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.

Fever Outpatient Service of General Hospital Applies “1 + 3 + 3” Emergency Management Mode to Deal with COVID-19 Pandemic

Purpose: To discuss the effect of “1 + 3 + 3” emergency management mode to deal with COVID-19 pandemic in fever outpatient service of general hospitals. Method: This paper analyzes and summarizes the problems encountered by fever outpatient service in dealing with the COVID-19 pandemic from three aspects of “One Team”, “Three-Key” Control and “Three Mosts”. Results: The application of “1 + 3 + 3” emergency management mode can effectively boost the orderliness and efficiency of fever outpatient service in dealing with COVID-19 pandemic. Conclusion: The “1 + 3 + 3” emergency management mode provides a new management mode and idea for dealing with COVID-19 pandemic, so the fever outpatient service of general hospitals can better improve the national overall anti-pandemic situation.

How to improve a urology outpatient service? A survey of patient satisfaction

AIM: To investigate and improve our out-patients department patient satisfaction, provide minimum consultation delay and appropriate consultation duration to meet with targets. METHODS: We distributed the modified satisfaction with outpatient service(SWOPS) questionnaires developed for use in Irish hospitals by the Health Services Research between August and December 2012. The patient disclosed their age and sex and completed the modified SWOPS questionnaire anonymously. Every patient was eligible to participate in the study who attended any of the Urology Outpatient Clinics. Patients lacking capacity to consent were excluded. Additionally, each patient was only permitted to complete one questionnaire regardless of repeat attendances within the 4 mo study period. The answers to every question were presented as percentages. One-way ANOVA was used to establish whether there was a significant difference in appointment delay and "Overall Satisfaction"on the different clinic days. The unpaired t-test was applied to establish whether "Overall Satisfaction" was affected by diagnosis(benign or malignant). Paired t-test was used to establish whether "Overall Satisfaction" was affected by appointment delay and appointment length. RESULTS: Three hundred and forty-eight questionnaires were completed with an overall > 65% participation rate. Eighty-one point six percent were male and 18.4% female with a mean age of 65 ± 21 years. Mean delay time was 32 min, which 30.6% stated should be an improvement priority. The delay times for Wednesday(mean 13 min) were significantly(P < 0.05) lower than for other days(mean 36 min). Generally 12-15 min outpatient appointment length is acceptable and adequate for patients as 97.70% suggested, however 31.60% of patients would favour longer duration. Eleven point four nine percent do not want to see different doctors each time, and 31.60% of the patient feel that no change is required. Average satisfaction was 84.65%. There was no significant relationship between satisfaction and clinic day, diagnosis and consultation length, whether the patient was reviewed by a registrar or consultant. Satisfaction was universally high and independent of consultation delay/length and diagnosis. Dissatisfaction in delay times with a significant improvement on Wednesday suggests necessary and achievable improvements. Notably, the Wednesday clinic has less patients per doctor per hour and enforces a 1 patient per 15 min slot with a no over-booking policy. CONCLUSION: Surveying our patient dissatisfaction would require more frequent audits by clinicians to improve patient satisfaction and to achieve better quality of care.

Analysis of the Dilemma and Strategies of Elderly Patients Access to Outpatient Services-Based on the Examples from three Grade A Tertiary Hospitals in Jiangxi Province

Objective:To identify the dilemma of elderly patients’access to outpatient services,develop strategies to improve the environment and functions of the outpatient department,and encourage the elderly to access medical services independently.Methods:By observing and interviewing,this paper studies the environment,behavior,and experiences of elderly patients when accessing medical services,identifies and classifies the key issues,and provides corresponding suggestions.Results:Existing signs and voice prompt systems fail to guide elderly patients to access to medical services;Elderly patients have difficulty in finding places to transit and rest when accessing to outpatient services;Elderly patients have problems in using AI(artificial intelligence)technologies when they access to outpatient services;There are communication barriers between elderly patients and medical staffs.Conclusion:Optimizing the guiding signs and voice prompt systems according to the characteristics of elderly patients;Designing the areas of transition and rest reasonably;Enhancing the ability of elderly patients to use self-service equipment;Promoting the medical treatment process to the elderly in a humanized way.

