某三级甲等医院肿瘤放射治疗流程再造应用研究  

Study on the reengineering application of tumor radiotherapy process in a tertiary hospital

作　　者：崔鑫宇 程永忠[2] CUI Xinyu;CHENG Yongzhong(Discipline Inspection Commission Office,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院纪委办公室.监察处,成都610041 [2]四川大学华西医院,成都610041

出　　处：《华西医学》2018年第11期1444-1448,共5页West China Medical Journal

基　　金：国家自然科学基金(71131006)

摘　　要：目的鉴于肿瘤放射治疗(放疗)资源的相对有限,通过流程再造理论对某三级甲等医院肿瘤放疗流程进行应用,从而进一步提升医疗服务效率,缩短患者等待时间,提高患者满意度。方法以2017年1月—2018年9月某三级甲等医院肿瘤放疗业务流程为研究对象,对2017年1月—12月再造前及2018年1月—9月再造后效率及满意度等指标进行分析。结果经过放疗业务流程再造,一方面医疗效率有所提升,月均新收治放疗患者例数提升16.58%(P<0.05),日均放疗例次提升5.80%(P<0.05);另一方面患者就医流程更为简明,放疗前准备时间由2~3 d缩短至1 d,等待放疗计划时间缩短近10 d,患者总体满意度由64.17%提升到83.55%。结论通过基于信息化的肿瘤放疗流程再造,可在资源相对固定的情况下,提升肿瘤放疗运营效率,提升患者满意度。Objective Given the relatively limited resources available for tumor radiotherapy, the reengineering theory to the tumor radiotherapy process of a tertiary hospital is applied to improve the efficiency of medical service, shorten patient waiting time and improve patient satisfaction. Methods The tumor radiotherapy process of a tertiary hospital was studied from January 2017 to September 2018. The indicators such as efficiency and satisfaction were analyzed before reconstruction （from January to December 2017） and after reconstruction （from January to September 2018）. Results After radiotherapy process reengineering, on the one hand, the medical efficiency was improved： the number of new patients for radiotherapy per month rose by 16.58% （P〈0.05）, and the number of daily radiotherapy increased by 5.80% （P〈0.05）. On the other hand, the patient treatment process became more concise： the preparation time was shortened from 2-3 days to 1 day, while the waiting time for radiotherapy was shortened by nearly 10 days, and the overall satisfaction of patients increased from 64.17% to 83.55%. Conclusion It can improve the operation efficiency of tumor radiotherapy and improve patient satisfaction under the condition of relatively fixed resources through the reconstruction of the information-based tumor radiotherapy process.

关 键 词：放射治疗 流程再造 改善医疗服务 

分 类 号：R730.55[医药卫生—肿瘤] R197.323[医药卫生—临床医学]