摘要
目的:针对原有急诊医疗服务过程中常出现的多次重复排队、多次等候等运行不畅流程进行改造,以期达到急诊医疗服务流程快速、高效和畅通。方法:资料来源于某大型综合性医院急诊科2005年1-3月份和2006年同期就诊病人数据,采用随机发放调查问卷和现场调研相结合方法,各收集100例次(共计200例次)就诊病人诊疗过程相关数据。2005年的数据(100例次)作为对照组,2006年的数据(100例次)作为研究组。采用系统性重新整合方法,同时利用计算机网络管理技术,对原有急诊医疗服务流程中各个关键环节进行改造。主要措施包括:采用急诊电子病历、计费自动化系统和影像及检验数据网络传输共享系统;医疗资源和设备重新整合,并且根据峰谷病员流特点合理排班等措施。结果:急诊医疗服务流程改造后,病人在就诊等待时间、检查等待时间、检验等待时间、交费等待时间和全程诊疗时间均比改造前有明显缩短(P＜0．01)。结论:改造后的急诊医疗服务流程可以明显缩短病人在就诊、检查检验和交费等方面的等待时间,明显缩短病人全程诊疗时间,并且为病人提供高效、快速、满意的急诊医疗服务。
Objective： A modified emergency medicine flow was designed based on Business Process Reengineering （BPR） to offer more satisfy emergency medical service. Methods： From January to April in 2005 and 2006, 200 emergency patients were investigated （ 100 cases for each year） in a general hospital. The patients＇ data in 2005 were served as control group and the other as research group. A series measure were performed to reengineer the process, such as administration of network for the patients＇ records, network transmission and sharing system of im- aging and inspection, and automatization accounting system etc. Results： The patients＇ waiting times for result of diagnosis and treatment, laboratory examinations and paying fees in research group were statistically shorter than those in control group （P 〈 0.01 ）. Conclusion： The modified process will help hospital to provide patients a quicker, more efficient and satisfactory emergency medical service.
出处
《解放军医院管理杂志》
2007年第2期109-111,共3页
Hospital Administration Journal of Chinese People's Liberation Army
基金
江苏省医院管理学会课题资助项目(批准文号:JHA2005-010)
关键词
急诊医疗服务
作业重组
医院管理
emergency medical service
process reengineering
hospital management
