多部门协作型集中式检查预约中心的建立及评价

Establishment and evaluation of the centralized examination reservation center with multi-department cooperation

目的评价多部门协作型集中式检查预约中心的实践效果。方法通过人员及环境配置、预约信息软件开发、完善制度及优化流程等实践措施,建立多部门协作型集中式检查预约中心,对检查预约中心的运行实践进行评价。结果与集中预约前相比,患者的检查预约时间、等待时间缩短,其中,CT检查由集中预约前的(22.4±4.1)分、(9.0±2.6)分,分别下降至(14.1±3.6)分、(5.5±1.3)分(P<0.001);B超检查由集中预约前的(28.7±5.6)分、(11.3±3.8)分,分别下降至(22.4±4.9)分、(8.8±2.6)分(P<0.001);磁共振检查由集中预约前的(75.2±13.4)分、(54.4±8.6)分,分别下降至(24.3±5.2)分、(6.8±2.1)分(P<0.001)。患者的平均住院日由集中预约前的(11.4±3.9)日降至(6.8±2.1)日(P<0.001),检查满意度提高(P<0.001)。同时,与集中预约前相比,月门诊量、检查量提高,其中,月门诊量由集中预约前的(11897.0±322.9)例上升至(13763.0±304.6)例(P<0.001);CT月检查量由集中预约前的(4378.4±135.5)次上升至(6873.5±201.4)次(P<0.001);B超月检查量由集中预约前的(2765.3±112.3)次上升至(3618.6±135.6)次(P<0.001);磁共振月检查量由集中预约前的(496.7±34.8)次上升至(884.3±54.3)次(P<0.001)。结论多部门协作型集中式检查预约中心工作的顺利开展,有利于提升患者的就医体验、增加医院资源的经济效益,提高检查的工作效率。

Objective To evaluate the practice effect of multi-department collaborative centralized examination reservation center.Methods Through practical measures such as personnel and environment configuration,reservation information software development,system improvement and process optimization,the centralized examination reservation center with multi-department cooperation was established.This study intends to evaluate the operation practice of the examination reservation center.Results Compared with those before centralized appointment examination,the patient′s examination appointment time and waiting time significantly shortened.Among them,the time of CT decreased from(22.4±4.1)minutes and(9.0±2.6)minutes to(14.1±3.6)minutes and(5.5±1.3)minutes,respectively(P<0.001);the time of B-ultrasound decreased from(28.7±5.6)minutes and(11.3±3.8)minutes to(22.4±4.9)minutes and(8.8±2.6)minutes respectively(P<0.001);and the time of MRI decreased from(75.2±13.4)minutes and(54.4±8.6)to(24.3±5.2)minutes and(6.8±2.1)minutes(P<0.001).The average hospital stay of the patients decreased from(11.4±3.9)days to(6.8±2.1)days(P<0.001),and examination satisfaction significantly improved(P<0.001).At the same time,compared with those before centralized appointment examination,the monthly outpatient visits and examinations have increased significantly.Among them,the monthly outpatient visits increased from(11897.0±322.9)cases to(13763.0±304.6)cases(P<0.001);the number of monthly CT examinations increased from(4378.4±135.5)times to(6873.5±201.4)times(P<0.001);the number of monthly B-ultrasound examinations increased from 2765.3±112.3 times to(3618.6±135.6)times(P<0.001);and the number of monthly MRI examinations increased from(496.7±34.8)times to(884.3±54.3)times(P<0.001).Conclusion The smooth development of multi-department collaborative centralized examination reservation center helps to improve patients′medical experience,increase the economic benefits of hospital resources,and improve the work efficiency of examination.