可视化管理在国外医疗服务管理中应用的文献分析  

Literature analysis of application of visual management in medical service management abroad

作　　者：郑港 夏萍 翟理祥[4] ZHENG Gang;XIA Ping;ZHAI Lixiang(School of Public Health and Management,GuangzhouUniversity of Chinese Medicimne,Guangzhou.Guangdong 510006,P.R.China;Patient Service Centre,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou,Guangdong 510120,P.R.China;Department of Hospital Management,School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,P.R.China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese MedicineGuangzhou,Guangdong 510120,P.R.China)

机构地区：[1]广州中医药大学公共卫生与管理学院,广州510006 [2]广州中医药大学第二附属医院/广东省中医院病人服务中心,广州510120 [3]广州中医药大学公共卫生与管理学院医院管理教研室,广州510006 [4]广州中医药大学第二附属医院/广东省中医院,广州510120

出　　处：《华西医学》2020年第12期1451-1455,共5页West China Medical Journal

基　　金：国家自然科学基金(72074057);广东省医院协会横向课题(2020KT1083);广州中医药大学首批人文社科跨学科创新团队项目(GZY2018KXK02);广州中医药大学人文社科项目(2020SKXK15)。

摘　　要：目的分析可视化管理在国外医疗服务管理中的应用情况,为我国精益医疗管理实践提供参考。方法以"visual management""visual tool"为检索词,在PubMed、Web of Science、Springer Link、ScienceDirect检索国外应用可视化管理工具改善医疗服务的相关文献,对发文量、期刊、改善目标、措施和成效等进行描述性分析。结果共检索到文献534篇。根据纳入排除标准,最终纳入7篇文献,均发表于SCI期刊,其中美国发文量最高(5篇)。纳入的7篇文献中,3篇文献使用的工具是面卡,2篇使用白板,1篇使用电子看板,1篇使用出院"信号灯";5篇研究是关于医患沟通信息交流的改善,2篇研究是关于病床周转率的提高。在纳入的文献中,可视化的内容主要有住院患者的护理目标、检查计划、周转情况、出院计划,以及医务人员的姓名和角色。结论可视化管理工具对于促进医患沟通和提高病床周转率有显著作用。国外可视化管理工具在病房的应用较为成熟,在促进医患沟通方面应用较多。可视化管理工具正在不断更新,未来电子工具可能逐渐成为一种趋势。Objective To analyze the application of visual management in foreign medical service management,and to provide a reference for lean medical management practice in China.Methods Using"visual management"and"visual tool"as the search terms,we searched PubMed,Web of Science,Springer Link,ScienceDirect,to retrieve relevant literature on the application of visual management tools to improve medical services in foreign countries.The number of published articles,journals,improvement objectives,measures and effects were analyzed descriptively.Results A total of 534 articles were retrieved.According to the inclusion and exclusion criteria,7 articles were finally included,all of which were published in SCI journals,of which the number of articles in the United States was the highest(5 articles).Among the 7 included articles,3 articles used face cards,2 articles used whiteboards,1 article used electronic Kanban,and 1 article used discharge"traffic lights".Five articles studied the improvement of doctor-patient communication,and two studied the improvement of bed turnover rate.In the included articles,the contents of visualization mainly include the nursing goals of the inpatient,inspection plan,turnover,discharge plan,and the names and roles of medical staff.Conclusions Visual management tools have a significant effect on promoting doctor-patient communication and improving hospital bed turnover.The application of foreign visual management tools in wards is relatively mature,and used more in promoting doctor-patient communication.Visual management tools are constantly updated,and electronic tools may gradually become a trend in the future.

关 键 词：精益 可视化管理 医院管理 

分 类 号：R197.1[医药卫生—卫生事业管理] G353.1[医药卫生—公共卫生与预防医学]