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目的:剖析新疆地区预约诊疗服务存在的问题,进而提出相应的发展策略。方法:对72所医院进行问卷调查,对比分析新疆地区与内地预约诊疗服务发展情况。结果:35.5%的医院加入第三方预约挂号平台,不同级别的医院均开展电话预约,但大型仪器检查和社区转诊预约开展较少;候诊时间大部分集中在6-10分钟和11-20分钟两个范围;约53.2%的预约工作人员参加过规范化培训,对医学知识、预检分诊能力等培训甚少;制约新疆地区预约诊疗服务发展的主要因素为传统就诊习惯,占25.5%。结论:借鉴内地预约诊疗服务先进经验,结合地区特色,提出相应的发展策略,促进预约诊疗服务的应用。
OBJECTIVE: To analyze the existing problems in the appointment of medical services in Xinjiang and to put forward the corresponding development strategies. Methods: A questionnaire survey was conducted on 72 hospitals to compare and analyze the development of appointment and treatment services in Xinjiang and the Mainland. Results: 35.5% of the hospitals joined the third-party booking registration platform, telephone booking was conducted in different levels of hospitals, but fewer large-scale instrument examination and community referral booking were carried out. The waiting time was mostly concentrated in 6-10 minutes and 11-20 minutes About 53.2% of the scheduled staff participated in the standardized training, little training on medical knowledge, pre-screening and triage capacity; the main factor restricting the development of appointment medical services in Xinjiang is the traditional treatment habits, accounting for 25.5%. Conclusion: Based on the advanced experience of on-the-spot booking service in the Mainland and the combination of regional characteristics, we propose corresponding development strategies to promote the application of appointment service.