[1]王芳 刘训华 陈维进 黄娅娟.“先诊疗后结算”优化门诊就医流程的实践[J].中国卫生质量管理,2017,24(05):038-40.[doi:10.13912/j.cnki.chqm.2017.24.5.13]
点击复制

“先诊疗后结算”优化门诊就医流程的实践
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第24卷
期数:
2017年05期
页码:
038-40
栏目:
医疗质量
出版日期:
2017-09-28

文章信息/Info

作者:
王芳 刘训华 陈维进 黄娅娟
鄂东医疗集团黄石市中心医院/湖北理工学院附属医院
关键词:
诊疗后结算门诊就医流程优化
Keywords:
Post-Paid Medical Care Outpatient Medical Process Optimization
DOI:
10.13912/j.cnki.chqm.2017.24.5.13
摘要:
目的探讨门诊实施“先诊疗后结算”,促进就医流程再造。方法随机抽取2016年5月-10月门诊就诊患者,采用前瞻性、半随机对照试验、单盲的方法,将患者按照结算方式分为实验组(先诊疗后结算组)和对照组(先结算后诊疗组),监测记录两组交易环节耗时及总耗时与患者满意度。结果交易环节耗时及总耗时实验组低于对照组(P<0.01);患者满意度实验组高于对照组(P<0.01)。结论“先诊疗后结算”模式较传统结算模式交易耗时短、环节少,患者满意度高,解决了“三长一短”等问题,体现了“以患者为中心”的服务理念,提高了门诊服务质量与就诊效率。
Abstract:
ObjectiveTo explore the effectiveness of the implementation of "settlement after medical care" to help the medical process reengineering.MethodsA prospective, semi-randomized controlled trial and a single-blind method were used to recruit patients from May to October 2016. The patients were divided into the experimental group (settlement after medical care) and the control group (pre-paid group), and the trading time-consuming and total time-consuming and patient satisfaction level were recorded and analyzed. ResultsThe trading time-consuming and total time-consuming in the experimental group was lower than that of the control group (P<0.01). The satisfaction rate of the patients in the experimental group was higher than that in the control group (P<0.01).ConclusionThe "post-paid medical care" mode was less time-consuming than the traditional mode, with fewer links and higher satisfaction rate, which solved the problem of "three-length and one short" and reflected the "patient-centered" service concept with improvement on outpatient service quality and medical care efficiency.

参考文献/References:

[1]周常蓉.“ 先诊疗,后结算” 服务模式的实践与思考[J].现代医院管理,2013(4):45-47.

相似文献/References:

[1]陈小玲.基层部队医院门诊处方点评与分析[J].中国卫生质量管理,2016,23(02):047.[doi:10.13912/j.cnki.chqm.2016.23.2.16]
[2]韩鹏,王燕森,贾存波.某院门诊服务满意度调查分析[J].中国卫生质量管理,2016,23(02):056.[doi:10.13912/j.cnki.chqm.2016.23.2.19]
[3]许春红朱诺.门诊不良事件报告对改进门诊管理与服务的作用[J].中国卫生质量管理,2016,23(05):034.[doi:10.13912/j.cnki.chqm.2016.23.5.10]
[4]陈厚森张蓉张麟李晓娜卢俊英龙宪连.门诊病历质量评价指标设计与应用[J].中国卫生质量管理,2017,24(02):028.[doi:10.13912/j.cnki.chqm.2017.24.2.09]
[5]陈旻洁 张红 施颖华 余岚 姚荷英 孙晓凡.大型综合医院优化门诊服务人员配置的实践与探讨[J].中国卫生质量管理,2017,24(05):041.[doi:10.13912/j.cnki.chqm.2017.24.5.14]

更新日期/Last Update: 2017-09-28