基于约束理论优化医院互联网诊疗流程的研究  

The Study of the Optimized Hospital Internet Medical Consultation Process Based on Con⁃straint Theory

作　　者：俞小莉[1] 翁卫群[1] YU Xiaoli;WENG Weiqun(Outpatient Department,Nantong First People’s Hospital,Nantong,Jiangsu,226001)

机构地区：[1]南通市第一人民医院门诊部,江苏南通226001

出　　处：《江苏卫生事业管理》2024年第2期167-169,173,共4页Jiangsu Health System Management

基　　金：南通市科技局课题(MSZ2022031)。

摘　　要：目的:探讨基于约束理论优化医院互联网诊疗就医流程,分析实施效果。方法:选取南通市第一人民医院2022年9月-2023年3月门诊线上线下就诊患者为研究对象。应用约束理论调研分析患者使用医院互联网诊疗平台现状和影响因素,并根据调研结果优化互联网诊疗流程,比较优化前后互联网诊疗平台使用率。结果:流程优化后,互联网诊疗平台使用率由0.39%提高至4.63%;医生接诊响应时间由37.31±4.11降至10.37±3.60分钟;患者互联网医院就诊满意度由79.03±5.16提高至94.89±7.15,差异均有统计学意义(P <0.001)。结论:基于约束理论优化医院互联网诊疗就医流程,可以明显提高互联网诊疗使用率,缩短医生接诊响应时间,提升患者就医体验。Objective:To explore the effect of the optimized hospital internet medical consultation process based on constraint theo⁃ry on improving the efficiency of internet hospital use.Methods:Patients who visited the outpatient department online and offline at the First People’s Hospital of Nantong from September 2022 to March 2023 were selected as research subjects.Constraint theory was ap⁃plied to investigate and analyze the current situation of patients using the hospital’s internet medical consultation platform.Process op⁃timization was carried out according to the research results,and the usage rate of the internet medical consultation platform before and after optimization was compared.Results:Under the cooperation of multiple departments,the usage rate of the internet medical consul⁃tation platform increased from 0.39%to 4.63%.The response time of doctor’s appointments decreased from 37.31±4.11 to 10.37±3.60 minutes.The satisfaction of patients with internet hospital visits increased from 79.03±5.16 to 94.89±7.15 points,the differences are statistically significant.(P<0.001).Conclusion:The hospital’s internet medical consultation process optimized based on constraint theory can significantly improve the usage rate of internet medical consultation,shorten the response time of doctor’s appointments,and enhance the patient’s medical experience.

关 键 词：约束理论 互联网诊疗 就医流程 优化 

分 类 号：R197.3[医药卫生—卫生事业管理]