安徽省某三甲医院门诊患者候诊时间的影响因素分析

Analysis of Influencing Factors of Waiting Time of Outpatients in Grade A Tertiary Hospital in Anhui Province

目的 分析安徽省某三甲医院门诊患者候诊时间影响因素,提出改进策略,提升患者就医感受。方法 通过医院信息系统调取2023年6月门诊患者就诊数据,并对当月就诊的405例门诊患者进行问卷调查,通过单因素及多因素分析候诊时间影响因素。结果 14岁及以下患者平均候诊时间最长,为15.2(5.1,39.5)min,预约挂号患者的平均候诊时间为9.2(3.9,19.5)min,短于非预约挂号的13.1(3.8,34.3)min;普通号患者平均候诊时间为9.5(2.8,25.1)min,短于专家的13.7(4.6,35.4)min;上午就诊患者平均候诊时间为10.1(3.3,26.7)min,短于下午就诊患者的15.7(5.0,37.1)min(P<0.001)。多元线性回归显示,年龄、就诊方式、就诊类型、就诊时间、医生半日接诊量对候诊时间的影响差异有统计学意义(P <0.05)。结论 通过对影响候诊时间的主要因素进行分析,提示医院管理部门要加强医患沟通,充分保证患者的就诊时间,要改变患者就诊习惯,持续提升分时段预约就诊的精确度,缩短门诊候诊时间。

Objective This paper analyzes the influencing factors of waiting time of outpatient patients in grade A tertiary hospital in Anhui province,and puts forward improving strategies to improve patients'medical experience.Methods The outpatient consultation data for June 2023 were retrieved from the hospital information system,and conduct a questionnaire survey on 405 outpatient patients who visited that month.The influencing factors were analyzed using univariate and multivariate statistical methods.Results The average waiting time of patients aged 14 and below was the longest 15.2(5.1,39.5)min.The average waiting time of registered patients was 9.2(3.9,19.5)min,which was shorter than that of non-registered patients 13.1(3.8,34.3)min.The average waiting time of ordinary patients was 9.5(2.8,25.1)min,which was shorter than that of expert patients 13.7(4.6,35.4)min.The average waiting time of morning patients was 10.1(3.3,26.7)min,which was shorter than that of afternoon patients 15.7(5.0,37.1)min(P<0.001).Multiple linear regression showed that age,medical treatment method,medical treatment type,medical treatment time and doctor's half-day number of visits had statistically significant differences on waiting time(P<0.05).Conclusion By analyzing the main factors influencing waiting time,it is suggested that the hospital management department strengthen communication between medical staff and patients to ensure patients'consultation time.It is also recommended to change patients'consultation habits and continuously improve the accuracy of appointment scheduling during different time periods to reduce outpatient waiting time.