提升急性心肌梗塞病人個案收案率與照護成效

Strategies to Increase Case Enrollment Rates and Improve Care Outcomes for Patients with Acute Myocardial Infarction

目的：研究顯示，急性心肌梗塞(AMI)族群以個管模式照護成效良好，但本院過去收案率偏低，為兼顧照護量能與品質，透過品質改善手法提升AMI個案收案率與照護成效。方法：針對「為什麼心肌梗塞個案收案率不佳?」和「如何提升心肌梗塞個案照護成效?」兩大面向，找出真因14項，並選定16項對策執行，組成「AMI-CARE」7個對策群組。結果：AMI個案收案率由16.8%提升至62.5%，目標達成率138%，進步率272%，其餘7項次要目標皆有達標。結論：透過「AMI-CARE」七大對策，可以有效提升AMI個案收案率與整體照護品質，作法可供其餘疾病別認證團隊參考。

 

Purpose: Previous studies have indicated case management models markedly improve care outcomes for patients with acute myocardial infarction (AMI). In this study, quality improvement methods were adopted to address the suboptimal enrollment rate observed in our hospital’s case management program, balance care capacity and quality, and boost AMI case enrollment rates and care outcomes. Methods: The research team investigated two key questions: why is the AMI case enrollment rate low, and how can AMI care outcomes be improved? A total of 14 root causes were identified, and 16 targeted interventions organized into 7 strategy groups under the AMI-CARE framework were implemented. Results: The AMI case enrollment rate increased from 16.8% to 62.5%, representing a target accomplishment rate of 138% and progress rate of 272%. All seven secondary objectives were also met. Conclusion: The AMI-CARE framework effectively improved AMI case enrollment rates and overall care quality. This approach can serve as a reference for other disease certification teams.