三级公立医院绩效考核背景下门诊医疗服务质量提升的实践效果研究  

Research on the practical effects of improving the quality of outpatient medical services under the background of performance evaluation in tertiary public hospitals

作　　者：郭志慧[1] 刘翔宇[2] GUO Zhihui;LIU Xiangyu(Youth League Committee,the Second Affiliated Hospital of Inner Mongolia Medical University,Inner Mongolia,Hohhot 010030,China;Information Center,the Second Affiliated Hospital of Inner Mongolia Medical University,Inner Mongolia,Hohhot 010030,China)

机构地区：[1]内蒙古医科大学第二附属医院团委,内蒙古呼和浩特010030 [2]内蒙古医科大学第二附属医院信息中心,内蒙古呼和浩特010030

出　　处：《中国医药科学》2024年第13期152-155,共4页China Medicine And Pharmacy

基　　金：内蒙古医科大学科技百万工程联合项目[YKD2020KJBW(LH)013]。

摘　　要：目的通过对内蒙古医科大学第二附属医院三级公立医院绩效考核实施前后门诊医疗服务质量进行对比,分析三级公立医院绩效考核对医院门诊医疗服务质量的影响,并提出改进措施。方法筛选三级公立医院绩效考核实施后2022年1月1日至12月31日及三级公立医院绩效考核实施前2018年1月1日至12月31日的门诊医疗服务质量的门诊运营、门诊预约管理、患者等候时间、门诊医疗安全和患者评价指标,分析三级公立医院绩效考核实施前后门诊医疗服务质量的差异。结果三级公立医院绩效考核实施后门诊总量同比增加11.8%,专家门诊量同比增加63.7%,普通门诊量同比下降45.7%,差异有统计学意义(P<0.05);线上预约挂号数同比增加46.4%,分时段就诊数同比增加41.0%,按时就诊数同比增加43.0%,退号数同比下降95.3%,差异有统计学意义(P<0.05);患者等候时间也都有所降低,差异有统计学意义(P<0.05);门诊医疗安全比较,差异无统计学意义(P>0.05),但是门诊医疗安全管理在逐步完善;门诊患者满意度也有显著提高。结论三级公立医院绩效考核是将各项服务质量进行量化管理,对提升医院门诊服务质量有显著效果。Objective To analyze the impact of performance evaluation in tertiary public hospitals on the quality of outpatient medical services in hospitals,and propose improvement measures by comparing the quality of outpatient medical services before and after the implementation of performance evaluation in tertiary public hospitals of the Second Affiliated Hospital of Inner Mongolia Medical University.Methods Indicators for outpatient medical service quality,including outpatient operation,appointment management,patient waiting time,outpatient medical safety,and patient evaluation,from January 1 to December 31,2022 after the implementation of performance evaluation in tertiary public hospitals,and from January 1 to December 31,2018 before the implementation of performance evaluation in tertiary public hospitals were screened.Analyzed the differences in outpatient medical service quality before and after the implementation of performance evaluation in tertiary public hospitals.Results After the implementation of performance evaluation in tertiary public hospitals,the total number of outpatient visits increased by 11.8%year-on-year,the number of specialist visits increased by 63.7%year-on-year,and the number of general outpatient visits decreased by 45.7%year-on-year,with statistically significant differences(P<0.05).The number of online appointment booking increased by 46.4%year-on-year,the number of time-slot consultation increased by 41.0%year-on-year,the number of on-time visit increased by 43.0%year-on-year,and the number of cancellation decreased by 95.3%year-on-year,with statistically significant differences(P<0.05).The waiting time of patients also decreased,with a statistically significant difference(P<0.05).There was no significant difference in outpatient medical safety statistics(P>0.05),but outpatient medical safety management has been gradually improving;the satisfaction of outpatient patients has also significantly improved.Conclusion The performance evaluation of tertiary public hospitals quantifies the qual

关 键 词：公立医院 绩效考核 门诊医疗 服务质量 

分 类 号：R197.3[医药卫生—卫生事业管理]