北京市属三级医院急诊拥挤度现状调研与分析

Status quo and analysis on emergency department crowding of Beijing municipal tertiary hospital

目的:设计北京市属三级医院急诊拥挤现状的调查量表,统计分析造成各医院急诊科拥挤的相关因素,为研究制定减少急诊科拥挤的解决方案提供辅助决策手段。方法:选取北京市属19所提供急诊服务的三级医院,采集有可能造成急诊拥挤因素的急诊科诊疗数据,利用数理统计方法,对调查量表数据进行定性和定量分析。结果:不同的三级医院拥挤程度不同,与就诊人数、留观床位设置、急诊抢救人数等有关。结论:三级医院的急诊拥挤度在一定程度上反映了该医院的医术声誉,同时减少三级医院的急诊拥挤程度需要通过提高诊治效率、合理协调医院间医疗资源来实现。

Objective:To learn emergency department crowding status quo by self designed questionnaire and analyze factors caused crowding and give reference for reducing emergency department crowding.Methods:Data were collected in 19 tertiary hospitals in Beijing who provide emergency care and analyzed with quantity and quantitative method.Results:There is gaps of crowding degree in different hospitals.The relative factors include number of visiting,emergency observation beds and number rescue.Conclusions:Emergency department crowding degree in tertiary hospital someway can reflect hospital brand.It is considered to improve efficiency and rational allocate health resources between hospitals to reduce emergency department crowding.