Resource management with borrowing from reservation for cognitive networks

Resource reservation is an effective measure to ensure end-to-end quality of service （QoS）, however, the burstyness of the traffic makes the reservation idle some time, and forms a waste of re- sources. Based on the analysis of active queue management （AQM） of DiffServ network, we propose a resource management scheme, which allows borrowing resources from unused reservation, accord- ing to the characteristics and advantages of cognitive networks. First, some nodes reserve certain proportion capacity for some special services （for instance, some services pay additional money） to guarantee the priority of these applications. Then resources are assigned according to the different parameters of services. If the available resource can not meet the requirements of new services, real- time ones are admitted with higher priority and allow borrowing the unused reservation from other nodes appropriately. Simulations show that, the proposed scheme has good performance at network resource utilization, the admission rate of new aDolications and OoS of users.

Construction of a New Model of Contactless Medical Services for Outpatients Based on the Project-Achieving Quality Control Circle

Objective: To carry out empirical research on the role of project-achieving quality control circle (QCC) in constructing a new model of contactless medical service for outpatients. Methods: A QCC, consisting of information office members from a grade A tertiary hospital in Wenzhou, was established to conduct a research project with the theme “Constructing a new model of contactless medical service based on outpatients’ experience.” According to the ten steps and PDCA cycle, an analysis was carried out before and after the QCC activities, focusing on improving pre-consultation services, providing steward-like services, and facilitating post-consultation management. Results: After the QCC activities, the mobile appointment rate, missed appointment rate, the proportion of smart check-ins, and the average check-in time were 55.68%, 4.02%, 39.75%, and 8.24 ± 3.66 min, respectively;in contrast, before the activities, they were 32.00%, 7.88%, 0.00%, and 14.96 ± 4.98 min, respectively;the difference between the two groups was statistically significant (χ2 = 3480.112, 4994.496;Fisher’s exact probability = 963788.570;t = 5.323, P < 0.001). Many experts have also visited the hospital to learn about this system, thus rendering social and economic benefits. Conclusion: Project-achieving QCC activities are suitable for complex situations, such as constructing a new model of contactless medical service, and can significantly improve outpatient service quality, enhance patients’ experience, and improve the abilities of circle members.

Spatiotemporal variations of ecosystem services and driving factors in the Tianchi Bogda Peak Natural Reserve of Xinjiang,China

Nature reserves play a significant role in providing ecosystem services and are key sites for biodiversity conservation.The Tianchi Bogda Peak Natural Reserve(TBPNR),located in Xinjiang Uygur Autonomous Region,China,is an important ecological barrier area in the temperate arid zone.The evaluation of its important ecosystem services is of great significance to improve the management level and ecological protection efficiency of the reserve.In the present study,we assessed the spatiotemporal variations of four ecosystem services(including net primary productivity(NPP),water yield,soil conservation,and habitat quality)in the TBPNR from 2000 to 2020 based on the environmental and social data using the Integrated Valuation of Ecosystem Services and Trade-offs(InVEST)model.In addition,the coldspot and hotspot areas of ecosystem services were identified by hotspot analysis,and the trade-off and synergistic relationships between ecosystem services were analyzed using factor analysis in a geographic detector.During the study period,NPP and soil conservation values in the reserve increased by 48.20%and 25.56%,respectively;conversely,water yield decreased by 16.56%,and there was no significant change in habitat quality.Spatially,both NPP and habitat quality values were higher in the northern part and lower in the southern part,whereas water yield showed an opposite trend.Correlation analysis revealed that NPP showed a synergistic relationship with habitat quality and soil conservation,and exhibited a trade-off relationship with water yield.Water yield and habitat quality also had a trade-off relationship.NPP and habitat quality were affected by annual average temperature and Normalized Difference Vegetation Index(NDVI),respectively,while water yield and soil conservation were more affected by digital elevation model(DEM).Therefore,attention should be paid to the spatial distribution and dynamics of trade-off and synergistic relationships between ecosystem services in future ecological management.The findings of the present study provide a reference that could facilitate the sustainable utilization of ecosystem services in the typical fragile areas of Northwest China.

