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[1]马丽娟魏猛麦尔哈巴·牙力昆米海力·马然木陆晨.“一号管三天”门诊管理模式的效果评价[J].中国卫生质量管理,2025,32(12):42-45.[doi:10.13912/j.cnki.chqm.2025.32.12.09]
　MA Lijuan,WEI Meng,Maierhaba · Yalikun.Effectiveness Evaluation of the Outpatient Management Model "One Registration Valid for Three Days"[J].Chinese Health Quality Management,2025,32(12):42-45.[doi:10.13912/j.cnki.chqm.2025.32.12.09]

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“一号管三天”门诊管理模式的效果评价

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年12期页码: 42-45 栏目: 医疗质量出版日期: 2025-12-15

Title:: Effectiveness Evaluation of the Outpatient Management Model "One Registration Valid for Three Days"

作者:: 马丽娟魏猛麦尔哈巴·牙力昆米海力·马然木陆晨; 新疆医科大学第一附属医院

Author(s):: MA Lijuan; WEI Meng; Maierhaba · Yalikun; The First Affiliated Hospital of Xinjiang Medical University

关键词:: 门诊管理; 一号管三天; 满意度; 就医体验

Keywords:: Outpatient Management; One Registration Valid for Three Days; Satisfaction; Outpatient Experience

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2025.32.12.09

文献标志码:: A

摘要:: 目的探索建立“一号管三天”门诊管理模式，并总结其成效。方法在样本医院门诊实施“一号管三天”模式。随机选取2024年5月门诊就诊的200例患者作为实施前组，2024年9月门诊就诊的200例患者作为实施后组，对比分析模式实施前后的门诊运行指标以及患者满意度。结果“一号管三天”模式实施后，医院门诊预约率、复诊率提高（P＜0.05），投诉率、诊查费门诊总收入占比下降（P＜0.05），预约后平均等候时间缩短（P＜0.05）；且检查检验结果回报有医生接诊、医护人员服务态度、诊室秩序、回诊号源获取途径、回诊费用、门诊连续性诊疗服务体验感等方面的满意度提高明显（P＜0.05）。结论“一号管三天”模式进一步优化了门诊流程，确保了诊疗服务的连续性，降低了就医成本，提升了患者满意度，改善了患者就医体验。

Abstract:: ObjectiveTo explore the establishment of an outpatient management model named "One Registration Valid for Three Days" and summarize its effectiveness.MethodsThe "One Registration Valid for Three Days" model was implemented in the outpatient department of a sample hospital. A total of 200 outpatients who sought medical treatment in May 2024 were randomly selected as the pre-implementation group, while 200 outpatients who visited the outpatient department in September 2024 were chosen as the post-implementation group. A comparative analysis was conducted on outpatient operational indicators and patient satisfaction before and after the implementation of the model.ResultsAfter the implementation of the "One Registration Valid for Three Days" model, the outpatient appointment rate and return visit rate in the hospital increased (P< 0.05), while the complaint rate and the proportion of consultation fees in total outpatient revenue decreased (P< 0.05). The average waiting time after appointment also shortened (P< 0.05). Additionally, there was a significant improvement in patient satisfaction regarding aspects such as doctors’ availability for follow-up on examination and test results, healthcare staff service attitude, clinic orderliness, access to return visit appointment slots, return visit costs, and the overall experience of continuous outpatient care services (P< 0.05).Conclusion The "One Registration Valid for Three Days" model further optimizes outpatient processes, ensures the continuity of healthcare services, reduces medical costs, enhances patient satisfaction, and improves the overall outpatient experience.

参考文献/References:

［1］樊子暄，郝晋，顾晗昕，等.我国136所三级公立医院门诊患者就医体验满意度分析［J］.中华医院管理杂志，2021，37（6）：460-464.［2］徐挺玉，王兵，索海燕.应用智能导诊改善门诊服务质量［J］.中国卫生质量管理，2021，28（6）：25-26，34.［3］李梅，金鸿雁.“互联网+”重构医疗服务新模式在研究型医院中的应用与发展［J］.中国研究型医院，2020，7（5）：71-73.

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更新日期/Last Update: 2025-12-15