摘要
目的 探讨体检中危及健康的“红色预警值”报告流程及实施随访的效果评价.方法 选取2011年7月至2012年6月在我院健康管理科进行体检发现的1 168例“红色预警值”患者作为对照组,2012年7月至2013年5月发现的973例“红色预警值”患者作为实验组,按新制定的报告流程及追踪随访体系实施诊疗,运用SPSS 13.0统计软件包进行数据分析,对追踪随访率、就诊率、平均就医时间、随访患者满意度、不良事件发生率五个指标进行综合分析,连续变量进行配对t检验、分类变量进行配对列联表χ^2检验,P＜0.05为差异有统计学意义.结果 通过新制定的报告流程及追踪随访体系实施诊疗,分析实验组和对照组的各项指标和数据,包括追踪随访率（对照组96.92％,实验组100％,X2=30.503,P＜0.05）、就诊率（对照组83.48％,实验组93.63％,χ^2=52.142,P＜0.05）、平均就医天数[对照组（3.0±0.5）d,实验组（1.5±0.5）d,t=69.12,P＜0.05]、随访患者满意度（对照组87.84％,实验组96.20％,r=48.361,P＜0.05）、不良事件发生率（对照组0.26％,实验组0.10％,χ^2=0.102,P＞0.05）.实验组追踪随访率、就诊率、平均就医时间、随访患者满意度与对照组结果比较均有明显统计学意义,不良事件发生率无统计学意义.结论 体检“红色预警值”报告及追踪随访的实施大大缩短了患者就医时间,提高了疾病诊治的成功率、受检者的满意度以及追踪随访率.根据实际情况,不断加以改进,使“红色预警值”管理及服务质量得以提升.
Objective To explore the reporting process of our health risk warning system and its long-term effectiveness. Methods A total of 1 168 individuals who were identified as higher risk populations from July 2011 to June 2012 in our Health Mangement Center were served as the control group, and another 973 adults who were identified as higher risk individuals from July 2012 to May 2013 were assigned to the study group. Diagnosis and treatment were based on our health risk reporting process and follow-up system. Paired t test and paired contingency table χ^2 test were used for data analysis. Results The rate of follow-up （97% vs 100%, χ^2=30.503, P〈0.05）, consultation （83.48% vs 93.63%, χ^2=52.142, P〈 0.05）, mean treatment time （（3.0±0.5） vs （1.5±0.5） d, t=69.12, P〈0.05） and patient satisfaction （87.84% vs 96.20%, X2=48.361, P〈0.05） were significantly different between the two groups, although no statistically significant difference of incidence of adverse events was found （0.26% vs 0.10% ,χ^2 =0.102, P〉0.05）. Conclusion Our health risk warning system may reduce the time for physical examination and improve disease diagnosis level and patients＇ satisfaction. Moreover, our health manatement system and health service quality should further be improved in practice.
出处
《中华健康管理学杂志》
CAS
2014年第2期95-98,共4页
Chinese Journal of Health Management
关键词
体格检查
随访
“红色预警值”报告
效果评价
Physical examination
Follow- up
Health risk warning system
Effectiveness evaluation
