医院门诊候诊时间量化分析和研究

目的 通过对门诊患者候诊时间的量化统计和分析,发现影响候诊时间的关键因素以优化门诊就诊流程,缩短候诊时间.方法 通过信息系统,采集北京大学肿瘤医院2013年11月4-29日上午门诊就诊患者的候诊时间,按患者性别、年龄、医保类型和挂号号源类型进行统计分析.结果 门诊患者平均候诊时间为36.3（10.6,81.5） min,主任医师、副主任医师和主治医师号源的候诊时间分别为54.1（19.1,106.8）、34.0（10.3,74.7）、26.4（7.8,66.5） min,差异有统计学意义（P＜0.05）;34.7％ （3 984/11 471）的患者候诊时间超过60 min,外地医保就诊患者候诊时间[42.5（12.1,90.4） min]明显高于北京本地医保就诊患者[在职：33.8（9.8,77.3） min;离退：30.5（9.9,68.4） min].结论 候诊时间可作为门诊流程管理的监测指标,预约诊疗和流程优化有助于缩短候诊时间.

Analysis of the outpatients waiting time for treatment

Objective To observe the outpatients waiting time for treatment at Beijing Cancer Hospital.Methods Data was collected from the hospital information system and was analyzed according to gender,age,medical insurance and ranking professional titles of physicians.Results The average waiting time for treatment was 36.3 （10.6,81.5） min.Overall patients needed to wait 54.1 （19.1,106.8） min,34.0 （10.3,74.7） min and 26.4（7.8,66.5） min before treated by a chief doctor,associate chief doctor and attending doctor.The difference was statistically significant （P 〈0.05）.34.7% （3 984/11 471） of the patients waited for doctors for over 1 hour.Out-of-town patients needed to wait 42.5 （12.1,90.4） min,longer than local patients [33.8 （9.8,77.3）min and 30.5 （9.9,68.4）min].Conclusion Waiting time for treatment can be used as an index to evaluate outpatient service;improving flow-sheet of outpatient clinic and registration reservation can shorten the waiting time.