医院预约挂号分时就诊系统的组成及其影响因素  

Analysis on Composition and Influencing Factors of Appointment Scheduling System

作　　者：赵琳[1] 邓应梅[1] 肖蓓[1] 董爱然[1] 石斌 

机构地区：[1]首都医科大学宣武医院病案统计科,北京市100053

出　　处：《中国病案》2013年第3期4-6,共3页Chinese Medical Record

摘　　要：分析预约挂号分时就诊系统的组成和影响因素,进而探讨北京市预约挂号分时就诊系统的特点,提出更加适合三级医院预约挂号的分时就诊系统。该预约系统由预约方式、预约规则和排队规则组成;北京市预约挂号分时就诊系统由提前预约方式、预约1个就诊单位间隔1个平均就诊时间(IBFI)的预约规则和先预约先就诊(FCFA)的排队规则组成。根据北京市三级医院的就诊特点,北京市预约系统的预约方式和预约规则比较适用,但排队规则可以考虑改进为新患者在先,老患者在后(RTBG)或者新老患者交替(ALTER)的规则,这种组合将会更适合三级医院门诊量大,爽约率较低的门诊现状。To investigate the composition and characteristics of appointment scheduling system and evaluate the pilot appoint- ment scheduling system in Beijing hospitals in order to provide the evidence for the general application. Appointment system was constituted by appointment mode, appointment rule and scheduling rule. Beijing appointment scheduling system was integrated by advanced appointment mode, IBFI appointment rule and FCFA scheduling rule. According the characteristics of tertiary hospitals in Beijing, the advanced appointment mode and IBFI appointment rule were suitable for Beijing appointment system, however, FCFA scheduling rule had the potential for improvement, such as RTBG and ALTER. This combination will be more suitable for outpatient service status in tertiary hospital.

关 键 词：预约挂号分时就诊系统 影响因素 组成 

分 类 号：R197.3[医药卫生—卫生事业管理]