精益管理在健康体检信息化流程中的应用

目的通过建立与实施精益信息化健康体检流程管理（下文简称“精益信息化”），优化健康体检服务流程，提高客户满意度。方法研究对象选自我院2008年4至7月和2012年4至7月健康体检人群，采用随机抽样方式选取2008年1001人次，2012年1124人次进行两样本t检验统计分析无显著性差异，就体检登记时间、填写检验单时间、整理体检报告时间、人力资源使用情况比较、体检结果完整率来评价该模式实施前后的效果。结果实施“精益信息化”后，体检登记时间从（250．0±7．7）min／100人次降低到（7．8±0．9）min／100人次；填写检查单时间从（137．0±10．6）min／100人次降低到（26．0±2．9）min／100人次；整理体检报告时间从（702．0±11．7）min／100人次降低到（300．0±12．6）min／100人次；检查结果完整性与准确性由67．0％提高到99．2％；体检人数新增率从17．8％提高到29．4％；“全程数字模式”实施前后比较差异均有统计学意义（x。=461．944，P〈0．05）。结论精益理念可用于健康体检信息化流程的管理。

Lean management in informationalized health check-up

Objective To discuss the utility of lean management in the informationalization of health check-up. Methods A total of 2125 matched adults who received health check-up from April to July 2008 （n = 1001 ） or 2012 （n = 1124） were enrolled by using random sampling. Time of health check-up registration and laboratory sheet filling, preparation of final report, consumption of labor force, and integrity of data collection were compared before and after the conduction of lean management. Results Since lean management startup, time of registration was decreased from （ 250. 0 ± 7. 7 ） to （ 7. 8 ± 0. 9 ） rain/100 persons,time of sheet filling was reduced from （ 137.0 ±10. 6 ） to （ 26.0 ± 2.9 ） min/100 persons, preparation of final report was less time-consuming （ （ 702. 0 ± 11.7 ） vs. （ 300. 0 ± 12. 6 ） min/100 persons）. The integrity and accuracy of health check-up reports were significantly improved （67. 0% vs. 99. 2% ）. Newer health check-up receivers were increased from 17.8% to 29.4% （ X2 = 461. 944, P 〈 0. 05）. Conclusion Lean management may be feasible and effective in the informationalization of health check-up.