乳房攝影巡迴車陽性個案回診率之相關因素研究-以北部某地區醫院為例

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標題:	乳房攝影巡迴車陽性個案回診率之相關因素研究-以北部某地區醫院為例 A Study on the Relevant Factors of the Return Rate of Positive Cases in Mammography Touring Cars- A Case of a Regional Hospital in Northern Area
作者:	黃渝棋
貢獻者:	醫務管理系張碩芳
關鍵字:	乳癌篩檢數位乳房攝影巡迴車陽性追蹤 breast cancer screening digital breast X-ray photography touring car positive tracking
日期:	2018
上傳時間:	2019-02-27 16:50:25 (UTC+8)
摘要:	根據衛生福利部統計，我國女性的乳癌發生率及死亡率一直居高不下，且與過去數年相比，人數明顯增加。本研究主要目的在分析婦女於個案醫院接受乳房X光攝影篩檢後，影響其陽性個案回診率之相關因素，期望日後可參考其結果進而改善追蹤狀況。以使用衛生福利部國民健康署乳癌篩檢系統，自民國105年10月起到民國106年9月底，其於個案醫院所屬之數位乳房X光攝影巡迴車內接受乳房X光攝影檢查為陽性之已建檔個案，將其電訪追蹤內容輸出建立表格採內容分析法分類統計其影響回診之因素。個案醫院於研究期間總共執行了20,043人次的乳癌篩檢攝影檢查，於其中需進行回診追蹤陽性個案為1,506位，有訪談紀錄建檔的有1,425位，平均年齡為54.85歲。本研究以內容分析法將陽性個案電話訪談追蹤記錄分析整裡。將電話訪查追蹤複診內容記錄以內容分析法進行分析整理後，發現此次影響陽性個案複診因素之語幹分析研究可將結果分類為三大因素、七大項類型共25項語幹。分析結果發現許多民眾對自身健康管理非常被動，常需個案師多次電訪追蹤幫忙掛號才願意進行複診，甚至對自身健康管理心態非常負面。故建議可多加推廣預防保健資訊，亦可多舉辦相關衛教活動，醫療院所可多開設假日或夜間門診供平日上班民眾也能有更多的回診選擇。 According to the statistics of the Ministry of Health and Welfare, the incidence of breast cancer and the mortality rate of women in our country has remained high, and the number has increased significantly compared with the past few years. The main purpose of this study is to analyze the factors that affected the return rate of positive cases after women had undergone mammography screening in case hospitals. It is hoped that the results can be used later to improve the tracking status. This study used the Breast Cancer Screening System of the National Health Administration of the Ministry of Health and Welfare, from October 2016 to the end of September 2017 as the datebase. The case was documented as positive for mammography in a mammography radio belonging to a case hospital. The content of the electric visit tracking content was established and the content analysis method was used to classify and count the factors affecting the return visit. The case hospital performed a total of 20,043 breast cancer screening examinations during the study period. Among them, 1,506 were required to conduct a retrospective follow up, and 1,425 were interviewed, with an average age of 54.85. This study analyzed the positive case telephone interview tracking records by content analysis method. After the telephone interview and follow up content records were analyzed and analyzed by content analysis method, it was found that the stem study analysis of the positive reporting cases of the positive affected cases can classify the results into 3 major factors, and 7 major categories have a total of 25 stems. The results found that many people are very passive in their own health management. It is often necessary for a case trainer to conduct multiple visits to track and help register for a referral. Even the mentality of managing their own health is very negative. Therefore, it is recommended that more information on prevention and health care be promoted. We can also organize related educational activities. Medical institutions can open holidays or night clinics for the public and they can also have more back to back options.
關聯:	電子全文公開日期：2023-07-11，學年度：106， 51頁
顯示於類別:	[Dept. of Hospital and Health (including master's program)] Dissertations and Theses

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