医技检查分时段预约系统设计与实现.pdf

系统研发与应用 System Research and Application 医技检查分时段预约系统设计与实现 钮罗涌① 王平① 朱大荣① 许亮① 江新民② 王勇敏② 摘 要 从目前医院实际业务出发，以就诊模式大改革活动为契机，坚持“以病人为中心”作为服务理念，设计、开发、 实现了放射、超声检查分时段预约，优化了医技检查流程。阐述了医技检查预约系统的设计和实现，介绍了系统设计结 构、预约流程、系统的功能及优势。经过应用表明，该系统可以达到提高诊疗协同工作效率、提升医院整体形象和医疗服 务品质的目的。 关键词 医技检查 分时段预约 流程优化 Doi:10.3969/j.issn.1673-7571.2013.02.004 Design and Realization of Sub-periods Appointment System in Medical Inspection / NIU Luo-yong, WANG Ping, ZHU Da-rong, et al//China Digital Medicine.-2013 8(2): 11 to 13 Abstract According to the hospital business and patient-centered service concept, the paper designed, developed the exam appointment service for radiology and ultrasound department, and optimized medical exam workflow. This paper explained the design and implementation of medical exam appointment system, introduced the system structure, the appointment process, the function features and benefits. Its application showed that the system improved clinic collaborative work efficiency and enhanced the hospital medical service quality. Keywords medical exam, Sub-periods appointment, workflow optimization Fund project The Health Science Program of Hangzhou City-The study of clinical application of medical imaging network based on IHE XDS-i (No. 201135990) Corresponding author First People s Hospital of Hangzhou, Hangzhou 310006, Zhejiang Province, P.R.C. 1 引言 随着公立医院改革的不断深入，卫生部出台了《关于在公立医院施行预约诊疗服务工作的意见》（卫医管发［2009］ 95号），坚持“以病人为中心”，改革公立医院服务管理，各公立医院率先施行预约诊疗服务工作，预约主要针对门诊预 约及专家门诊预约的挂号预约，网上预约挂号已对门诊量较大的综合型医院排队挂号起到一定作用。目前医院门诊、住院 一般流程是挂号、就诊辅助医技检查、临床诊断。对患者来说，只有检查和诊断才是必须的医疗服务黄金时间[1]。患者就 医存在“三长一短”问题（挂号、候诊、排队检查时间长，诊断时间短）依然比较突出，不同门诊时间段病人流量不均。 高峰期病人检查排队时间长，候诊时间长；低谷期无病人就诊，造成医院资源浪费[2]。根据我院门诊量、住院量均非常大 的实际情况，重点讨论利用检查分时段预约系统缓解患者检查排队时间长问题，优化医技检查预约流程，完成患者就诊流 程再造，提高医技、门诊、住院的协同工作