肿瘤专科医院基于互联网技术的初诊就医效果分析  

Effect analysis of the medical treatment for first-visit patients based on Internet technology in a cancer hospital

作　　者：田振[1] 刘智 唐磊[1] 吴楠[1] Tian Zhen;Liu Zhi;Tang Lei;Wu Nan(Outpatient Department,Peking University School of Oncology,Beijing Cancer Hospital&Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所门诊部,100142

出　　处：《中华医院管理杂志》2021年第10期815-818,共4页Chinese Journal of Hospital Administration

摘　　要：目的分析某肿瘤专科医院乳腺癌预防治疗中心基于互联网技术的初诊咨询系统应用效果,为其他科室和医疗机构提供参考。方法以2020年5月12日至2020年12月31日使用某肿瘤专科医院乳腺初诊咨询系统的4647例患者及系统应用前2019年同期来院就诊的4622例初诊患者作为研究对象,采用χ^(2)检验、独立样本t检验对患者年龄、来源、确需来院进一步诊治患者占比、预约挂号至就诊的等待时间进行比较,并测算系统应用后为患者节省的就医成本。结果系统应用后,初诊患者中≥60岁患者占比由15.9%提升至17.9%,外地患者占比由70.2%提升至74.3%,确需来院进一步诊治的患者比例由41.4%提升至71.5%,患者预约挂号至就诊的等待时间由(5.0±4.8)天缩短至(3.9±2.3)天,差异均有统计学意义(P<0.05);系统应用后共为患者节省费用617.7万元,平均为每例患者节省费用3895元。结论初诊咨询系统的应用对于深化诊前服务内容、提高优质医疗资源可及性、提高医疗资源的有效利用率、缩短就诊等待天数以及节省就医成本具有重要的作用。Objective To analyze the effectiveness of the consultation system for first-visit patients at the breast center during COVID-19 epidemic,and to provide reference for other departments and medical institutions.Methods 4647 patients who used the consultation system from May 12,2020 to December 31,2020 and 4622 patients who came to the hospital for treatment in the same period of 2019 before the application of the system were used as the research objects.Chi-square test and independent sample t-test were used to compare the patients'age,source,proportion of patients who actually need treatment,and the waiting time from appointment to treatment.The medical cost saved after the application of the system was calculated.Results After the application of consultation system,the proportion of elderly patients in first-visit patients increased from 15.9% to 17.9%,the proportion of patients who were not from Beijing increased from 70.2% to 74.3%,the proportion of patients who really need treatment increased from 41.4% to 71.5%,and the waiting time from appointment to treatment decreased from 5.0±4.8 days to 3.9±2.3 days,with significant differences(P<0.05).After the application of the system,a total of 6.177 million yuan was saved for patients,with an average of 3895 yuan for each patient.Conclusions The application of the first-visit consultation system is conducive to deepening the content of pre-diagnosis services,improving the accessability to high-quality medical resources,promoting the effective utilization rate of medical resources,shortening the waiting days,and saving medical costs.

关 键 词：互联网 咨询系统 初诊患者 效果 等待时间 就医成本 

分 类 号：R197.5[医药卫生—卫生事业管理]