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汪洪明 《中国农村卫生事业管理》2008,28(7):521-522
门诊的医疗服务质量不仅取决于医疗技术水平,而且还取决于病人及家属在门诊就医过程中的直接感受和主观评价,“以病人为中心”的现代服务模式,不仅治疗病人的疾病,而且满足病人在门诊就医过程中的其他需求,如方便、快捷、安全、舒适等心理需求和感受。文章介绍了绍兴市人民医院门诊近几年来坚持以病人为中心的一些具体做法。 相似文献
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门诊信息化与流程再造 总被引:9,自引:6,他引:9
门诊流程再造就是以病人为中心,利用信息技术,引入作业流程重组理论,对门诊的作业流程进行重新思考和重新设计.以求得医院门诊在成本、质量、服务和速度等方面获得进一步改善;门诊信息化是门诊流程再造的重要基础,流程再造离不开信息技术的支持。文章从几个方面探讨提高门诊信息化水平和再造门诊流程的方法和作用。 相似文献
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门诊流程再造就是以病人为中心,在转变观念、转变经营战略的基础上,利用信息技术,引入作业流程重组理论,对门诊的作业流程进行重新思考和重新设计,以求得医院门诊在成本、质量、服务和速度等方面获得进一步的改善;门诊信息化是门诊流程再造的重要基础,流程再造不能离开信息技术的支持。本文试图从几个方面探讨提高门诊信息化的水平和再造门诊流程的方法和作用。 相似文献
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新一代门诊信息系统的设计与展望 总被引:12,自引:0,他引:12
先进的门诊信息系统可以简化门诊就医流程,设计公平有序的排队方案,提供方便实用的病人自助服务,大幅度地提高医护人员的工作效率。以该院门诊为模型,具体谈如何围绕“以病人为中心”来设计新一代门诊信息系统的思路。 相似文献
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《江苏卫生事业管理》2007,18(2):F0003-F0003,F0004
张家港市第一人民医院十分注重“以病人为中心”的服务理念,开设了集导诊导医,审批服务,方便门诊、咨询、便民服务为一体的门诊全民服务中心,为病人释疑解惑,在全市医疗行业率先试行门诊药房柜台式发药新模式, 相似文献
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目的 探讨医疗资源整合方法对妇产门诊日间手术中心运营效率的提升作用。方法 以某三甲医院妇产门诊日间手术中心为例,通过调整空间布局、业务范围,整合人力、设备等医疗资源,搭建信息化系统、完善绩效方案等措施,实现门诊日间手术中心精细化管理。结果 2021年7月妇产门诊日间手术中心投入使用后,患者就诊流程得到优化,满意度提升,日间手术中心运营效率提升。结论 妇产门诊日间手术中心应用精细化管理方法,整合医疗资源、优化流程后,中心运营效率显著提升,值得推广应用。 相似文献
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以患者为中心的优质护理在门诊分诊护理中的应用 总被引:1,自引:1,他引:0
目的观察以患者为中心的优质护理在门诊分诊护理中的作用。方法统计2008年12月-2009年12月实行门诊分诊常规护理时284例患者的满意度,以及2010年1月-2011年1月实行以患者为中心的优质门诊分诊护理时256例患者的满意度,对比分析二者的差别。结果以患者为中心的优质护理服务中有224例患者满意,32例患者不满意;常规分诊护理服务中有196例患者,88例患者不满意。统计分析结果显示实行以患者为中心的优质门诊分诊护理时患者的满意度较常规护理明显提高。结论以患者为中心的优质门诊分诊护理能够更好地满足患者的需求,是门诊分诊护理的发展趋势。 相似文献
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曹蕾 《中华现代医院管理杂志》2010,8(7):58-59
目的以病人为中心,减少病人在门诊等待时间,提高医疗服务质量。方法通过门诊医生工作站实施,完善门诊导诊咨询系统,进行门诊流程改革。结果优化了门诊流程,提高了门诊工作效率。结论病人在门诊各个环节滞留时间减少,病人对医院服务满意度明显提高。 相似文献
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《Early child development and care》2012,182(7):1067-1087
The emerging concept of system alignment refers to how different systems in care and education of young children can be integrated to work together as a whole system that is more effective, efficient, and equitable to produce excellent outcomes in children. The purpose of this article is to provide a review of the existing literature on system alignment in terms of the definition and operationalisation of this concept. The focus is on various models (frameworks) that guide the effort of system alignment as well as factors (strategies) that influence the effectiveness of system alignment. In review of these critical issues, the authors attempted to establish a comprehensive mechanism for system alignment as well as a classification of macro-level and micro-level factors that facilitate system alignment. 相似文献
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建立分级诊疗制度,是提升国家卫生健康治理能力的重要内容,对促进医疗资源合理配置、基本医疗健康服务均等化和有序就医意义重大。“十三五”期间,分级诊疗制度建设整体上撬动了卫生健康组织整合、医保支付模式优化、医防融合、家庭医生签约等诸多体系的布局优化,成效显著。然而在推进分级诊疗制度建设进程中,各方对分级诊疗制度的政策信心、建设思路以及操作方法,尚存优化空间。因此,应进一步梳理分级诊疗制度变迁过程,对分级诊疗制度最主要的政策术语释义辨析,并在“十四五”期间,以医疗服务分级制度和连续性制度为核心制度,以医保制度、信息制度、监管制度、患者培育制度为保障制度,渐进调整形成分级诊疗格局。 相似文献
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中国医疗损害鉴定制度经历了卫生行政部门主导的、双轨制并存的、名称上统一的医疗损害鉴定制度之后,目前又呈现为诉讼前后分立的两阶段、且医学会与司法鉴定机构均可参与的鉴定体制.在长久改革及当下制度框架内,医疗损害鉴定制度存在患者话语权保障的严重失衡、诉讼前后鉴定制度有待衔接及专家辅助人质证规则亟待建构的困境,建议鉴定中设置患者优先决定的听证制度、完善诉前无争议事实的记载制度,建构专家辅助人质证意见的有限规则及专家辅助人救济制度. 相似文献
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目的总结创建流行病学监测系统的基本流程。方法先将系统科学、信息科学、控制科学等学科的相关理论进行演绎推理,总结监测系统创建应包含的基本流程。再以50个现有流行病学监测系统为研究对象并以流行病学监测的性质为指导,进行归纳推理完善这一过程。结果流行病学监测系统基本流程主要包括:系统分析、系统逻辑模型建立、系统设计、系统实施、系统评价、系统完善。结论流行病学监测系统创建的各个环节缺一不可,有机结合,才能确保创建高效的流行病学监测系统。 相似文献
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日本自2000年开始实施长期护理制度以来,经历了近10年的完善与发展,取得了非常好的效果,而良好的融资制度是其顺利实施的保证。一方面它将市町村(基层行政单位)作为长期护理制度实施的主体,直接担任保险者的角色,这就使得制度的实施从组织上得到了保障,为全国范围的推广奠定了基础;另一方面它采用了公私混合融资的形式,即由政府和个人共同缴纳保费来构成长期护理制度资金的来源,这样既减轻了个人负担又保证了资金来源。借鉴日本长期护理制度的融资模式,对我国建立老年人护理制度,应对人口老龄化具有重要意义。我国政府应积极投入到长期护理制度的建设中去,加快培育护理市场,形成护理产业链;实现家庭护理向公共护理转变;保证资金来源的稳定性与可靠性,尽快建立一个低水平、广覆盖、经济型的长期护理制度。 相似文献
