2017/7/11

8,000 /

LIFE SUPPORT


(walk in)
20,000
/

GPMEC 1-2
( )
!

HCU(20)

/
+Aline +UTI
/
+ +

6/()

(3-4)

? ?

1
 2017/7/11

DPC-

?
!
??

(1301)

/ Bio-medical

/
WS

2
 2017/7/11

50

#1
#1-aChild-Pugh:B 1:80%1:70%
#1-b
#1-cNST
#2
#3
?

( 167cm 39kg BMI:13.98)
3 : :
: :
: :++
:+
&
5 Hb:8.3 MCV:114 Plt:16.4 AST:59 ALT:36 ALP:277 T-Bil:1.5
:1800ml(:300g) ChE:61 G-GTP:145 S-NH3:41 PT-INR:1.07 T-P:6.0 Alb:2.6
:4035 (+) 5000ml
CT

M P



Child-PughB

QQOL C


3
enabler
QOL?

M P

Q C

3
 2017/7/11

?
!

1.

4
 2017/7/11

5
 2017/7/11

Social Determinans of Health:SDH

Solid facts

Solid facts

SDH

6
 2017/7/11

! ?

SDH

2.SDH

BPS !

7
 2017/7/11

!
!

3.
!
Social Vital Signs(SVS)

Milbank Q. 1998;76(3):469-92, 306.
Diffusion of ideas on social

inequalities in health: a European

perspective.

8
 2017/7/11

(Social Vital Sign:SVS)

SVS HEALTH
Human relations:
Social Vital signs
Employment Work:
AADL:
Life line:
?
Take food,clothing,shelter:
Health care systems:

134/93 60/30
60/ 150/
SPO2 98% SPO2 88%
20/ 40/
36.5 38.9

!

9
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SVS

SVS

()

()

SVS

()

()

SVS

SVS

SDH!!

10
 2017/7/11

15
SVS
!


No Blame!

SVS
1

10
10





3

?
()

SVS



Why



How

SVS

What Why How !
Human Relation enabler
3
:

Employment
?

AADL
SOC

Life line


Take food, ?
clothing, shelter

Health care
systems

11
 2017/7/11

LIFE SUPPORT

DDK
(D)

HEALTH (D)
(K)

Human Relation

Employment
Take food

SVS

12
 2017/7/11

!!?

!?

!! ?

13
 2017/7/11

LIFE SUPPORT conference

Learning socIal Frailty Michael Marmot:The Health Gap 2015
EnSuring an Upstream aPProach Bloomsbury
SDH
Rules and Tactics
: 2017

2013

14