The impact of a computerized care records service (CRS) on doctors’ work patterns in urological outpatient clinics

Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread press coverage of ensuing chaos in clinical administration. We wanted to know how this new electronic system impacted on our working patterns in outpatient clinics and – more specifically – on the time actually spent with the patients. Material & methods: This study was performed 4 and 12 months after implementation of CRS to assess its impact on the time distribution in clinic. Senior doctors were monitored with a stop clock during consultations. Timings for pre- and post-consultation administration, and the actual consultation with the patient were recorded. A total of 170 consultations were evaluated in this way. Results: The key findings were that the total time needed to spend on a urological outpatient of 16 minutes remains unchanged from the pre-CRS era, but a majority (57%) of this time is spent in administration on the computer without the patient involved. Conclusion: No more than 15 patients should be seen in a 4 hour outpatient clinic per doctor. This recommendation drawn up by BAUS before CRS remains still valid. Patient administration related to the consultation that has previously been done by administrative aides is now to be done by the doctors on the computer in the same consultation session. Intended to streamline patient pathways, this does reduce the quality interaction-time between doctor and patients significantly.

Antibiotics prescribed to febrile under-five children outpatients in urban public health services in Burkina Faso

Appropriate use of antibiotics remains critical for success in achieving MDG4. The aim of this study was to investigate antibiotics prescribing practices to febrile under-five children outpatients in urban public health services in a low income country. Methods: From March to April 2013, a cross-sectional epidemiological study of care facilities visit by under-five age, for febrile illness, was carried out in urban health services in Bobo-Dioulasso, Burkina Faso. Patient demographics, diagnoses and medications were recorded. We calculated for each diagnoses several indicators for antibiotics use. Results: Our study showed an over-prescription of antibiotics at the university teaching hospital (78.08%) and at the first level facilities (57.71%) for under-five outpatients for febrile illness. There was evidence of high antibiotic prescription in children with diarrhea (more than 9 on 10 at university teaching hospital of diarrhea cases and 60% at the first level facilities), in children with Upper respiratory tract infections (respectively 60% and 85.2% of cases at university teaching hospital and at the first level facilities) and in children with malaria (respectively 47.5% and 17.6% of cases at university teaching hospital and at the first level facilities). Overuse, misuse and inappropriately prescribed antibiotic coexisted in our results: at university teaching hospital 90.9% of diarrhea cases, 60% of URTI cases,?47.5% of malaria cases received antibiotic prescription;at first level heath care facilities 85.2% of URTI, 17.6% of malaria cases received an prescribed antibiotic and 11.8% of LRTI did not received a prescribed antibiotic. Developing countries have poor access to newer antibiotics and irrational antibiotics use remains a global problem. Overuse and misuse of antibiotics combat, rigorous infectious diseases diagnosis, antimicrobial resistance consequences education of users and health professional’s prescribers, and improved surveillance of antimicrobial resistance, must be strengthened.

Utilization and expenses of outpatient services among tuberculosis patients in three Chinese counties:an observational comparison study