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When teaching students the hospital information system, it is impossible to use an actual hospital information system because of security reasons. To overcome this problem, a simulator of the hospital information system for student education has been developed. The purpose of this system is to help students understanding a hospital information system from actual experience. The characteristics of this system are as follows: 1) Students can easily learn a hospital information system on the Web pages in the computer training room. 2) The present system is not as complete as a hospital information system, however, helpful explanations regarding the data processing have been inserted. 3) The fictional patient data have been prepared for the pages relating to the electronic medical chart. Consequently, students can understand what kind of data has been saved in this system. Through a questionnaire, students evaluated this system in terms of understandability. The result from four years between 1999 and 2002 showed that 70% of them evaluated it as good system. We therefore consider this system to be effective over a short period of time, and useful for medical education. 相似文献
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引入市场竞争机制是医疗体制改革的重点和难点。我国港澳地区的医疗券制度能够为内地推进医改体制创新、倒逼公立医院改革和合理配置医疗卫生资源提供借鉴。本文首先介绍了医疗券制度的起源和发展。然后详细阐述了港澳地区医疗券制度的实施背景、异同与政策效果,发现医疗券制度在引导需方更多使用私立医疗服务、提高居民预防保健意识、推广家庭医生制度等方面起到了积极作用。最后对医疗券制度在内地的适用性进行了分析,指出其与内地医改导向相契合,并可作为内地医保制度的有益补充和推动社会办医的有效措施,在完善内地医疗保险、医疗救助制度和发展私立医疗机构等方面具有一定的可行性。 相似文献
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Practitioner based quality improvement: a review of the Royal College of Nursing''s dynamic standard setting system. 总被引:1,自引:1,他引:0
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OBJECTIVE: To explore and describe the implementation of the Royal College of Nursing's approach to audit--the dynamic standard setting system--within the current context of health care, in particular to focus on how the system has developed since its inception in the 1980s as a method for uniprofessional and multiprofessional audit. DESIGN: Qualitative design with semistructure interviews and field visits. SETTING: 28 sites throughout the United Kingdom that use the dynamic standard setting system. SUBJECTS: Quality and audit coordinators with a responsibility for implementing the system; clinical staff who practice the system. MAIN MEASURES: Experiences of the dynamic standard setting system, including reasons for selection, methods of implementation, and observed outcomes. RESULTS: Issues relating to four themes emerged from the data: practical experiences of the system as a method for improving patient care; issues of facilitation and training; strategic issues of implementation; and the use of the system as a method for multiprofessional audit. The development of clinical practice was described as a major benefit of the system and evidence of improved patient care was apparent. However, difficulties were experienced in motivating staff and finding time for audit, which in part related to the current format of the system and the level of training and support available for clinical staff. Diverse experiences were reported in the extent to which the system had been integrated at a strategic level of quality improvement and its successful application to multiprofessional clinical audit. CONCLUSIONS: The Royal College of Nursing's dynamic standard setting system can successfully be used as a method for clinical audit at both a uniprofessional and multiprofessional level. However, to capitalise on the strengths of the system, several issues need to be considered further. These include modifications to the system itself, as well as a more strategic focus on resources and support for audit, better integration of quality initiatives in health care, and a continuing focus on ways to achieve true multiprofessional collaboration and involvement of patients in clinical audit. 相似文献