接送服务链视角下住院患者放射检查失约现象分析  

Analysis of Missing Appointment of Radioscopy among Inpatients from the Perspective of Shuttle Service Chain

作　　者：徐桔密 黄伟娜 罗莉[1] 赵芮 曹建文[1] 戎文立[1] XU Jumi;HUANG Weina;LUO Li(Shanghai Sixth People's Hospital,Shanghai,200233,China)

机构地区：[1]上海市第六人民医院,上海200233 [2]任丘市人民医院,河北沧州062550 [3]上海市东海老年护理医院,上海201303

出　　处：《中国卫生质量管理》2024年第1期44-48,共5页Chinese Health Quality Management

基　　金：上海交通大学中国医院发展研究院医院后勤管理研究所研究项目(编号:CHDI-2022-C-11)。

摘　　要：目的 分析接送服务链视角下放射检查失约原因,提出改进建议。方法 收集某公立医院2022年2月8日-18日工作日期间放射科登记的检查失约科室、检查类型、检查时间、失约原因。结果 放射检查总失约率为6.01%(122/2 031)。放射检查失约首要原因是患者死亡、出院、转科,其次为患者放弃检查。非手术科室放射检查失约原因主要是患者放弃,手术科室放射检查失约原因主要是医生取消。放射检查失约原因主要有医生、患者、系统故障、检查前准备不充分4个方面。结论 放射检查失约原因呈现分科聚焦特征,信息反馈不及时问题突出,医患沟通不到位问题明显。应结合绩效手段、临床路径等规范医生诊疗行为,并探索阶梯式接送服务模式,减少放射检查失约率。Objective To analyzes the causes of missing appointment adioscopy under the shuttle service chain and put forward some suggestions for improvement.Methods The departments,types,time and causes of missed appointments registered in the radiology department of a public hospital during the working days from February 8 to 18,2022 were collected.Results The total failure rate was 6.01%(122/2031).The main reasons for missing appointment of radiology examination were death,discharge and transfer of patients,followed by voluntary abandonment of radiology examination.The main reason for non-surgical department radiology missed appointment was the patient's voluntary abandonment,and the reason for surgical department radiology missed appointment was the doctor's cancellation.The main reasons for missing radiology appointments were doctor,patient,system failure,and inadequate preparation before examination.Conclusion The causes of radiology missed appointments were focused on different departments,the problem of delayed information feedback was prominent,and the problem of inadequate communication between doctors and patients was obvious.Doctors'behavior should be standardized by combining performance means and clinical pathways,and the stepped transfer service mode should be explored to reduce the rate of radiology missed appointments.

关 键 词：放射检查 检查失约 接送服务 医疗资源 

分 类 号：R197.323[医药卫生—卫生事业管理]