發(fā)布時間：2018-04-06 02:06

  本文選題：等候時間　切入點：門診流程　出處：《河北醫(yī)科大學》2017年碩士論文

【摘要】：目的:隨著人們生活水平不斷進步,對于看病的需求已經(jīng)不僅僅局限于解除病痛上,對于就診體驗的要求日漸增長,“看病難”的問題更多的體現(xiàn)在等待時間長、就診流程復雜重復的方面上,縮短患者等候時間,改進就診流程是提高患者就診效率的當務(wù)之急。本論文試圖參照國內(nèi)外學術(shù)界將業(yè)務(wù)流程優(yōu)化和再造理論在門診服務(wù)領(lǐng)域?qū)嶋H應(yīng)用的研究成果,以縮短患者等候時間、改善患者就醫(yī)體驗為核心,通過某三甲�？漆t(yī)院的門診流程優(yōu)化實踐這一案例,分析目前造成患者門診等候時間長,就診時間短的原因及可行對策。方法:本研究通過查閱文獻、專家訪談、實例分析,運用多種方法對門診就診流程進行分析。并且通過多方研究,給予改造建議并進行討論求證,最終確定改造方案,進一步求證研究其實施效果,以期得出結(jié)論。結(jié)果:1掛號收費窗口高峰期難以滿足患者需求,在難以增加辦事窗口的前提下,將掛號收費窗口合并,各個樓層增設(shè)繳費窗口與自助機具,縮短患者往返途中的無效候時間。2簡化就醫(yī)流程,充分利用醫(yī)院現(xiàn)有的排號叫號系統(tǒng),減少人為因素造成時間浪費,解放人力去更好的引導患者規(guī)范就醫(yī),創(chuàng)造較好的候診環(huán)境。3針對接診醫(yī)生不足的情況,合理排班,建立應(yīng)急機制,應(yīng)對人流高峰期的醫(yī)生不足的情況。4預約機制及時推廣,并建立完善的排隊機制,將患者的無效候診時間減到最少。5通過流程優(yōu)化,改進措施起到了一定的效果,患者等候時間有了明顯的縮短,但也仍然存在一些問題,還需進一步待改進。結(jié)論:改造方案對縮短患者門診等候時間有所幫助,患者滿意度有所好轉(zhuǎn),但仍有諸多需要改進之處,高峰期患者等候時間仍然較長,還需要從管理層心態(tài)的轉(zhuǎn)變、政策性措施、人才的培養(yǎng)、技術(shù)層面以及環(huán)境建設(shè)等各方面進行更深入的研究和探討。
[Abstract]:Objective: with the continuous improvement of people's living standards, the demand for medical treatment is not only limited to the relief of illness, but also the increasing demand for the experience of seeing a doctor. The problem of "difficult to see a doctor" is reflected in the long waiting time.In the complicated and repetitive aspect, it is urgent to shorten the waiting time and improve the consultation process.This paper attempts to refer to the research results of the application of business process optimization and reengineering theory in the field of outpatient service at home and abroad, focusing on shortening the waiting time of patients and improving the experience of patients seeking medical treatment.Through the practice of outpatient process optimization in a three A specialist hospital, the reasons and feasible countermeasures for the long waiting time and short visiting time of outpatient clinic are analyzed.Methods: through literature review, expert interview and case analysis, the process of outpatient consultation was analyzed by various methods.And through the multi-party research, gives the transformation suggestion and carries on the discussion to seek the confirmation, finally determines the transformation plan, further verifies the research its implementation effect, in order to draw the conclusion.Results it was difficult to meet the needs of patients in the peak period of the 1: 1 registered toll window. On the premise of increasing the service window, the registered toll window was merged, and each floor added a toll window and a self-help machine.To shorten the invalid waiting time of patients on the way back and forth, to simplify the procedure of seeking medical treatment, to make full use of the existing number and call number system in hospitals, to reduce the waste of time caused by human factors, and to liberate the manpower to better guide the patients to normalize their medical treatment.To create a better waiting environment .3 to deal with the shortage of doctors, to set up emergency mechanism, to deal with the shortage of doctors during the peak period of passenger flow, to promote the appointment mechanism in time, and to establish a perfect queuing mechanism.The invalid waiting time of patients was reduced to a minimum of .5 through process optimization, the improvement measures played a certain effect, the waiting time of patients has been shortened obviously, but there are still some problems, which need to be further improved.Conclusion: the reform scheme is helpful to shorten the waiting time of outpatient service, and the patients' satisfaction degree is improved, but there are still many needs to be improved. The waiting time of patients in peak period is still longer, and the mentality of management should be changed.Policy measures, personnel training, technical level and environmental construction and other aspects of more in-depth research and discussion.
【學位授予單位】：河北醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R197.5

【參考文獻】

相關(guān)期刊論文 前10條

1 李立;陳坤福;;我院門診流程優(yōu)化解決方案分析[J];中國醫(yī)療設(shè)備;2016年06期

2 雷yN;趙云龍;李葆華;段杰;;北京市42所醫(yī)院門診預約掛號現(xiàn)狀調(diào)查[J];中國醫(yī)院管理;2015年07期

3 袁駿毅;湯欽華;謝晶晶;;醫(yī)院門診預約掛號服務(wù)的研究分析[J];中國數(shù)字醫(yī)學;2015年03期

4 鄭倩倩;劉偉;吳雙兵;;優(yōu)化門診流程探討[J];醫(yī)學信息學雜志;2015年02期

5 張強;趙磊;李剛;張麗薈;;門診電子病歷系統(tǒng)在醫(yī)院中的應(yīng)用[J];中國數(shù)字醫(yī)學;2014年07期

6 張瑞女;張禮婕;林秀萍;;預約掛號在婦產(chǎn)科門診中的應(yīng)用[J];齊魯護理雜志;2013年20期

7 謝乍晴;;利用排隊叫號系統(tǒng)優(yōu)化門診發(fā)藥流程[J];醫(yī)學信息學雜志;2013年09期

8 劉新勇;聞德亮;;流程優(yōu)化在醫(yī)院藥品管理流程中的應(yīng)用研究進展[J];中國科技信息;2013年12期

9 謝娟;薛滿全;;以電子病歷系統(tǒng)為核心的門診信息化建設(shè)實踐[J];現(xiàn)代醫(yī)院管理;2013年02期

10 汪洪明;趙志芳;張秋霞;;門診掛號流程優(yōu)化的實踐與體會[J];醫(yī)院管理論壇;2013年03期

相關(guān)重要報紙文章 前1條

1 林琳;;美國最佳醫(yī)院背后的管理邏輯[N];醫(yī)藥經(jīng)濟報;2013年

相關(guān)碩士學位論文 前3條

1 華春;醫(yī)院流程再造實證研究[D];浙江大學;2010年

2 周仕海;醫(yī)院門診流程優(yōu)化案例研究[D];華中科技大學;2010年

3 徐剛;工業(yè)工程應(yīng)用于醫(yī)院流程改進研究[D];天津大學;2006年

，

本文編號：1717475