CAJ | 학술논문

目的通过建立与实施全程数字信息化健康管理运营模式(简称全程信息模式),来提高健康管理中心的质量、效率、效益与整体运营水平.方法从2009年1月开始,实施与医院现有系统:医院信息系统(HIS)、医学实验室信息系统(LIS)、图像存储与传输系统(PACS),各诊室、各检查仪器,健康风险评估软件之间高度集成的,以采集信息、健康风险评估和健康干预为主要内容的全程信息模式,选取2008年4-7月1001人次和2009年4-7月1296人次进行统计分析,评价该模式实施前后的效果.结果实施全程信息模式后,体检登记时间从(250.00±7.71)min/100人次降到(7.77±0.91)min/100人次;填写检查单时间从(137.00±10.59)min/100人次降到(26.00±2.91)min/100人次;整理体检报告时间从(702.00±11.71)min/100人次降到(300.00±12.61)min/100人次.从登记、填写检查单、整理体检报告总体的时间由(1068.00±9.22)min/100人次降到(327.00±21.03)min/100人次,节约三分之二的人力资源.检查结果完整性与准确性由67.0%提高到95.2%;体检人数新增率从17.8%提高到29.4%.全程信息模式实施前后比较,差异均有统计学意义(P＜0.05).结论建立与实施全程信息模式,对提高健康管理质量、效率、效益及整体运营水平是十分可行和有效的.
목적 통과건립여실시전정수자신식화건강관리운영모식(간칭전정신식모식),래제고건강관리중심적질량、효솔、효익여정체운영수평.방법 종2009년1월개시,실시여의원현유계통:의원신식계통(HIS)、의학실험실신식계통(LIS)、도상존저여전수계통(PACS),각진실、각검사의기,건강풍험평고연건지간고도집성적,이채집신식、건강풍험평고화건강간예위주요내용적전정신식모식,선취2008년4-7월1001인차화2009년4-7월1296인차진행통계분석,평개해모식실시전후적효과.결과 실시전정신식모식후,체검등기시간종(250.00±7.71)min/100인차강도(7.77±0.91)min/100인차;전사검사단시간종(137.00±10.59)min/100인차강도(26.00±2.91)min/100인차;정리체검보고시간종(702.00±11.71)min/100인차강도(300.00±12.61)min/100인차.종등기、전사검사단、정리체검보고총체적시간유(1068.00±9.22)min/100인차강도(327.00±21.03)min/100인차,절약삼분지이적인력자원.검사결과완정성여준학성유67.0%제고도95.2%;체검인수신증솔종17.8%제고도29.4%.전정신식모식실시전후비교,차이균유통계학의의(P＜0.05).결론 건립여실시전정신식모식,대제고건강관리질량、효솔、효익급정체운영수평시십분가행화유효적.
Objective To improve the quality,efficiency,effectiveness and overall operational level of our health management through the establishment and implementation of an all-the-way digital health management system. Methods A total of 1001 individuals who received health check-up during April and July of 2008 and another 1296 subjects who took physical examination from April to July of 2009 were investigated for the efficacy of this all-the-way digital health management system. Results The quality of the checkup report was significantly improved. The medical registration time per 100 persons was reduced from (250.00 ±7. 71) min to (7. 77 ± 0. 91) min,filling checklist per 100 persons was decreased from (137. 00 ±10.59) min to (26.00 ± 2.91) min, the reorganization physical examination time of report per 100 persons was reduced from (702. 00 ± 11. 71) min to (300. 00 ± 12. 61) min,the total time per 100 persons was reduced from (1068.00 ±9.22) min to (327.00 ±21.026) min, resulting in 2/3 human resource saving. The integrity and accuracy of the results was increased from 67. 0% to 95. 2%. The recruitment rate of health check-up participants was increased from 17. 8% to 29.4% . There was statistically significant difference before and after the implementation of the all-the-way digital health management system ( P < 0. 05). Conclusion The all-the-way digital health management system may improve the quality, efficacy, and efficiency of health check-up.