야간외래진료제의 활성화에 대한 고찰 = A Study on the Implementation of Night-time Care System for Outpatients

다국어 초록 (Multilingual Abstract)

Night-time care system for outpatients is thought be a kind of methods to solve the increasing medical demand especially for the workers and the students who usually find it difficult to have free time during the daytime. There are some hospitals which have night-time care system for outpatients. But only a few know about this system and it faces a great problem of management.
This study was carried out to investigate the effective methods for the implementation of night-time care system for outpatients through the questionaire survey concerning the current condition, the problems, and the suggestions for effective management of this system.
The results summarized are as follows:
1. Among 116 workers and students, only 38 persons(32.8%) knew these system and 78 persons(67.2%) did not know it. This system was not recognized by male respondents(38.8%) and female respondents (28.4%).
2. As for the kinds of patients, the emergency cases showed the highest proportion as 24.1%, and the available night-time(14.7%), traffic accidents(11.2%), injuries(9.5%) followed in that order.
3. In the emergency room, besides emergency care, many other activities were performed such as ordinary patient care(23.7%), injection task(27.1%), patient care at day-time(22.0%), and support for operation(6.8%) and so forth.
4. As for the inconvenience in an emergency room, many people complained about waiting for treatment(16.4%), being treated by interns(14.7%), lack of hospital beds(12.9%) and unnecessary examination (8.6%).
5. Concerning the departments at night-time care system for outpatients, people wanted the department of internal medicine(23.4%) the most, and then surgery(16.9%), obstetrics and gynecology(16.2%), pediatrics(12.8%) in that order.