《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:
38-40
栏目:
医疗质量
出版日期:
2017-09-28
- 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.
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更新日期/Last Update:
2017-09-28
