中国卫生质量管理2024,Vol.31Issue(1) :44-48.DOI:10.13912/j.cnki.chqm.2024.31.1.10

接送服务链视角下住院患者放射检查失约现象分析

Analysis of Missing Appointment of Radioscopy among Inpatients from the Perspective of Shuttle Service Chain

徐桔密 黄伟娜 罗莉 赵芮 曹建文 戎文立
中国卫生质量管理2024,Vol.31Issue(1) :44-48.DOI:10.13912/j.cnki.chqm.2024.31.1.10

接送服务链视角下住院患者放射检查失约现象分析

Analysis of Missing Appointment of Radioscopy among Inpatients from the Perspective of Shuttle Service Chain

徐桔密 1黄伟娜 2罗莉 1赵芮 3曹建文 1戎文立1
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作者信息

  • 1. 上海市第六人民医院 上海 200233
  • 2. 任丘市人民医院 河北 沧州 062550
  • 3. 上海市东海老年护理医院 上海 201303
  • 折叠

摘要

目的 分析接送服务链视角下放射检查失约原因,提出改进建议.方法 收集某公立医院 2022 年 2 月8 日-18 日工作日期间放射科登记的检查失约科室、检查类型、检查时间、失约原因.结果 放射检查总失约率为6.01%(122/2 031).放射检查失约首要原因是患者死亡、出院、转科,其次为患者放弃检查.非手术科室放射检查失约原因主要是患者放弃,手术科室放射检查失约原因主要是医生取消.放射检查失约原因主要有医生、患者、系统故障、检查前准备不充分 4 个方面.结论 放射检查失约原因呈现分科聚焦特征,信息反馈不及时问题突出,医患沟通不到位问题明显.应结合绩效手段、临床路径等规范医生诊疗行为,并探索阶梯式接送服务模式,减少放射检查失约率.

Abstract

Objective To analyzes the causes of missing appointment adioscopy under the shuttle service chain and put forward some suggestions for improvement.Methods The departments,types,time and causes of missed ap-pointments registered in the radiology department of a public hospital during the working days from February 8 to 18,2022 were collected.Results The total failure rate was 6.01%(122/2 031).The main reasons for missing appoint-ment of radiology examination were death,discharge and transfer of patients,followed by voluntary abandonment of ra-diology examination.The main reason for non-surgical department radiology missed appointment was the patient's vol-untary abandonment,and the reason for surgical department radiology missed appointment was the doctor's cancellation.The main reasons for missing radiology appointments were doctor,patient,system failure,and inadequate preparation before examination.Conclusion The causes of radiology missed appointments were focused on different departments,the problem of delayed information feedback was prominent,and the problem of inadequate communication between doc-tors and patients was obvious.Doctors'behavior should be standardized by combining performance means and clinical pathways,and the stepped transfer service mode should be explored to reduce the rate of radiology missed appointments.

关键词

放射检查/检查失约/接送服务/医疗资源

Key words

Radiation Inspection/Cancellation of Examination/Shuttle Service/Medical Resources

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基金项目

上海交通大学中国医院发展研究院医院后勤管理研究所研究项目(CHDI-2022-C-11)

出版年

2024
中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
参考文献量16
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