"人机料法环"全方位管理模式在健康管理中心超声检查中的应用效果

Application effect of"4M1E"comprehensive management mode in ultrasonic examination of health management center

目的探讨"4M1E"[人员(man)、机器(machine)、物料(material)、方法(method)、环境(environment)]全方位管理模式在健康管理中心超声检查中的应用效果,为各医院健康管理中心制订改革措施来提高体检客户超声检查的质量和效率提供参考意见。方法采用非随机对照研究方法,以便利抽样法选取在南方医科大学珠江医院健康管理中心进行体检的400人作为研究对象。选择2021年8—10月进行体检的200人作为对照组,实施常规体检模式;2022年8—10月进行体检的200人作为试验组,实施"4M1E"全方位管理模式。比较2组的体检耗时、超声体检通过率、膀胱充盈度、检查前知识得分与满意度。结果试验组超声体检耗时(9.54±3.25)min,低于对照组的(12.33±5.07)min,差异有统计学意义(t=6.53,P<0.05);试验组超声体检1、2、3次通过率分别为86.0%(172/200)、12.0%(24/200)、2.0%(4/200),对照组分别为73.5%(147/200)、20.5%(41/200)、6.0%(12/200),2组比较差异有统计学意义(χ^(2)=10.05,P<0.05)。试验组膀胱过度充盈、适当充盈、充盈欠佳的比例分别为1.0%(2/200)、86.0%(172/200)、13.0%(26/200),对照组分别为2.0%(4/200)、70.0%(140/200)、28.0%(56/200),2组比较差异有统计学意义(χ^(2)=14.93,P<0.05)。试验组检查前知识得分(8.16±1.43)分,高于对照组的(6.19±1.94)分,差异有统计学意义(t=-11.48,P<0.05)。试验组总体满意度得分(20.55±2.46)分,高于对照组的(18.45±2.86)分,差异有统计学意义(t=-7.87,P<0.05)。结论"4M1E"全方位管理模式可使体检客户充分做好检前准备,减少超声体检耗时,高效完成检查,全面提升体验感与满意度。

Objective To explore the application effect of the"4M1E"comprehensive management mode(man,machine,material,method,environment)in ultrasonic examination,and to provide reference for the health management center of hospitals to formulate reform measures to improve the quality and efficiency of ultrasonic examination.Methods By adoping a non-randomized controlled research,a total of 400 clients who underwent physical examination in the Health Management Center of Zhujiang Hospital,Southern Medical University were selected as subjects by convenience sampling method.Among them,200 clients who underwent physical examination from August to October 2021 were selected as the control group to implement routine physical examination mode,another 200 clients who underwent physical examination from August to October 2022 were selected as the experimental group to implement the"4M1E"comprehensive management mode.The ultrasonic examination time,passing rate,bladder filling,pre-examination knowledge score and satisfaction of the two groups were compared.Results The ultrasonic examination time of experimental group was(9.54±3.25)min,lower than(12.33±5.07)min of control group,and the difference was statistically significant(t=6.53,P<0.05).The passing rates of ultrasonic examination at 1 time,2 times and 3 times in the experimental group were 86.0%(172/200),12.0%(24/200)and 2.0%(4/200),respectively,which were better than 73.5%(147/200),20.5%(41/200)and 6.0%(12/200)in the control group with statistical significance(χ^(2)=10.05,P<0.05);the proportions of overfilling,proper filling and poor filling in the experimental group were 1.0%(2/200),86.0%(172/200)and 13.0%(26/200),respectively,which were better than 2.0%(4/200),70.0%(140/200)and 28.0%(56/200)in the control group,the differences of two groups were statistically significant(χ^(2)=14.93,P<0.05).Pre-examination knowledge score of experimental group(8.16±1.43)was higher than that of control group(6.19±1.94)points,and the difference was statistically significant(t=-11.48,P<0.05).The overall satisfaction score of the experimental group(20.55±2.46)was higher than that of the control group(18.45±2.86).The differences was statistically significant(t=-7.87,P<0.05).Conclusions The"4M1E"comprehensive management mode can make physical examination clients fully prepare for the examination,reduce the time of ultrasonic examination,complete the examination efficiently,and comprehensively improve the sense of experience and satisfaction.