| 摘要: |
| 目的 探讨专家门诊亚专科化及专病门诊优化对学科发展及患者就诊的影响。方法 2011年及2014年分别对老年医学科及普通外科专家门诊实行亚专科化并在2013年至2014年对专病门诊进行优化，比较调整前后门诊相关指标的变化。结果 亚专科化后，两个专科的专家门诊量分别增长了63.0%和5.6%，均高于医院同期平均水平（经χ2检验，P=0.000）。普通外科4级手术率达34.9%，高于2013年同期（经χ2检验，P=0.000），挂号错误率也明显下降（经χ2检验， P=0.000）。2014年底专病门诊增至38个，其中联合专病门诊7个，门诊量增长了36.5%，高于同期专病门诊数量及医院门诊量的增长率（经χ2检验，P=0.000）。结论 专家门诊的亚专科化及充分发挥专病门诊的作用是促进学科建设、提升医院影响力、方便患者就诊的有效措施之一。 |
| 关键词: 专家门诊 亚专科 专病门诊 优化 |
| DOI： |
|
| 基金项目: |
|
| Analysis of the Effect of Expert Outpatient Service Sub-Specialization and Special Outpatient Service Optimization |
|
| () |
| Abstract: |
|
Objective
To explore expert outpatient service sub-specialization and special outpatient service optimization influence on the patients and the development of discipline. Method In 2011 and 2014, expert outpatient service of department of geriatric medicine and general surgery were sub-specialized respectively, and the special outpatient service was optimized from 2013 to 2014. Then the change of outpatient-related index was compared. Result After sub-specialization, outpatient volume of department of geriatric medicine and general surgery specialist rose 63.0% and 5.6%, which were all higher than the average growth level of the hospital (χ2 test，P＝0.000). General surgery Level 4 surgery rate has improved (χ2 test，P＝0.000) and register error rates of expert outpatient service decreased significantly (χ2 test，P＝0.000). By the end of 2014, special disease outpatient volume increased to 38, including 7 joint special disease outpatients, and outpatients also had greater growth. Conclusion Expert outpatient service sub-specialization and special outpatient service optimum is one of the effective measures to promote development of discipline and it is convenient for patients. |
| Key words: expert outpatient service, sub-specialization, special outpatient service, optimization |
