大型综合性医院2019冠状病毒病疫情期间门急诊患者就诊需求及应对  

Demands and countermeasures for outpatients and emergency patients during the outbreak of coronavirus disease 2019 in large general hospital

作　　者：杨洪华[1] 曹晓霞[1] 孙士昌[1] 韩业琼[1] 周芳意[1] 刘能[2] YANG Honghua;CAO Xiaoxia;SUN Shichang;HAN Yeqiong;ZHOU Fangyi;LIU Neng(Department of Emergency,Xiangya Hospital,Central South University,Changsha 410008;Department of Nursing,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院急诊科,长沙410008 [2]中南大学湘雅医院护理部,长沙410008

出　　处：《中南大学学报（医学版）》2020年第5期507-512,共6页Journal of Central South University ：Medical Science

摘　　要：目的:探讨2019冠状病毒病(coronavirus disease 2019,COVID-19)疫情期间大型综合性医院门急诊患者的就诊需求及应对措施。方法:针对COVID-19疫情期间门急诊患者的就诊需求,中南大学湘雅医院采取门诊系统、急诊系统相互补充,同时借助“互联网+医疗”的现代化信息手段,为患者提供居家诊疗、肺炎自诊、线上购药、门诊预约、便民服务、特殊患者诊疗服务、急危重症患者转诊服务、便捷退费和退药服务、COVID-19疑似患者及发热患者服务等。结果:自2020年1月28日至3月1日,中南大学湘雅医院共完成线上诊疗26000次,服务有特殊诊疗需求的患者1856人次,服务COVID-19疑似患者及发热患者2929例,其中确诊COVID-19患者31例,漏诊0例,院内感染0例。结论:对门急诊患者的需求进行分析后采取针对性的应对措施,可以在有效防控疫情的同时,最大限度地满足门急诊患者的就诊需求。Objective:To discuss the demands and countermeasures for outpatients and emergency patients during the outbreak of coronavirus disease 2019(COVID-19)in large general hospital.Methods:By analyzing patients’demands,outpatient service system and emergency system complemented each other with the help of“internet medical”to provide online medical treatment,self-diagnosed pneumonia program,online pharmacies,outpatient appointment and online pre-examination services,open green channels for special patients,and to provide referral services for critical patients.The COVID-19 suspected patients and other common fever patients were separated from other patients.Results:From January 28 to March 1,we have received 26000 patients online,1856 special patients,2929 suspected patients and common fever patients including 31 confirmed patients,0 case of misdiagnosis and cross-infection.Conclusion:Targeting patient’s demands and taking appropriate measures are effective on meeting the needs of outpatients’and emergency patients’medical services.

关 键 词：大型综合性医院 门诊 急诊 2019冠状病毒病 患者需求 应对措施 

分 类 号：R197.32[医药卫生—卫生事业管理]