Background:The China-Gates TB project Phase II implemented case-based payment reform in three Chinese counties in 2014,designed specifically for patients diagnosed with Tuberculosis(TB).This study aimed to examine the changes in utilization and expenses of outpatient services before and after the reform implementation,among TB patients in the three counties in China.Methods:We collected quantitative data using surveys in 2013(baseline year)and 2015(final year).We used outpatient hospital records to measure service utilization and medical expenses of TB patients.We conducted qualitative interviews with local health authorities,officers of health insurance agencies,and hospital managers(n=18).We utilized three focus group discussions with hospital staff and TB doctors and nurses.The x^2 tests and Mann-Whitney U tests were used to analyse quantitative data,and the thematic analysis using a framework approach was applied to analyse qualitative data.Results:Dantu and Yangzhong counties enacted TB-specific case-based payment method in 2014.Jurong County maintained global budget payment but raised the reimbursement rate for TB care.Compared to the baseline,the percentage of TB patients in Dantu and Yangzhong with eight or above outpatient visits increased from 7.5 to 55.1%and from 22.1 to 53.1%in the final survey,respectively.Jurong experienced the opposite trend,decreasing from 63.0 to 9.8%.In the final survey,the total outpatient expenses per patient during a full treatment course in Dantu(RMB 2939.7)and Yangzhong(RMB 2520.6)were significantly higher than those in the baseline(RMB 690.4 and RMB 1001.5,respectively),while the total outpatient expenses in Jurong decreased significantly(RMB 1976.0 in the baseline and RMB 660.8 in the final survey).Health insurance agencies in Dantu and Yangzhong did not approve the original design with outpatient and inpatient expenses packaged together,revealed by qualitative interviews.Furthermore,staff at designated hospitals misunderstood that health insurance agencies would only reimburse actual expenses.Many TB doctors complained about their reduced salary,which might be due to decreased hospital revenue generated from TB care after the payment method reform.Conclusions:The intended effect on cost containment of case-based payment was not evident in Dantu and Yangzhong.In Jurong,where the global budget payment system maintained with the reimbursement rate enhanced,we found an effect on cost containment but the quality of TB care might be compromised.The TBspecific case-based payment method could be redesigned to combine payment on outpatient and inpatient expenses and to set an appropriate payment standard for TB care during a full treatment course.Local health insurance agencies have to provide explicit explanations on the payment method.TB care providers should be provided with proper incentives.Monitoring and evluaiton on the quality of TB care should be undertaken at regular intervals.

海洋保护地社区多元化生计与生态系统服务的依赖关系

海洋保护地在主要承担典型海洋生态系统、珍稀濒危物种、重要自然资源自然遗迹和人文资源有效保护的同时,兼具生态功能维持、资源可持续利用与社区经济持续发展等多重任务,普遍面临着生态保护与社区生计发展间的依赖⁃冲突关系,探究社区生计与生态系统服务间的依赖关系,对实现海洋保护地与社区协调发展具有重要意义。基于山东长岛海洋保护地的415户社区居民的调研数据,运用可持续生计分析框架和生态系统服务依赖度模型,分析社区居民的生计资本和生态系统服务依赖度(IDES)的特征,进一步结合多元回归模型探究生计资本对IDES的影响。结果表明:(1)社区居民生计资本得分呈现出由渔业主导型向务工主导型、旅游主导型、渔业兼业型递增的总趋势,且不同类型社区居民的生计资本结构具有较大差异;(2)渔业兼业型和旅游主导型社区居民从生态系统获取的收益显著高于其它居民,IDES总指数由大到小排序依次为渔业主导型、旅游主导型、渔业兼业型、务工主导型,且渔业主导型生计的供给服务依赖度显著高于其他类型,文化服务依赖度最低;(3)生计资本对不同类型居民的供给、文化服务依赖度的影响存在差异,海上养殖规模、渔业作业范围、接受政府技能培训次数、生态补偿政策、社会组织参与程度、旅游扶持政策惠及程度等指标是平衡居民生态系统服务依赖结构的关键。基于此,从不同类型居民以及当地政府多个角度提出提高长岛海洋保护地社区居民生计资本水平,优化生态系统服务依赖结构的建议,以期为实现海洋保护地与社区的协调发展提供参考借鉴。

基于门诊全流程服务管理的提升患者体验实践探索

提升患者门诊全流程就诊体验是改善患者就医感受的重要举措。首都医科大学附属北京同仁医院在持续改善医疗服务的基础上探索建立门诊全流程服务管理体系,通过理念向前服务前置,聚焦患者诊前体验;流程简化智慧引领,优化患者诊中体验;延续诊疗模式创新,提升患者诊后体验。打造现代门诊医疗服务模式,不断满足人民群众日益增长的医疗服务需要。

