CAJ | 학술논문

　　目的：探讨门诊和住院信息系统无缝对接的信息化预约住院系统在综合性医院的应用，使有限的床位资源能被合理、有序、高效地利用，最大限度地满足患者的住院需求。方法：将2011年1月1日-2011年11月30日的预约住院患者分为传统预约组（对照组），将2012年1月1日-2012年11月30日的预约住院患者分为信息化预约组（观察组），并排除因医保费用办理进出院的患者，以确保临床资料具有科学性和可比性。观察预约住院人数、平均预约住院天数、床位使用率、平均住院日、医护工作者满意度、患者满意度等指标情况。结果：在预约住院人数和床位使用率基本不变的情况下，观察组的平均预约住院天数、平均住院日、医护工作者满意度、患者满意度均较对照组有统计学差异。结论：充分利用信息技术，更合理、高效、有序地收治患者，是妥善解决住院矛盾、构建和谐医患关系的重要手段。
　　목적：탐토문진화주원신식계통무봉대접적신식화예약주원계통재종합성의원적응용，사유한적상위자원능피합리、유서、고효지이용，최대한도지만족환자적주원수구。방법：장2011년1월1일-2011년11월30일적예약주원환자분위전통예약조（대조조），장2012년1월1일-2012년11월30일적예약주원환자분위신식화예약조（관찰조），병배제인의보비용판리진출원적환자，이학보림상자료구유과학성화가비성。관찰예약주원인수、평균예약주원천수、상위사용솔、평균주원일、의호공작자만의도、환자만의도등지표정황。결과：재예약주원인수화상위사용솔기본불변적정황하，관찰조적평균예약주원천수、평균주원일、의호공작자만의도、환자만의도균교대조조유통계학차이。결론：충분이용신식기술，경합리、고효、유서지수치환자，시타선해결주원모순、구건화해의환관계적중요수단。
Objective: By exploring the application of outpatient and hospitalization seamless integrated hospitalization reservation system in general hospital to promote the limited beds rational, orderly and efficiency use and to maximum match patient's hospitalization demand. Method: Patient who admitted from January 1, 2011 to November 30, 2011 were assigned into traditional reservation group (control group) and who admitted from January 1, 2012 to November 30, 2012 were assigned into the informationalized reservation group (observation group). And patients who in and out of hospital due to health care costs were ruled out to ensure the scientificity and comparability of the clinical information. Main observation indices: number of hospitalizations for appointment, average length of reservation, bed utilization rate, average hospitalization days, healthcare workers’ satisfaction, patients’ satisfaction. Results: with number of hospitalizations for appointment and bed utilization rate basically unchanged, there are significant differences in average appointment length of hospital stay, the average hospitalization days, healthcare workers’ satisfaction, patients’ satisfaction between the observation group and the control group (P<0.01). Conclusion to make full use of information technology, and to treat patients more reasonably, efficiently, and orderly, is an important means of properly resolving the hospitalization contradiction and constructing harmonious doctor-patient relationship.