医院门急诊灾后重建中的问题及对策

Problem and coping strategy in post-disaster reconstruction in the outpatient and emergency department

目的探讨医院门急诊在灾后重建中存在的问题和应对策略。方法以调研、检查、走访、坐谈和问卷等形式,对2008年6月～2009年6月的就诊患者2万人次、社会各界人士800人次、医护人员1 600人次进行调查,集成地震后医院门急诊重建中存在的问题,针对问题实施改进措施,对比整改措施实施前后的效果。结果灾后重建中门急诊面临大量患者和医疗资源相对匮乏之间的突出矛盾。整改后医务人员、患者及社会各界人士认为医院门急诊医疗环境和条件有明显改善,工作流程更为清晰,前后比较差异有显著意义(P<0.05);患者对医院的满意度也明显提高。结论针对灾后重建中存在的问题,优化流程、改善就诊环境、加强引导和合理配置医疗资源,能有效地缓解医患间矛盾,提高就诊患者的满意度。

Objective To discuss the present problem and coping strategies of the outpatient and emergency department in dealing with post-disaster rebuilding.Methods Totally 20000 patients,800 peoples from all sectors of society,and 1600 paramedics were inquired between Jun.2008 and Jun.2009 by the approaches of discussion,interview,questionnaire and so on.The problems of the outpatient and emergency department in dealing with post-disaster rebuilding were integrated,improving measures were enforced,and effect before and after performing reforming measures was compared.Results There was an outstanding contradiction between a great number of patients and limited medical resources for the outpatient and emergency department.With the improving measures,the medical environment and conditions were obviously improved,treatment procedure was more scientific,and a significant difference before and after the reform was observed（P0.05）.Conclusion According to the problem in rebuilding and improving medical services of the outpatient and emergency department in post-disaster reconstruction,optimizing the medical treatment procedure,improving the medical environment,strengthening the guidance and management,and achieving a rational medical resource allocation could efficiently relieve contradictions between doctors and patients,and improve patient＇s satisfaction.