2018—2021年新疆某三级甲等医院急诊量变化趋势分析  

Study on the change trend and flow of emergency department visits of a tertiary hospital in Xinjiang from 2018 to 2021

作　　者：任佳乐 郭璇[2] 许珊珊 张伟[2] 杨建中[2] Ren Jiale;Guo Xuan;Xu Shanshan;Zhang Wei;Yang Jianzhong(School of Nursing,Xinjiang Medical University,Urumqi 830000,China;The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830000 [2]新疆医科大学第一附属医院,新疆乌鲁木齐830000

出　　处：《中国医院统计》2023年第5期391-395,共5页Chinese Journal of Hospital Statistics

基　　金：自治区科技支疆计划项目(2022E02046)。

摘　　要：目的 分析新疆某三级甲等医院近4年急诊量的变化趋势,为加强医院管理,优化就诊流程,提高急诊科服务质量提供数据支持。方法 回顾性分析该院急诊科2018年1月1日至2021年12月31日就诊资料完整的243 218例患者信息,采用时间序列季节指数分析法,反映不同周期急诊科就诊人数的变化趋势。结果 急诊就诊量存在一定周期性变化,4年间,急诊科共收治患者243 218例,急诊量总体呈上升趋势,其中男性患者(52.0%)多于女性患者(48.0%)。急诊就诊高峰月为4月、5月、6月、7月、9月和10月,其中5月就诊人数最多;就诊低谷期为1月、2月和3月,2月就诊人数最少。第三季度为高峰期,第一季度为低谷期。星期一、星期二、星期六以及星期日为就诊高峰期,最高峰为星期日;星期三、星期四和星期五为就诊低谷期,最低谷期为星期五。12—14时为日间高峰期,22—24时为夜间高峰期。结论 该院急诊科就诊人数存在一定的季节性变化,对科学调配急诊科医护人员、优化就诊流程以及提高医疗护理管理质量具有一定的参考作用。Objective To analyze the change trend on the flow of emergency department visits in a tertiary hospital in Xinjiang in the past four years,and to provide data support for strengthening the hospital management,optimizing treatment process and improving emergency department service quality.Methods We retrospectively analyzed 243218 patients with complete data of 4 years of visits in the emergency department,from January 1,2018 to December 31,2021,the seasonal index of emergency department visits was calculated by time series seasonal index analysis method,and the change flow of the number of emergency department patients in time was analyzed.Results There are some periodic variations in the number of emergency department visits.In the past four years,243218 patients have been admitted to the emergency department,and the number of emergency patients was on the rise,with more males(52.0%)than females(48.0%).The peak months of emergency visits were April,May,June,July,September and October,with the largest number of patients in May.The minimum number of the emergency visits occurred in January,February and March,and the number of patients was the least in February.The third quarter was the peak,and the first quarter was the trough.Monday,Tuesday,Saturday and Sunday were the peak time for medical treatment,and the highest peak was Sunday.Wednesday,Thursday,and Friday were the lower period,and Friday was the lowest period.The daytime peak was from 12∶00 to 14∶00,and the night peak was from 22∶00 to 24∶00.Conclusion There are certain seasonal changes in the number of patients in the emergency department of the hospital,which has a certain reference role in scientifically allocating emergency department medical staff,optimizing the treatment process and improving the quality management of medical care.

关 键 词：急诊科 急诊就诊量 季节指数 

分 类 号：R197.3[医药卫生—卫生事业管理]