Effect and satisfaction of outpatient services by precision valuation reservation registration

BACKGROUND Due to improvements in living standards,people are now paying more attention to their health.In China,more patients choose to go to large or well-known hospitals,which leads to constant crowding of outpatient clinics in these hospitals.AIM To establish precision valuation reservation registration aimed at shortening waiting time,improving patient experience and promoting the satisfaction of outpatients and medical staff.METHODS On the basis of the implementation of a conventional appointment system,more reasonable time intervals were set for different doctors by evaluating the actual capacity of each doctor to receive patients,and appointment times were made more accurate through intervention.The change in consultation waiting time of patients was then compared.Correlations between the consultation waiting time of patients and the satisfaction of patients or satisfaction of medical staff were analyzed.RESULTS After precision valuation reservation registration,the average consultation waiting time of patients reduced from 18.47 min to 10.11 min(t=8.90,P<0.001).The satisfaction score of patients increased from 91.33 to 96.27(t=-8.62,P<0.001),and the satisfaction score of medical staff increased from 90.51 to 96.04(t=-10.50,P<0.001).The consultation waiting time of patients was negatively correlated with their satisfaction scores(γ=-0.89,P<0.001).The consultation waiting time of patients was also negatively correlated with medical staff satisfaction scores(γ=-0.96,P<0.001).CONCLUSION Precision valuation reservation registration significantly shortened outpatient waiting times and improve the satisfaction of not only patients but also medical staff.This approach played an important role in improving outpatient services,provided a model that is supported by relevant evidence and could continuously improve the quality of management.Precision valuation reservation registration is worth promoting and applying in the clinic.

Ecosystem assessment and protection effectiveness of a tropical rainforest region in Hainan Island, China

Ecosystem services have become one of the core elements of ecosystem management and evaluation. As a key area of ecosystem services and for maintaining national ecological security, ecosystem changes and implementation effect evaluation are important in national key ecological function zones, for promoting the main function zone strategy and for improving the construction of an ecological civilization. This article studies the ecological zone of a tropical rainforest region in the central mountain area of Hainan Island, China. Multi-source satellite data and ground observation statistics are analyzed with geo-statistics method and ecological assessment model. The core analysis of this paper includes ecosystem patterns, quality and services. By means of spatial and temporal scale expansion and multidimensional space-time correlation analysis, the trends and stability characteristics of ecosystem changes are analyzed, and implementation effect evaluation is discussed. The analysis shows a variety of results. The proportion of forest area inside the ecological zone was significantly higher than the average level in Hainan Island. During 1990–2013, settlement gradually increased inside the ecological zone. After implementation of the zone in 2010, human activity intensity increased, with the main land use being urban construction and land reclamation. Water conservation in the ecological function zone was higher than that outside the zone. In general, it increased slightly, but had obvious fluctuations. Soil conservation inside the zone was also better than that outside. However, it demonstrated dramatic fluctuations and relatively poor stability during 1990–2013. The human disturbance index inside the zone was significantly lower than that outside, and had a lower biodiversity threat level. Especially in 2010–2013, the increased range of the human disturbance index inside the zone was significantly less than that outside.