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[眼科门诊技术工作时间的评估]

[Evaluation of the work time used in outpatient ophthalmology techniques].

作者信息

Arias López M C, Lanuza García A, García García N, Ramos Martí F

机构信息

Servicio de Oftalmología, Hospital General de Castellón, Castellón, España.

出版信息

Arch Soc Esp Oftalmol. 2001 Mar;76(3):159-63.

Abstract

PURPOSE

To determine the work time used for out-patients seen in the ophthalmology out-patient clinic according to treatment for each diagnosis and examination guidelines. Another objective was to discover the diagnostic related outpatient demand as well as the time spent on each technique.

METHOD

We have designed a computer database system that includes examinations, treatments and medical services. Their duration was measured in a random sample of 127 ophthalmology outpatients in the General Hospital of Castellon. Sixty five of the patients had come to their first visit and 62 to the follow-up visits.

RESULTS

A new patient spends a mean of 42 minutes and a follow-up patient spends a mean of 27 minutes. The most frequent diagnoses are retinal diseases (30%), cataract (18.6%), glaucoma (11.8%) and ocular motility disorders (11.8%). We present the mean times used by the physician in the ophthalmic techniques used in outpatients.

CONCLUSIONS

We have modified the standard times of 30 minutes for the first visit and 15 minutes for the follow-up visit. Data on the work time used for all the ophthalmics techniques in our outpatient clinic are presented. This ophthalmology survey can be used for health care managers to establish the <> and health care plan administration to adapt the resources to the demand.

摘要

目的

根据每种诊断和检查指南确定眼科门诊中门诊患者的就诊时间。另一个目的是发现与诊断相关的门诊需求以及每项技术所花费的时间。

方法

我们设计了一个计算机数据库系统,其中包括检查、治疗和医疗服务。在卡斯特利翁总医院对127名眼科门诊患者的随机样本进行了测量。其中65名患者为初诊,62名患者为复诊。

结果

初诊患者平均花费42分钟,复诊患者平均花费27分钟。最常见的诊断是视网膜疾病(30%)、白内障(18.6%)、青光眼(11.8%)和眼球运动障碍(11.8%)。我们列出了医生在门诊使用的眼科技术中所花费的平均时间。

结论

我们修改了初诊30分钟和复诊15分钟的标准时间。给出了我们门诊所有眼科技术所使用的工作时间数据。这项眼科调查可用于医疗保健管理人员建立“门诊就诊组”,以及医疗保健计划管理部门根据需求调整资源。

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