山西电力备用辅助服务市场机制设计与实践

电力备用辅助服务市场是反映备用服务价值、引导传统火电和新型主体积极提供备用服务、支撑新型电力系统构建的重要机制。山西在电力现货市场和调频辅助服务市场正式运行的基础上,针对新能源高占比下电网备用灵活调节资源不足的问题,研究提出了主辅协调的正备用辅助服务市场交易机制。在市场机制设计上,山西采用现货电能量市场和正备用市场的总费用最低为目标确定机组组合、再顺次出清备用和电能量市场的半耦合出清协调模式,并给予备用服务供应商除中标容量补偿以外的富余发电容量补偿费用,以充分反映备用服务保供应和促消纳的双重价值。算例分析及山西正备用市场模拟试运行结果表明,备用服务市场建设有利于发现备用调节价值,优化系统调节资源配置,相关成果可为国内备用市场建设提供参考。

基于KANO模型的门诊患者全方位全流程服务管理可行性分析

目的选取青岛大学附属医院门诊患者作为调查对象,验证使用KANO模型分析门诊全方位全流程服务内容的可行性及应用效果,以期完善门诊服务质量、提高管理水平及患者满意度。方法应用自行设计的基于KANO模型包含诊前、诊中、诊后3个流程的调查问卷,2023年9月1—25日对青岛大学附属医院336例门诊患者进行全方位全流程的调查,并通过质量属性分类法将全部门诊服务内容分类。结果依照KANO模型,全方位全流程服务内容中期望型需求17项、魅力型需求5项、必备型需求6项、无差异型需求11项。结论在门诊全方位全流程服务过程中,应在确保必备型需求的同时,注重期望型需求的改善,致力于魅力型需求的提升,有助于针对性地改进门诊护理服务过程中的不足,从而更好地满足门诊患者多方面的服务需求,提高患者的满意度,实现门诊医疗服务质量的提升。

MDT模式在门诊情绪障碍患儿中的应用

目的 探讨多学科协作诊疗(multidisciplinary diagnosis and treatment, MDT)模式在儿童门诊情绪障碍患儿中的应用效果。方法 在MDT模式下,收集2021年6月至2022年12月门诊就诊的32例情绪障碍患儿作为观察组,遵从患者意愿将常规模式下2020年11月至2021年5月门诊就诊的68例患儿作为对照组。比较2组人均诊断、检查、缴费、门诊停留时间,并对痊愈率、满意度、重复事件发生率进行比较。结果 观察组患儿人均诊断、检查、缴费、门诊停留时间较对照组明显缩短,差异有统计学意义(P<0.001);重复事件发生率明显低于对照组,差异有统计学意义(χ^(2)=12.337,P=0.001);痊愈率明显高于对照组,效果不明显率低于对照组,差异有统计学意义(χ^(2)=7.449,P=0.014);就诊满意度明显高于对照组,差异有统计学意义(χ^(2)=11.313,P=0.01)。结论 MDT模式简化了儿童门诊情绪障碍患儿就诊流程,降低了就诊过程中重复就诊、门诊误诊、漏诊发生率,可明显提高就诊效率、患者满意度和就诊依从性,有利于情绪障碍患儿的早发现、早诊断、早治疗,能够避免此类患儿因漏诊延误治疗带来的伤害。

某三甲儿童医院门诊多学科协作诊疗特点与服务模式探索

目的:总结儿童专科医院门诊多学科协作诊疗(MDT)的特点,探索适合儿童医院的门诊MDT服务模式。方法:组建门诊多学科会诊专家团队,制定门诊多学科会诊制度与流程图,会诊流程标准化,门诊部设专人负责组织专家开展门诊MDT,建立门诊多学科会诊病例资料库,登记患者姓名、年龄、会诊原因、申请会诊途径、疾病转归等内容。结果:2021年6月至2023年3月共开展门诊MDT会诊220例。年龄段分布特点,大于5岁患儿107例(48.6%),占比最高;从申请门诊MDT原因统计,需要明确诊断150例(68.2%)是门诊MDT申请的首要原因;网络预约205例(93.2%)是最重要途径,现场分诊和首诊科室申请是次要途径;实施多学科会诊前,专科门诊就诊一次病例数123例(55.9%),就诊3次及以上60例(27.3%);患者转归结果显示,120例(54.5%)患儿痊愈,46例(20.90%)患儿治疗后好转;门诊满意度比较,2020-2022年门诊满意度逐年增高(P<0.01);患儿疾病涉及多系统133例(60.5%),疾病涉及一个系统的患儿87例(39.5%)。结论:儿童专科医院门诊MDT能充分发挥各科专业优势,实现跨学科专业互补及优势学科的强强联合,有利于疾病早期发现、精准诊断;“一站式”诊疗服务模式,优化了就诊流程,提高了就诊效率,改善了就医体验,提升了门诊患者满意度。

