信息化模式下门诊分级诊疗流程及应用讨论  

Practice and Analysis of Hierarchical Medical System Process in Informatization Mode

作　　者：杜凌燕 李贤华[2] DU Lin-yan,LI Xian-hua(Director of Outpatient Department of Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai 200025, P.R.C)

机构地区：[1]上海交通大学国际与公共事务学院 [2]上海交通大学医学院附属瑞金医院门诊部,上海市瑞金二路197号200025

出　　处：《中国数字医学》2018年第7期112-114,共3页China Digital Medicine

摘　　要：目的:对上海交通大学附属瑞金医院门诊分级诊疗流程进行调查与分析。方法:2015年1月—2016年12月,收集门诊分级诊疗患者进行相关问卷资料调查,按照就诊模式分为预约就诊患者与传统方式就诊患者,将两组患者评价情况进行分析和比较。结果:总计回收1 395份为有效问卷(预约就诊:748人VS传统方式就诊:647名)。两组患者在性别、文化程度方面无明显差异(P>0.05),而在年龄、居住地、就业状况、就诊目的和次数以及门诊类型选择等方面具有显著性差异(P<0.001)。在分级诊疗过程中,预约就诊患者在医疗便捷度以及等待时间等方面显著优于传统方式就诊患者(P<0.001)。结论:在大型公立医院门诊服务中,利用信息化平台预约就诊可以简化分级诊疗预约流程以及提高就诊效率。Objective： To investigate and analyze the Hierarchical Medical System process in informatization mode in Ruijin hospital. Methods： From January 2015 to December 2016, 200 copies of questionnaires were randomly issued to outpatient patients every month in Ruijin hospital. All patients were divided into patients with appointment mode and patients with traditional mode. Results： A total of 2 400 questionnaires were collected, of which 1 395 were valid questionnaires, including 748 patients with appointment mode and 647 patients with traditional mode. There was no significant difference in gender and educational level between two groups（P〈0.05）, but there was significant difference in age, place of residence, employment status, treatment purpose and frequency, and type of outpatient service（all P〈0.001）. Conclusion： For outpatient service in large public hospital, the appointment mode is superior to the traditional mode. The use of information platform could further improve the appointment process and the consultation efficiency.

关 键 词：分级诊疗 信息化模式 门诊流程 应用讨论 

分 类 号：R319[医药卫生—基础医学]