急诊患者节假日就诊规律的研究.docVIP

急诊患者节假日就诊规律的研究 　　DOI：10.3760/cma.j.issn.1671-0282.2014.11.017 　　作者单位：100191 北京，北京大学第三医院急诊科 　　通信作者：郑亚安，Email：z.y.a@ 　　【摘要】目的 探讨急诊患者节假日就诊的时间分布规律，为医院管理和合理调配人力资源提供科学依据。方法 回顾性分析北京大学第三医院2010年12月至2014年2月冬季期间节假日（双休日、元旦小长假及春节七天长假期间）与正常工作日（周一至周五）急诊患者就诊的人次和时间特点， 应用圆形分布法分析急诊患者的就诊时间规律，比较节假日与正常工作日患者就诊人次、高峰时段的差异性。结果 节假日期间急诊患者以50～79岁人群最多，男性居多；急诊流量在节假日明显高于平时， 其中春节7天日均流量最高（P0.01），元旦小长假3天与双休日日均流量相当；正常工作日（周一至周五）急诊高峰时段为13：05―0：28，而节假日半天门诊时，高峰提前至10：05出现，持续到21：05，没有门诊的情况下，高峰进一步提前至9：16出现，持续到21：26。结论 急诊患者节假日就诊人群、就诊高峰及就诊人次均有别于正常工作日，应根据其特点合理安排医务人员值班。 　　【关键词】节假日；急诊；就诊规律；圆形分布法 　　Research on regularity of emergency patients visiting doctors during holidays and festival days 　　Wang Bin， Guo Zhiguo，Zheng Yaan. Department of Emergency，Peking University Third Hospital，Beijing 100191，China 　　Corresponding author：Zheng Yaan，Email：z.y.a@ 　　【Abstract】Objective To investigate the regularity of variation in number of emergency patients visiting doctors within each 24 h during holidays and festival days， so as to provide a scientific basis for hospital administration and the rational allocation of human resources. Methods Based on the hospital’s statistical data of emergency patients visiting doctors during winters from December 2010 to February 2014， a retrospective analysis was carried out for the number and the visiting time of emergency patients on holidays （weekends， the minor long holiday of 3 days for New Year and the major long holiday of 7 days for spring festival） and on general working days （Monday to Friday）， respectively. The variation in number of patients and peak time of visiting doctors were analyzed by using circular distribution method， and compared the differences in the number of emergency patients visiting doctors and peak time period between holidays and working days. Results Most of emergency patient visitors were 50-79 years old males； the number of emergency patients on holidays was significantly higher than that on general working days， especially during the seven-day s