某三甲医院门诊预约精准性及其影响因素分析  

Analysis on the Accuracy of Outpatient Appointments and Its Influencing Factors Based on a Grade A Tertiary Hospital

作　　者：王洪键 王星月[2] 兰亚佳[1] Wang Hongjian;Wang Xingyue;Lan Yajia(West China School of Medicine,Sichuan University,Chengdu,Sichuan,610041,China)

机构地区：[1]四川大学华西公共卫生医学院,四川成都610041 [2]四川大学华西临床医学院,四川成都610041

出　　处：《中国医院管理》2022年第2期50-53,共4页Chinese Hospital Management

摘　　要：目的了解某三甲综合医院患者门诊预约精准性及其影响因素,比较正确预约与错误预约患者在预约可及性因素上的差异,寻找提高门诊预约精准性的干预点。方法采用现场调查法,于2021年6月14—21日在四川省成都市某三甲综合医院对70例门诊患者进行面访调查。结果门诊预约精准性低,错误预约患者占36.75%。单因素分析显示,预约精准性正向影响因素包括医疗保险保障度(P=0.004)、线下信息可及度(P=0.049)以及医务人员推荐依从度(P<0.001),负向影响因素包括网络信息依从度(P=0.012)、传统媒体信息可及度(P=0.024)以及自媒体推荐依从度(P<0.001);二分类非条件logistic回归分析显示,预约精准性与听从医务人员推荐正相关(P=0.002),与听从自媒体推荐负相关(P=0.014)。结论医疗机构需要加强宣传力度、丰富宣传内容,提高患者就诊的可及性;建议加强网络及传统媒体虚假医疗信息整治力度能改变门诊患者预约精准性低的现况。Objective To understand a grade A tertiary hospital’s accuracy of outpatient appointments and its influencing factors,compare the differences between correct and wrong appointments in terms of the accessibilities to find the intervention points that may improve the accuracy of outpatient appointments. Methods The field survey method was implemented by investigating the appointment accuracy with a sample of 70 outpatients in a Grade A tertiary hospital in Chengdu, Sichuan Province from 14 June to 21 June, 2021. Results The accuracy of outpatient appointment was low,and 36.75% of patients made wrong appointment. Univariate analysis showed that patients with correct appointment had higher medical insurance security(P=0.003), offline information accessibility(P=0.049) and medical staff recommendation compliance(P<0.001). The compliance degree of network information(P=0.012),traditional media information accessibility(P=0.024) and self-media recommendation compliance(P<0.001) were included by negative factors. Dichotomous unconditional logistic regression analysis showed that appointment accuracy was positively associated with following medical staff recommendations(P=0.002) and negatively associated with following self-referrals(P=0.014). Conclusion Medical institutions needed to strengthen publicity and enrich publicity content to improve the accessibility of patients. It was suggested that strengthening the regulation of false medical information on the Internet and traditional media could change the current situation of low accuracy of outpatient appointments.

关 键 词：门诊预约 精准性 影响因素 

分 类 号：R197.323.2[医药卫生—卫生事业管理]