基于排队论的三种预防接种流程工作模式效果研究  

Effect of three modes of vaccination workflow based on queuing theory

作　　者：姜龙训 王中战[2] 高薇 权薇丽 张晓慧 Jiang Longxun;Wang Zhongzhan;Gao Wei;Quan Weili;Zhang Xiaohui(Nanyuan Community Health Service Center of Fengtai District,Bering 100076,China;Fengtai District Center for Disease Control and Prevention, Beijing 100071,China;Xichanganfie Community Health Service Center of Xicheng District,Beifing 100031,China;Dahongmen Community Health Service Center of Fengtai District,Beijing 100053, China;Puhuangyu Community Health Service Center of Fengtai District,Bejing 100053,China)

机构地区：[1]丰台区南苑社区卫生服务中心,北京100076 [2]丰台区疾病预防控制中心,北京100071 [3]西城区西长安街社区卫生服务中心,北京100031 [4]丰台区大红门社区卫生服务中心,北京100053 [5]丰台区蒲黄榆社区卫生服务中心,北京100053

出　　处：《中国疫苗和免疫》2018年第6期707-712,共6页Chinese Journal of Vaccines and Immunization

基　　金：2016年首度卫生发展科研专项(首发2016-4-7052)

摘　　要：目的探讨基于排队论数学模型的多服务台单队并联(A模式)、多服务台多队并联(B模式)和多服务台单队串联(C模式)预防接种流程的效果。方法选择北京市丰台区B、C模式预防接种流程各3家预防接种门诊分为Ⅰ组、Ⅱ组,两组工作模式运行3个月后均转变为A模式再运行3个月,基于排队论原理计算各模式的工作效率,并调查工作人员满意度。结果 I组B、A模式的平均服务率分别为38.28人/h、59.36人/h(t=-7.75,P=0.001),服务强度分别为0.73、0.72(t=0.24,P=0.824),家长平均停留时间分别为22.21min、13.07min(t=2.92,P=0.043),平均停留家长数量分别为28.10人、16.57人(t=4.85,P=0.008),医务人员非常满意的比例分别为27.91%、41.86%(z=-7.02,P<0.001)。Ⅱ组C、A模式的各相应指标分别为50.27人/h、51.39人/h(t=-0.32,P=0.762),0.72、0.74(t=-0.44,P=0.680),15.17min、15.44min(t=-0.10,P=0.923),18.65人、19.27人(t=-0.16,P=0.884),41.46%、39.02%(z=-0.56,P=0.576)。结论在预防接种门诊的疫苗接种办理流程中,多服务台单队并联模式的工作效率高于多服务台多队并联模式,与多服务台单队串联模式的工作效率相当。Objective To evaluate the effect of three modes of vaccination workflows:multi-desk and single-queue parallel mode (mode A),multi-desk and multi-queue parallel mode (mode B),and multidesk and single-queue series mode (mode C )based on the mathematical model of queuing theory. Methods We selected three mode-B vaccination clinics as group Ⅰ and three mode-C vaccination clinics as group Ⅱ from Fengtai district of Beijing.After a 3-month period,both modes were changed to mode A for another 3-month period.We calculated the work efficiency of each mode by the queuing theory,and surveyed staff satisfaction.Results For mode B and mode A in group Ⅰ,the average service rate was 38.28 and 59.36 persons per hour (t=-7.75,P=0.001),respectively;the service intensity was 0.73 and 0.72(t=0.24,P =0.824),respectively ;the average parental staying time was 22.21 and 13.07 minutes (t=2.92,P=0.043),respectively;the average number of staying parents was 28.10 and 16.57 persons (t=4.85,P=0.008),respectively ;and the satisfaction rate amqng medical staff was 27.91% and 41.86%(z=-7.02,P <0.001),respectively.For mode C and mode A in group Ⅱ,the corresponding indicators were 50.27 and 51.39 persons per hour (t=-0.32,P =0.762);0.72 and 0.74(t=-0.44,P=0.680);15.17 and 15.44 minutes (t=-0.10,P=0.923);18.65 and 19.27 persons (t=-0.16,P =0.884);and 41.46% and 39.02%(z=-0.56,P=0.576).Conclusions The multi-desk and single-queue parallel mode of vaccination workflow was more efficient than the multi-desk and multi-queue parallel mode,and was comparable to the multi-desk and single-queue series mode.

关 键 词：排队论 预防接种 工作流程 

分 类 号：R186.3[医药卫生—流行病学]