内镜中心按诊疗项目选择性预约效果分析

Effect analysis of selective appointment process by items of medical care at the endoscope center

目的探讨内镜中心按诊疗项目选择性预约的应用效果。方法选取2016年10—12月按指定医生预约方式（对照组）与2017年1—3月按诊疗项目选择性预约方式（改进组）的胃肠镜检查患者的数据，记录两种预约方式患者的预约时间、候诊时间、工作量、二次候诊人数、患者及医生满意度，并采用独立样本t检验和非参数Mann—WhitneyU秩和检验进行组间比较。结果与对照组相比，改进组的预约等候时间[（15．4±2．0）天VS．（24．4±2．2）天]、候诊时间[（40．0±12．6）minVS．（54．8±15．3）min]均明显缩短（P〈0．05），改进组二次候诊人数明显减少（24．5±7．1VS．37．8±9．0，P〈0．05）。结论按诊疗项目选择性预约信息系统的设计与应用，缩短了患者的预约和候诊时间，获得良好的就诊秩序，提升了患者满意度，实现了内镜预约就诊的信息化和智能化。

Objective To learn the application effects of selective appointment by items of medical care at the endoscope center. Methods Data of the patients receiving gastroseopy examination scheduled by appointment with designated doctors in October through December of 2016 （the control group）, and that in January through March scheduled by selective appointment by medical care items （the improvement group） were selected for comparison. The appointment time, waiting time, workload, secondary waiting time, and patient/doctor satisfaction of the two appointment methods were documented, and compared using independent sample t test, and non-parameter Mann-Whitney U stun of ranks test. Results Compared with the control group, the appointment waiting time of the improvement group [ （ 15.4 ＋- 2.0） days vs. （24.4 ~ 2.2） days ], waiting time [ （40.0 ＋ 12.6 ） min vs. （ 54.8 -＋ 15.3 ） rain ] were shortened significantly （ P 〈 0.05 ） , with much less seeondary waiting patients in the improvement groups as well （24.5 ＋ 7.1 vs. 37.8 ＋9.0, P 〈 0.05）. Conclusions Design and application of this selective appointment IT system has shortened both appointment and waiting time of patients, securing better medical environment, higher patient satisfaction by means of IT-based and AI-based endoscope appointments.