一站式出院流程病案管理的效果评价

Effect Evaluation of Medical Record Management by Optimizing One-Stop Discharge Service Flow

目的通过一站式出院流程病案管理的效果评价,为医院科学管理提供依据。方法收集2017年1~4月1774例出院患者作为对照组,采取传统的方法办理入出院手续及复印病历资料,2017年5~12月的3180例出院患者作为观察组,采取一站式入出院服务流程的新方法。收集两组资料并进行效果评价,分别从出院患者的满意度,等待复印病历的时间,病案科的复印工作时间,人力成本消耗方面进行对比。利用excel函数CHITEST做卡方检验,excel函数TTEST做T检验,测算P值,进行统计学分析。结果观察组的出院患者满意度,患者等待病历复印的时间,病案科的复印工作时间,人力成本消耗均显著优于对照组(P<0.001)。结论一站式入出院服务,提高了患者的满意度,优化了工作流程,提升了工作效率,降低了人力成本,达到了入出院处、医保科和病案科工作的相互促进。

Abstract Objective The results of a one-stop discharge process for medical records management are used to provide the basis for hospital scientific management. Methods From January to April in 2017, 1774 discharged patients were collected as control group, take the traditional method for the discharge procedures and copy medical records. From May to December in 2017, 3180 discharged patients were collected as observation group, take one-stop to discharge service flow of the new method. Two groups of data were collected and evaluated, respectively, from the satisfaction of the discharged patients, waiting for the copy of the medical records, the medical records division of the copy work time, human cost consumption. Use Excel function chi-test to do card square test, Excel function test do t-test, calculate p-value, carry on statistic analysis. Results In the observation group, the satisfaction of discharged patients, the time of patients waiting for medical records copying, the working time of the medical records division, the cost of human labor was significantly superior to the control group （P〈0.001）. Conclusion The one-stop service has improved the patient＇s satisfaction, optimized the working flow, improved the work efficiency, reduced the labor cost, and achieved the mutual promotion of the work in the discharge department, Health insurance department and medical record department