| Summary: | 碩士 === 元培醫事科技大學 === 醫務管理系碩士班 === 105 === Objective:The patient is hospitalized for a stable or rehabilitative condition. The medical care team and the attending physician may be discharged or referred to other institutions for convalescence. However, some of the patients are returned to the medical institution for treatment in a short period of time. If the condition is unstable in the discharge, it is likely to occur non-planned return to emergency or re-hospitalization. Not only will increase the cost of emergency medical resources, medical costs, and the emergence of medical disputes and possible derivative legal issues. The study found that a regional hospital in the eastern region of 2012 to 2014, "three days after discharge, re-emergency rate" indicators higher than the national average and peer values. In view of this, the study obtained the medical data file for the hospital, for the "three days after discharge of the re-emergency" phenomenon, in-depth analysis and discussion of the relevant abnormalities, to provide institutions to improve care and processes the quality of hospital care.
Methods: In this study, an exclude the discharge of subjects for the psychiatric, nursing home, the selected three days after discharge of emergency patients a total of 3,375 objects in 2010 to 2015. Statistical analysis and inferential statistics were performed with SPSS 22.0 statistical software: statistical analysis of independent samples t test, chi-square, ANOVA and logistic regression.
Results and conclusion：Of the 3,375 patients in the three days after the discharge of the study, 83.6% of them were diagnosed with emergency, and the male was the most than female. Over 65 years of age and the maximum number of days of hospitalization is also the highest in discharged from the Department of thoracic medicine and surgery The same diagnostic category was "malignant tumor" within three days after discharge. The number of emergency injuries is at the third triage level (emergency). The results of this study inference: male, with a Catastrophic illness, the higher of the age, the three days after discharge more easy to induce the same diagnosis category of re-emergency.
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