预约挂号系统卫生经济学评价思路  

HEALTH ECONOMIC EVALUATION OF WEST CHINA HOSPITAL'S APPOINTMENT SYSTEM

作　　者：陈瑞瑞[1,2] 阎正民[1] 刘姿[2] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]四川大学华西医院门诊部

出　　处：《现代预防医学》2011年第7期1273-1274,1276,共3页Modern Preventive Medicine

摘　　要：[目的]以华西医院预约挂号系统的主要挂号形式为对象,尝试探索该系统的卫生经济评价思路。[方法]从卫生经济学成本效益分析方法学的角度出发,将分析中需要用到的成本和效益数据来源分类,构建对该挂号系统的卫生经济学评价体系。[结果]3种挂号形式的成本主要由维持体系的人员工资和福利计算得出,而预约挂号带来的效益值则用节省的病人的时间成本来反映。[结论]根据效益成本比率值判断华西医院预约挂号系统的可行性,并指出外地患者的抽样方法和因就诊时间较早是否对节约的时间成本即效益值进行贴现是实施过程中需要关注的问题。在以后的研究中可将社会效益转化为其他指标进行货币化。[Objective]To find out methods to evaluate the main types of the appointment system in West China Hospital.[Methods]From the perspective of cost-benefit analysis methodology,the cost and the benefit data that would be needed in the analysis were categorized according to their sources,as to build up the evaluation system.[Results]The cost was calculated in terms of the maintenance staff＇s wages and welfare while the benefit in terms of the saved time cost of the patients.[Conclusion]Benefit-cost ratio is used to estimate whether the appointment system is feasible or not.In the meantime,the questions of sampling and discounting on the benefit value shall be considered in the implementing process.The social benefit can be measured in currency by being converted into other indexes in further research.

关 键 词：预约挂号 成本效益评价 

分 类 号：R197[医药卫生—卫生事业管理]