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分时段分项目组多途径预约模式在妇幼专科医院超声检查中的应用

Application of multi-channel appointment mode with time-segment and sub-project teams in ultrasonic examination at Women and Children’s Hospital

  • 摘要:
    目的 为解决妇幼专科医院超声检查工作量大、高峰时段患者集中、患者等待时间长等问题,对超声检查工作进行现状分析,利用信息化技术积极探索超声预约检查新模式。
    方法 通过将聊城市东昌府区妇幼保健院的预约系统、医院信息系统和医学影像存档与通讯系统进行对接交互,构建分时段分项目组多途径超声预约模式,实现5种途径(诊间、病房护士站、分诊台、自助机、微信公众号)7个超声检查项目组分时段预约。选取流程改造前2020年5月10 — 16日于该院就诊的3 047例超声检查患者为对照组,流程改造后2020年10月10 — 16日就诊的2 604例超声检查患者为研究组,比较两组患者的平均等待时间、预约检查率、投诉例数和患者满意度的差异。
    结果 应用分时段分项目组多途径预约超声检查后,研究组超声检查各项目平均等待时间明显低于对照组,预约检查率高于对照组,患者投诉例数明显下降,患者满意度明显提升,差异均有统计学意义(均P < 0.05)。
    结论 超声检查采用分时段分项目组多途径预约模式可明显降低患者检查等待时间,保障患者安全,有效改善患者就诊体验。

     

    Abstract:
    Objective To address the issues of heavy workload, concentrated peak time and long waiting period for patients at Maternal and Child Hospital, analyze the status of ultrasonic examination, and apply new appointment mode based on information technology.
    Methods Through docking and interaction of reservation system, hospital information system (HIS) and picture archiving and communication systems (PACS), the multi-channel ultrasound reservation mode of time and program division unit was constructed, and the time-segment reservation of 7 ultrasonic examination programs was realized, including 5 appointment channels in out-patient clinic, in ward nurse station, triage reception, self-service machine and WeChat official account. A total of 3 047 and 2 604 patients who underwent ultrasound examination before and after the process transformation from May 10th to 16th, 2020 and October 10th to 16th were recruited as control group and study group, respectively. The average waiting period, appointment rate, number of complaints and patients’ satisfaction between two groups were compared.
    Results The average waiting period of ultrasonic examination of each program in study group was significantly shorter than that in control group, and the appointment rate in study group was significantly higher than that in control group after the application of multi-channel appointment mode of time and program division unit in ultrasound examination. The number of complaints decreased, while patients’ satisfaction increased, and the differences were statistically significant (all P < 0.05).
    Conclusion  The application of multi-channel appointment mode of time and program division unit for ultrasound examination can significantly reduce waiting period of patients, ensure their safety, and effectively improve their medical experience.

     

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