Service delivery time guarantee decisions with consideration of the time and price sensitive customer

Based on the assumption that the customer is time and price sensitive and price is a piecewise function of the delivery time, a service delivery time guarantee decision model is proposed, and the existence of the optimal service delivery time guarantee L^＊ is proved. Furthermore, the impact of the correlation parameters on the optimal L^＊ is analyzed. It is revealed that if the optimal L^＊ is smaller than the industry level L0, the service provider with low cost should quote a shorter delivery time, and the service provider should increase the delivery time guarantee under the conditions of the decrease in customer time sensitivity or the increase in the difference of the customer reservation payment. When L^＊ 〉 L0, the service provider should quote a longer delivery time guarantee and should increase the delivery time guarantee and reduce the price under the conditions of the increase in the customer price sensitivity or the decrease in the mean customer reservation payment.

老年友善门诊多元化管理的研究与分析

目的通过优化老年患者的就医服务模式,方便老年患者就医,提升老年患者就医体验。方法选取就诊济宁医学院附属医院内分泌遗传代谢科、神经内科、心血管内科、消化内科的800例老年患者,根据管理的时间不同分为对照组和观察组。将2021年1—6月管理前,就诊内分泌遗传代谢科、神经内科、心血管内科、消化内科的400例老年患者设为对照组,采用常规老年服务模式;2023年1—6月管理后,就诊内分泌遗传代谢科、神经内科、心血管内科、消化内科的400例老年患者设为观察组,采用友善服务模式。分别从老年患者门诊等待时间和门诊服务满意度比较2组管理效果。结果管理后,观察组门诊等待时间短于对照组,差异有统计学意义(P<0.05);观察组老年患者门诊服务总满意度为97.00%,高于对照组的92.00%,差异有统计学意义(P<0.05)。结论多元化的老年友善门诊服务管理可以缩短老年患者就诊等待时间,提高门诊服务满意度,有效改善老年患者的就医体验。

运用一站式智能导医平台改善患者就医体验

智能导医是医院智慧服务的重要组成部分。上海市胸科医院借助事件驱动和人工智能技术,以微信公众号为载体,构建了一站式智能导医平台,根据不同患者门诊就医需求,制订个体化就医规划,以任务流形式串联各就诊环节,缩短了患者候诊时间,缓解了导医工作压力,改善了患者就医体验。

线上教学联合同伴教育模式在门诊护理中的应用

目的探讨线上教学联合同伴教育模式在门诊护理中的应用效果。方法选取2020年6月—2021年6月在中国医科大学附属盛京医院门诊实习的62名护理实习生作为研究对象,采用随机数字表法分为对照组和实验组,每组31名。对照组仅采用线上教学模式,实验组则采用线上教学联合同伴教育的教学模式。比较两组护理实习生的理论考试成绩、实践考核成绩、核心综合能力及对教学的满意度。结果实验组的理论考试成绩和实践考核成绩均明显高于对照组,差异有统计学意义(P<0.05);实验组各项核心综合能力评分均高于对照组,差异有统计学意义(P<0.05);实验组对教学的总满意度为93.55%(29/31),高于对照组的80.65%(25/31),差异有统计学意义(P<0.05)。结论线上教学联合同伴教育模式应用于门诊护理教学,不仅可以提升护理实习生的理论知识水平和实践能力,还有助于提升其核心综合能力及教学满意度,具有较高的教学推广价值。