진적상관인소급복진원인.채용SPSS17.0연건진행통계학분석.결과 재4소문진중,복진솔최고위56.7％,총복진솔위47.0％;환자미복진원인중,13.7％선택무료효혹료효불현저,12.6％선택시간불윤허,10.3％선택이경강복;재영향복진적상관인소조사중,환자자판료효적유무、의촉시부요구복진가능시영향환자선택복진여부적상관인소;환자복진원인중,73.0％적복진자선택유료효,35.9％선택의생의덕고상,32.0％선택의생촉부환자복진.결론 북경성구4가전통중의문진적복진솔교저;무료효혹료효불현저、시간불윤허、이경강복시미복진적전삼위원인;환자자판료효적유무화의촉시부요구복진여환자시부선택복진상관;유료효、의생의덕고상급의생촉부복진시전삼위복진원인.
Objective To research the current situation at traditional Chinese clinics in urban area of Beijing,and to propagate the importance of re-visiting.Methods 500 outpatients were selected randomly from 4 traditional Chinese clinics in urban area of Beijing from April 1st in 2010 to March 31st in 2011.Questionnaires were undertaken by these patients,including 120 first visitors and 380 re-visitors,then SPSS17.0 was used to statistically analyze the re-visiting proportion,influence factors and reasons for re-visiting.Results The highest re-visiting proportion was 56.7％ in 4 clinics and the total was 47.0％; 13.6％ patients who didn't have re-visit choice for their having no significant curative effect,12.6％ for having no time,10.3％ for having been recovered; patients who had curative effect and doctor's advice to re-visit may be the related influence factors of re-visiting; in the investigation of reasons,73.0％ patients made re-visit choice for having curative effect,35.9％ for doctors' good medical ethics,35.9％ for doctors' advice.Conclusion There was a low re-visiting proportion in these 4 traditional Chinese clinics in urban area of Beijing; the top three non-revisiting reasons were no significant curative effect,having no time and having recovered.Having curative effect and doctor's advice to re-visit may be the related influence factors of re-visiting; the top three re-visiting reasons were curative effect,doctor's good medical ethics and doctor's exhortation.