新型预约诊疗服务模式在大型综合医院中的应用
Application of new appointment service model in large comprehensive hospitals
熊淑君 1赵光斌 2袁素平2
作者信息
- 1. 610072成都,四川省医学科学院四川省人民医院门诊部导诊中心
- 2. 610072成都,四川省医学科学院四川省人民医院门诊部办公室
- 折叠
摘要
目的 探讨大型综合医院新型预约诊疗服务模式的实施效果.方法 选择2011年7-8月接受新型诊疗预约服务的门诊患者6 000例作为观察组,2011年5-6月接受传统诊疗模式的门诊患者6000例作为对照组.对两组患者在预约检查时间、无效预约及患者满意度方面进行比较分析,以评价新型预约诊疗模式的效果.结果 观察组在放射科预约检查时间≤1d者占68.8％、≥2d者占3t.2％,在超声科预约检查时间≤1d者占67.2％、≥2 d者占32.8％,在内镜室预约检查时间≤2 d者占85.6％、≥3 d者占14.4％,在心血管彩超室预约检查时间≤2 d者占75.9％、≥3 d者占24.1％,与对照组相比差异有统计学意义(x2值分别为4.838,9.199,28.355,10.359;P＜0.05).观察组在放射科、超声科、内镜室和心血管彩超室的无效预约分别占1.9％.2.4％,4.1％,2.5％,明显低于对照组,差异有统计学意义(x2值分别为9.982,19.687,8.684,7.623;P ＜0.05).观察组对放射科、超声科、内镜室和心血管彩超室预约诊疗的满意度分别为94.9％,93.6％,96.3％,95.8％,均明显优于对照组,差异有统计学意义(x2值分别为30.623,4.120,15.640,19.231；P ＜0.05).结论 新型诊疗预约服务的实施,缩短了患者诊疗检查的预约时间,减少了无效预约、反复改约等现象,提高了诊疗效率和患者的满意度.
Abstract
Objective To study the effect of new appointment service model on improving the efficiency of diagnosis and treatment of large comprehensive hospitals.Methods All patients seeing doctors at out-patient department were designated as experimental group that implemented new appointment service model of diagnosis and treatment during July to August of 2011,while the patients at out-patient department were designated as control group that implemented routine service model during May to June of 2011.Then,differences in appointment time,non-effective appointment rate and patients' satisfactory rate between these two groups were compared.Results In experimental group,X-ray appointment examination time:68.8％ patienta were ≤ 1 day and 31.2％ patients were ≥2 days,ultrasound appointment examination time:67.2％ patients were≤1 day and 32.8％ patients were ≥ 2 days,endoscope inspection appointment examination time:85.6％ patients were ≤2 days and 14.4％ patients were ≥ 3 days;appointment examination time of cardiovascular ultrasound:75.9％patients were ≤ 2 days and 24.1％ patients were ≥ 3 days ; and those significantly different with that of control group ( x2 =4.838,9.199,28.355,10.359,respectively; P ＜ 0.05).Non-effective appointment rate of experimental group was that radiology department 1.9％,ultrasound department 2.4％,endoscope inspection room 4.1％,cardiovascular ultrasound 2.5％,and significantly lower than that of the control group ( x2 =9.982,19.687,8.684,7.623,respectively; P ＜ 0.05 ).The patients' satisfactory rate of experimental group was that:radiology department 94.9％,ultrasound department 93.6％,endoscope inspection room 96.3％,cardiovascular ultrasound 95.80％.And the parameters of experimental group were obviously better than that of control group ( x2 =30.623,4.120,15.640,19.231,respectively; P ＜ 0.05 ).Conclusions Through implementing new appointment service model of diagnosis and treatment,the patients' appointment time was shortened,non-effective or repeatedly-changed appointment was decreased,and the efficiency of diagnosis and treatment and the patients' satisfactory rate were improved obviously.
关键词
护理管理研究/患者满意度/新型预约诊疗服务模式/预约时间/综合医院Key words
Nursing management study/Satisfactory rate of patient/New appointment service model/Appointment time/Comprehensive hospital引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据