CAJ | 학술논문

目的：探讨综合性医院日间化疗病房管理模式的改革与创新，解决肿瘤患者住院难、治疗不及时、患者流失等方面的问题。方法：确定日间化疗收治对象、收治流程；建立日间化疗管理新模式；对新模式的运作进行不断的优化、改进和创新，实现日间化疗病房医护一体化管理新模式。结果：日间病房在医护人员配置和空间设置上可节约成本约50%以上。从2010年至2013年，日间病房患者由治疗轮次1轮增加到2～2.5轮，每月治疗人次由300人次增加到900多人次，日间化疗病房床位使用率由100.50%上升到245.00%；2013年患者住院满意度达99.95%，比2010年上升3.93%；获得患者表扬信由47封上升到299封。连续2年无投诉。结论：综合性医院设立日间化疗病房在方便肿瘤化疗患者治疗的同时，明显缓解了肿瘤患者等候住院时间，提高了病房的床位使用率，降低了医疗成本，提高了患者及家属的满意度。
목적：탐토종합성의원일간화료병방관리모식적개혁여창신，해결종류환자주원난、치료불급시、환자류실등방면적문제。방법：학정일간화료수치대상、수치류정；건립일간화료관리신모식；대신모식적운작진행불단적우화、개진화창신，실현일간화료병방의호일체화관리신모식。결과：일간병방재의호인원배치화공간설치상가절약성본약50%이상。종2010년지2013년，일간병방환자유치료륜차1륜증가도2～2.5륜，매월치료인차유300인차증가도900다인차，일간화료병방상위사용솔유100.50%상승도245.00%；2013년환자주원만의도체99.95%，비2010년상승3.93%；획득환자표양신유47봉상승도299봉。련속2년무투소。결론：종합성의원설립일간화료병방재방편종류화료환자치료적동시，명현완해료종류환자등후주원시간，제고료병방적상위사용솔，강저료의료성본，제고료환자급가속적만의도。
Objective:To explore the reform and innovation of management model in ambulatory chemotherapy ward. Methods:The authors set up a new management model in ambulatory chemotherapy ward. They clarified the objects and processes of day care chemotherapy treatment. They also continuously improved the management model in the operation process. Results:The costs of human resources and space saved more than 50%. The daily treatment patient number per bed increased from 1 to 2-2.5, and monthly treatment patient numbers increased from 300 to 900. The bed utilization rate of the ambulatory chemotherapy ward increased from 100.5%to 245.0%. In 2013, the experience and satisfaction of patients and their family members was 99.95%, 3.93%higher than 2010. The patients' commendatory letters increased from 47 to 299. There was no error and complaints during the two years. Conclusion:Day care chemotherapy played positive roles in several aspects, including reducing patients’ waiting time for hospitalization, increasing the utilization of ward beds, reducing costs and improving patients and family satisfaction.