CAJ | 학술논문

目的：分析院内会诊管理现状，针对发现的问题提出应对策略，完善会诊管理制度，提高会诊质量。方法：提取医院会诊系统中的会诊记录，分析会诊按时完成率，对会诊申请及完成集中的科室进行重点分析与调查。结果：2011年1月-2012年5月会诊按时完成率逐月稳步提升，2012年5月已达到86%，但距98%的目标尚有较大距离；完成会诊的前10位科室完成量占全院的59.81%，申请会诊的前10位科室申请量占全院的63.8%，并且有6个科室重叠，说明申请与完成会诊的科室较为集中；会诊系统中有8.6%未完成的会诊。结论：应采取集中会诊、会诊质量互评、加大网络监控力度等措施，进一步提高会诊按时完成率。
목적：분석원내회진관리현상，침대발현적문제제출응대책략，완선회진관리제도，제고회진질량。방법：제취의원회진계통중적회진기록，분석회진안시완성솔，대회진신청급완성집중적과실진행중점분석여조사。결과：2011년1월-2012년5월회진안시완성솔축월은보제승，2012년5월이체도86%，단거98%적목표상유교대거리；완성회진적전10위과실완성량점전원적59.81%，신청회진적전10위과실신청량점전원적63.8%，병차유6개과실중첩，설명신청여완성회진적과실교위집중；회진계통중유8.6%미완성적회진。결론：응채취집중회진、회진질량호평、가대망락감공력도등조시，진일보제고회진안시완성솔。
Objectives:To analyze the current status of consultation management and to seek the solutions of the problems which can improve the management system of consultation and the quality of consultation. Methods:The consultation record from the hospital consultation system were sampled and the on-time rate of the consultation were analyzed. The departments which have large numbers of consultation applications or completion were carried out key point investigation and analysis. Results:The on-time rate of consultation increases month by month, which reaches 86%by May 2012, but it is still far from the goal of 98%. The top-10 departments which complete the consultation take up 59.81%of the total amount of completion. The top-1o departments which apply for the consultation take up 63.8%of the total number of applications. There are 6 departments in both of the top-10 lists, which shows that the departments which apply for and complete the consultation are relatively concentrated. There are 8.6% unfinished consultations in the consultation system. Conclusion: Suggestions such as centered consultation, peer consultation quality evaluation and enhancing the network control and monitoring are proposed to further improve the rate of on-time consultation.