“后疫情时代”综合医院门急诊患者就诊需求分析及不同科室号源统筹的思考  

Analysis on needs of outpatients and emergency patients in general hospitals and consideration on overall planning of medical registered source of different departments in"the post-epidemic era"

作　　者：李茜[1] 孙燕[1] 李阳[1] 胡滨[1] LI Qian;SUN Yan;LI Yang;HU Bin(Beijing Friendship Hospital,Capital Medical University,No.95,Yong'an Road,Xicheng District,Beijing,100050,PRC)

机构地区：[1]首都医科大学附属北京友谊医院,北京市100050

出　　处：《中国医院》2021年第2期91-93,共3页Chinese Hospitals

摘　　要：目的:通过对新冠肺炎疫情盛行期前后的门急诊患者就诊需求分析,明确患者的主要就诊需求,从患者需求角度提出进一步优化出诊科室号源统筹的思考。方法:借助Excel表,以医院2020年2?3月共计96315人次就诊患者的基础信息、各科室接诊量、主要需求科室的疾病诊断、预约情况等数据为基础进行整理分析;采用回顾性研究方法,与2019年同期数据对比进行统计描述,结合急诊接诊患者和疾病的变化情况,分析就诊需求的变化,提出对号源统筹的思考。结果:(1)疫情期间,本地患者占90.96%,外省市占9.04%;50岁及以上患者占55.38%,50岁以下占45.62%;男性患者占43%,女性占57%。(2)接诊量前10位科室占所有科室接诊量的72.27%,2019年同期为60.23%,就诊需求增多的主要为内科科室。(3)心内科、妇产科、泌尿科、肾内科、内分泌科接诊量增涨居多,分别增长了5.53%、2.26%、1.98%、1.64%、1.33%。(4)全院预约率为92.47%,2019年同期为82.44%,明显提升。(5)急诊腹痛、头晕、胸痛、胸闷、心悸诊断的占比分别是29.11%、13.99%、7.75%、7.11%、6.68%,为疫情期间的主要诊断。以上结果差异均具有统计学意义。结论:患者主要就诊需求体现为内科系统慢性病、孕产妇、器官移植及恶性肿瘤等,医疗机构应从患者角度出发,通过动态调整号源、分级诊疗、预约挂号及分时就诊、诊前问诊等途径,实现门诊工作的科学管理。Objective:Clarify the main medical needs of patients and promote some suggestions on further management methods of medical registered sources that stand for the perspective of the patients through an analysis on data of the COVID-19 and comparing with the concurrent data in 2019.Methods:Make an analysis by using the Excel spreadsheet tool on the basis of 96315 patients data that including patient information from February to March during the COVID-19 epidemic,the patient number in various departments,and the diagnosis of diseases in major departments as well as the appointment rate.Carry out statistical description by a retrospective and comparative study in 2019 to expound the changes of patients’needs for medical treatment and put forward the consideration of medical registered source management combined with the changes of emergency patients and diseases.Results:(1)During the epidemic period,local patients accounted for 90.96%,other provinces accounted for 9.04%;55.38%of patients were over 50 years old,45.62%were under 50 years old;43%were male patients and 57%were female patients.(2)The top ten departments accounted for 72.27%of the total number of patients,which was 60.23%in the same period last year.(3)Cardiology,obstetrics and Gynecology,Urology,Nephrology and endocrinology increased respectively by 5.53%,2.26%,1.98%,1.64%and 1.33%.(4)The appointment rate of the whole hospital was 92.47%,which was 82.44%in the same period of last year.(5)The proportion of emergency diagnosis of abdominal pain,dizziness,chest pain,chest tightness and palpitation was 29.11%,13.99%,7.75%,7.11%and 6.68%,respectively,which were the main diagnosis during the epidemic period.The differences were statistically significant.Conclusion:The main needs of patients are chronic diseases of internal medicine system,pregnancy,organ transplantation and malignant tumor,etc.medical institutions should start from the perspective of patients,and realize the scientific management of outpatient service through dynamic adjustment of registration

关 键 词：就诊需求 号源统筹 分级诊疗 诊前问诊 门急诊管理 

分 类 号：R197.323[医药卫生—卫生事业管理]