患者入院优先级评价的研究综述  

A review of studies on priority evaluation of patient admission

作　　者：申文武[1] 廖成成 刘红[1] 罗利 李佳玲 SHEN Wenwu;LIAO Chengcheng;LIU Hong;LUO Li;LI Jialing(Outpatient Department,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Business School of Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院门诊部,成都610041 [2]四川大学商学院,成都610041

出　　处：《华西医学》2018年第12期1568-1572,共5页West China Medical Journal

基　　金：四川省科技计划支撑项目(2016FZ0080);成都市科技计划支撑项目(2015-HM01-00012-SF)

摘　　要：患者优先级评价在国外研究和应用历时较长,目前已属于成熟理论并在实践中广泛应用。该文以"priority""patients""waiting list""criteria"为主题词检索Wiley Inter Science、Web of Science、Scopus Pub Med、The Cochrane Library、Science Direct、Springer、Jstor数据库(检索时间截止至2017年12月),搜集对患者入院优先级评价的相关指标。此外检索了相关引文及灰色文献,并咨询国内相关领域专家,以获取较为全面的研究文献。在此基础上,该文阐述了患者入院优先级评价的概念,并从临床指标、预期成效、社会因素3个维度对指标含义及应用国家进行了详细描述,认为国外对患者入院优先级评价的研究及实施已相对较多。而在国内相关研究较少且不具有统一性,尚无成体系的患者相关优先级评价,需要在一定程度上借鉴国外成熟理论研究来建立起适合我国国情的入院优先级评价体系。Patient priority evaluation has been studied and applied abroad for a long time,which is a mature theory and widely used in practice now.This article uses the priority,patients,waiting list and criteria as keywords to search Wiley Inter Science,Web of Science,Scopus Pub Med,The Cochrane Library,Science Direct,Springer,and Jstor database (searching time is up to December 2017),to collect relevant indicators for patient admission priority evaluation.In addition,relevant citations and grey literature were searched,and experts from relevant fields in China were consulted to obtain more comprehensive research literature.On this basis,this article describes the concept of patient admission priority evaluation,and describes the meanings of the indicators and the countries of application from the three dimensions of clinical indicators,expected results,and social factors.It is considered that the research and implementation of the evaluation of the priority of patient admission has been relatively many.However,there are only a few related researches in the country and without unity.There is no systematic patient-related priority evaluation.It is necessary to use foreign mature theory research to establish a hospital admission priority evaluation system suitable for China's national conditions.

关 键 词：患者入院优先级评价 医院管理 分级诊疗制度 

分 类 号：R197.3[医药卫生—卫生事业管理]