摘要
目的以线上自助服务为切入点,推进数字化转型背景下医院服务新模式,探讨出入院办理的优化方法。方法通过软件层、服务层、功能层和场景层4层架构数据传输,利用患者唯一标识,获取住院状态,构建基于微信公众号的智能出入院服务平台,实现自助入院、缴纳预交金、自助出院结算等功能。以上海市胸科医院日间手术病区患者为研究对象,选取平台上线前后各环节的平均时间及患者满意度,对平台的应用效果进行实证分析。结果智能出入院服务平台上线7个月,记录了1133例患者的入院流程数据、416例患者的出院结算数据。平台上线后,入院办理、缴纳预交金及出院办理平均时长均较平台上线前显著缩短,且差异均有统计学意义(P<0.001)。患者全流程操作可节约59.6 min,患者满意度由96.19%提升至98.96%。结论智能出入院服务平台实现了用数字化、智能化赋能出入院服务,让就医流程做“减法”,切实改善了患者就医体验,为加强便民服务举措提供了借鉴经验,且进一步推进医院流程管理的协同化和智能化。
Objective Taking online self-service as the starting point,to promote a new model of hospital services under the background of digital transformation,to explore the optimization methods for admission and discharge processing.Methods Through four-layer architecture data transmission of software layer,service layer,function layer and scene layer,the patients unique identification was used to obtain the hospitalization status.And the intelligent admission and discharge service platform based on WeChat public number was constructed to realize the functions of self-service admission,payment of prepayment and self-service discharge settlement.Taking the patients in the day surgery ward of Shanghai Chest Hospital as the research object,the average time of each link and patient satisfaction before and after the platform’s launch were selected,and the application effect of the platform was empirically analyzed.Results The intelligent admission and discharge service platform was launched for 7 months,the admission process data of 1133 patients and the discharge settlement data of 416 patients were recorded.After the launch of the platform,the average time of admission,prepayment and discharge was significantly shorter than that before the launch of the platform,and the differences were statistically significant(P<0.001).The whole process operation of patients could decrease 59.6 min,and the patient satisfaction increased from 96.19% to 98.96%.Conclusion The intelligent admission and discharge service platform realizes the digital and intelligent admission and discharge service,makes the medical process“subtraction”,effectively improves the patient’s medical experience,provides reference experience for strengthening the convenience service measures,and further promotes the coordination and intelligence of hospital process management.
作者
尚诗
陈慧
宓林晖
SHANG Shi;CHEN Hui;MI Linhui(Information Center,Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Department of Financial,Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)
出处
《中国医疗设备》
2025年第6期82-86,99,共6页
China Medical Devices
基金
上海申康医院发展中心医疗质量安全与医疗服务模式创新项目(SHDC12023604)。
关键词
数字化转型
智能出入院
流程优化
患者主索引
自助结算
digital transformation
intelligent admission and discharge
process optimization
enterprise master patient index
self-service settlement
