CAJ | 학술논문

目的探讨急诊患者节假日就诊的时间分布规律,为医院管理和合理调配人力资源提供科学依据.方法回顾性分析北京大学第三医院2010年12月至2014年2月冬季期间节假日(双休日、元旦小长假及春节七天长假期间)与正常工作日(周一至周五)急诊患者就诊的人次和时间特点,应用圆形分布法分析急诊患者的就诊时间规律,比较节假日与正常工作日患者就诊人次、高峰时段的差异性.结果节假日期间急诊患者以50～79岁人群最多,男性居多;急诊流量在节假日明显高于平时,其中春节7天日均流量最高(P＜0.01),元旦小长假3天与双休日日均流量相当;正常工作日(周一至周五)急诊高峰时段为13:05-0:28,而节假日半天门诊时,高峰提前至10:05出现,持续到21:05,没有门诊的情况下,高峰进一步提前至9:16出现,持续到21:26.结论急诊患者节假日就诊人群、就诊高峰及就诊人次均有别于正常工作日,应根据其特点合理安排医务人员值班.
목적 탐토급진환자절가일취진적시간분포규률,위의원관리화합리조배인력자원제공과학의거.방법 회고성분석북경대학제삼의원2010년12월지2014년2월동계기간절가일(쌍휴일、원단소장가급춘절칠천장가기간)여정상공작일(주일지주오)급진환자취진적인차화시간특점,응용원형분포법분석급진환자적취진시간규률,비교절가일여정상공작일환자취진인차、고봉시단적차이성.결과 절가일기간급진환자이50～79세인군최다,남성거다;급진류량재절가일명현고우평시,기중춘절7천일균류량최고(P＜0.01),원단소장가3천여쌍휴일일균류량상당;정상공작일(주일지주오)급진고봉시단위13:05-0:28,이절가일반천문진시,고봉제전지10:05출현,지속도21:05,몰유문진적정황하,고봉진일보제전지9:16출현,지속도21:26.결론 급진환자절가일취진인군、취진고봉급취진인차균유별우정상공작일,응근거기특점합리안배의무인원치반.
Objective To investigate the regularity of variation in number of emergency patients visiting doctors within each 24 h during holidays and festival days,so as to provide a scientific basis for hospital administration and the rational allocation of human resources.Methods Based on the hospital's statistical data of emergency patients visiting doctors during winters from December 2010 to February 2014,a retrospective analysis was carried out for the number and the visiting time of emergency patients on holidays (weekends,the minor long holiday of 3 days for New Year and the major long holiday of 7 days for spring festival) and on general working days (Monday to Friday),respectively.The variation in number of patients and peak time of visiting doctors were analyzed by using circular distribution method,and compared the differences in the number of emergency patients visiting doctors and peak time period between holidays and working days.Results Most of emergency patient visitors were 50-79 years old males; the number of emergency patients on holidays was significantly higher than that on general working days,especially during the seven-day spring festival (P ＜ 0.01),while the number on New Year' s day was similar to that on weekends; peak time for emergency patients' visiting doctors was from 13:05 to 0:28 during general working days.On the contrary,the peak time occurred earlier at 10:05 until 21:05 during the holidays if the hospital offers half-day outpatient service,and in the absence of outpatient service,the peak time emerged further earlier at 9:16 until 21:26 during holidays.Conclusions The ages,number and the peak time of emergency patients visiting doctors on holidays are different from those on the general working days,so medical staff on duty should be arranged reasonably to follow this regularity.