CAJ | 학술논문

目的：根据高考体检的实际情况，优化体检流程、增强服务意识，提高工作质量、效率，提升受检者满意度。方法以“戴明环”（PDCA）循环管理为核心理念，对健康体检工作流程进行改进。采用单纯整群随机抽样方法选取2013及2014年龙岗区高考各10个班的体检学生为研究对象进行问卷调查。采用成组设计的两样本资料的 t 检验和χ2检验进行统计学处理；采用基于模糊集理论的模糊综合评判法进行满意度综合评价。结果通过对 PDCA 实施前后平均体检耗时的 t检验（t＝2．468， P＜0．05）以及体检报告平均出具时间的 t 检验（t＝4．510， P＜0．05），可以认为优化体检流程可有效缩短体检所需时间和体检报告出具时间。通过对 PDCA 实施前后晕针、身体不适等不良事件发生率的χ2检验（χ2＝6．993， P＜0．05）以及体检报告合格率的χ2检验（χ2＝16．699， P＜0．05），可以认为优化体检流程可有效降低不良事件发生率，同时提高体格报告合格率。 PDCA 实施前后体检学生满意率分别为83．26％和96．64％，模糊评价总评分分别为 J ＝0．8127和0．9779， PDCA 实施后体检学生满意度有较大幅度提高。结论应用 PDCA 循环的四个环节进行全面质量管理，提高了体检学生满意度，对高考体检服务质量和工作效率均起到了科学有效的促进和保障作用，值得推广。
목적：근거고고체검적실제정황，우화체검류정、증강복무의식，제고공작질량、효솔，제승수검자만의도。방법이“대명배”（PDCA）순배관리위핵심이념，대건강체검공작류정진행개진。채용단순정군수궤추양방법선취2013급2014년룡강구고고각10개반적체검학생위연구대상진행문권조사。채용성조설계적량양본자료적 t 검험화χ2검험진행통계학처리；채용기우모호집이론적모호종합평판법진행만의도종합평개。결과통과대 PDCA 실시전후평균체검모시적 t검험（t＝2．468， P＜0．05）이급체검보고평균출구시간적 t 검험（t＝4．510， P＜0．05），가이인위우화체검류정가유효축단체검소수시간화체검보고출구시간。통과대 PDCA 실시전후훈침、신체불괄등불량사건발생솔적χ2검험（χ2＝6．993， P＜0．05）이급체검보고합격솔적χ2검험（χ2＝16．699， P＜0．05），가이인위우화체검류정가유효강저불량사건발생솔，동시제고체격보고합격솔。 PDCA 실시전후체검학생만의솔분별위83．26％화96．64％，모호평개총평분분별위 J ＝0．8127화0．9779， PDCA 실시후체검학생만의도유교대폭도제고。결론응용 PDCA 순배적사개배절진행전면질량관리，제고료체검학생만의도，대고고체검복무질량화공작효솔균기도료과학유효적촉진화보장작용，치득추엄。
Objective To optimize, based on the actual situation, the process of physical examination, strengthen the service consciousness, enhance the work quality and work efficiency and improve physical examinees'satisfaction.Methods Deming PDCA (plan-do-check-act, PDCA) circulation was taken as the core idea for improving the workflow of physical examination.10 classes of students before matriculation examination in Longgang District in 2013 and 2014 were selected respectively as the research objects with simple random sampling method to conduct questionnaire tests and X2 tests in paired data for statistics.Comprehensive evaluation based on fuzzy set theory was used for satisfaction survey.Results Optimized physical processes could effectively shorten the physical examination time and physical examination report time, which was concluded by comparing the physical examination time (t=2.468, P<0.05) and the physical examination report time (t =4.510, P<0.05) before and after the implementation of PDCA.Optimized physical processes can also effectively reduce the incidence of adverse events and improve the qualified rate of physical examination re-port by comparing, before and after the implementation of PDCA, the incidence of adverse events including fainting and physical dis-comfort (χ2 =6.993, P<0.05) and the qualified rate of physical examination report ( χ2 =16.699, P<0.05) .The physical examinees'satisfaction rate was 83.26% before the implementation of PDCA and 96.64% after the implementation.The total score of fuzzy evaluation was 0.812 7 and 0.977 9 respectively before and after the implementation of PDCA, with the sharp increase of the subjects'satisfaction.Conclusion Application of four aspects of PDCA cycles to conduct the comprehensive quality management can improve physical examinees'satisfaction rate, play a scientific and effective role in promoting and safeguarding the quality and efficien-cy in the college entrance physical examination, which is worthy to be popularized.