大型三级公立医院门诊分时段全预约体系的建设

目的 随着就医需求的不断增长,优质医疗资源不能充分满足广大市民日益增长的实际需求。如何为患者提供方便,节约患者的等待时间,提高门诊工作效率是患者最关心的问题,也是大型公立医院普遍面临的问题。 方法 基于"互联网+"的大背景,本文通过探讨分时段全预约的就医模式,将每日的就诊时间以半小时为一个单位,根据不同科室的特点,设定每单位时间理论接诊人数,使每位患者的就诊时间能具体到分钟,并通过提供的预约挂号,使得患者在预约时便知晓自己待就诊的时间,具体了解挂号专家门诊时间,减少人员集中和滞留,进一步保障患者的就医安全,实现就诊人群的分流,改善就诊环境。 结果 上海交通大学附属第一人民医院南部结合医院门诊供需现状,继预约挂号之后,提出分时段全预约挂号体系,通过探索和实践,取得了良好的成效。该体系可有效提高门诊预约率,优化门诊患者时间分布,切实方便患者就医。 结论 分时段全预约多渠道模式的实施,有效改变了患者挂号习惯,提高了预约率,同时也改善了就医环境,使得医疗资源得到合理分配,利于医院的长久发展。 

Construction of a full-time reservation system for large-scale three-level public hospitals

Objective As the demand for medical care continues to grow, quality medical resources cannot fully meet the growing needs of the general public. How to provide convenience for patients and save patient's waiting time to improve outpatient work efficiency is the most concerned issue for patients and is a common problem faced by large public hospitals. Methods Based on the background of ‘Internet+’, this article explores the daily consultation time by half hour as a unit according to the time-based full appointment medical treatment. According to the characteristics of different departments, the number of theoretical consultations per unit time is set to the patient's visit time which can be specific to the minute, and through the provision of an appointment registration, the patient can know the time of his/her visit when making an appointment, understand the registration expert's clinic time, reduce the concentration and detention of the patient, and further protect the patient's medical safety as well as to achieve the diversion of the visiting population and improve the medical environment. Results In the southern part of our hospital, the current situation of supply and demand of hospital outpatient clinics, after the appointment registration, based on the summary of this experience, we proposed a time-based full appointment registration system, which through the nearly half a year of exploration and practice, achieved good results. The system can effectively improve the appointment rate of outpatients, optimize the time distribution of outpatients, and effectively facilitate patients to seek medical treatment. Conclusion The implementation of the multi-channel model with full-schedule appointments has effectively changed the patient's registration habits and improved the appointment rate. At the same time, it has also improved the medical environment and rationalized the allocation of medical resources, which is conducive to the long-term development of the hospital.