摘要
目的调查和分析某三级甲等综合性医院产科服务流程的现状,并进行再造设计。方法分析医院2009年6月—2010年5月产科门诊就医数据,并进行现场询问调查,分析产科服务流程存在的问题,进行产科服务流程再造设计。结果产科门诊接诊人次分布不均,导致医护人员工作负荷不平衡以及医疗资源利用不合理。可通过解决产科复诊预约问题,改善产科门诊服务流程;并在此基础上建立以改进预约制度、完善应急预案、畅通绿色通道、优化床位配置为主要内容的产科服务流程再造设计。结论产科门诊的初、复、急诊错位是流程的核心,而建立良好的预约制度和创造舒适的就诊环境是产科流程设计再造的基本方法。
Objective To investigate the flaws of obstetric service process,and reengineer the process in a tertiary general hospital.Methods The obstetric outpatient data of a tertiary general hospital from June 2009 to May 2010 were analysed,and spot investigations were conducted in the obstetric department.The flaws of obstetric service process were explored,and the obstetric service process was reengineered.Results The distribution disequilibrium in number of obstetric outpatient visit led to the unbalanced workload of medical staff and unreasonable use of medical resources.These problems could be resolved by improving the outpatient reservation system.In addition,obstetric service process could be reengineered by means of perfecting outpatient reservation,establishing emergency plans and optimizing sickbed allocation.ConclusionTo stagger initial visits,subsequent visits and emergency are the kernels of obstetric service process.To set up effective reservation system and to build comfortable environment are the basic ways of obstetric process reengineering.
出处
《上海交通大学学报(医学版)》
CAS
CSCD
北大核心
2011年第6期844-847,共4页
Journal of Shanghai Jiao tong University:Medical Science
基金
上海市松江区"医学攀登计划"项目(2011PD17)~~
关键词
产科服务
流程再造
资源配置
obstetric service
process reengineering
resource allocation