新冠疫情对上海市某三甲儿童专科医院门诊患儿就医影响因素分析  

Analysis of relevant factors of outpatients’visit in a tertiary children’s hospital during the COVID-19 epidemic in Shanghai

作　　者：沈国妹[1] 高璇[1] 周利军[1] 张冰峰[1] 钱玉萍 徐慧[1] 田俊华[1] 翟晓文 SHEN Guo-mei;GAO Xuan;ZHOU Li-jun;ZHANG Bing-feng;QIAN Yu-ping;XU Hui;TIAN Jun-hua;ZHAI Xiao-wen(Outpatient and Emergency Management Office,Children’s Hospital,Fudan University,Shanghai 201102,China;Department of Hematology and Oncology,Children’s Hospital,Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院门急诊办公室,上海201102 [2]复旦大学附属儿科医院血液科,上海201102

出　　处：《复旦学报（医学版）》2023年第2期262-266,279,共6页Fudan University Journal of Medical Sciences

摘　　要：目的探讨医院在做好新冠疫情常态化防控工作的同时,如何推进门诊和互联网诊疗服务。方法在2022年5月上海疫情期间,对复旦大学附属儿科医院门诊就诊的患儿家长进行调研,就患儿及家长基本情况、就医需求、门诊就诊满意度、互联网医院知晓情况、使用意愿等方面对来院的644名患儿家长进行问卷调查。结果受新冠疫情影响,医院门诊就诊人次大幅减少,儿童就医行为有所改变。由于平均候诊时间比以前缩短(12.82 min vs.23.21 min),医师诊治每位患儿的时间增加,受访者对疫情前和疫情期间对候诊秩序和候诊时间的满意度差异有统计学意义(P<0.05),受访者在就诊过程中有更好的体验。在互联网医院使用意向方面,年龄≤39岁的受访者更愿意使用(P<0.05)。结论新冠肺炎疫情对医院的管理水平和综合诊治能力是严峻的考验,改变传统就医模式,将互联网思维与医院管理模式进行融合,提升医疗资源可及性,对于提升疫情常态化防控时期的医疗服务尤为重要。Objective To figure out the solutions of how to improve services for the patients from regular outpatient visit and internet visit upon the COVID measurements.Methods During the COVID-19 epidemic in Shanghai in May 2022,a questionnaire survey was investigated in the parents of outpatients in Children's Hospital,Fudan University during the recent COVID-19 epidemic in Shanghai,644 patients’parents received the questionnaire survey,including their social demography,medical needs,satisfaction to the medical service,awareness of internet hospitals and willingness to use,etc.Results Being affected by the COVID-19 epidemic,the hospital visit outpatient numbers decreased substantially,and the patient’s behavior for medical care changed accordingly.Since waiting time on average was less than that before the epidemic(12.82 min vs.23.21 min),doctors spent more time in treating each child.In this study,the difference in respondents'satisfaction with the waiting order and waiting time before and during the epidemic was statistically significant(P<0.05),and the patients had a better experience in the medical service.Additionally,the younger parents(<39 year)intended to use the internal hospital(P<0.05).Conclusion The management,comprehensive diagnosis and treatment of hospital capacity faced a huge challenge during the epidemic.The changes of traditional medical service pattern,including integration of internet service with current hospital conventional management and service mode,accessibility of medical resources,will be critical for improvement of medical service at post-epidemic period.

关 键 词：新冠疫情 门诊 就医影响因素 儿童 

分 类 号：R197.5[医药卫生—卫生事业管理] R72[医药卫生—公共卫生与预防医学]