Fontanesi John, De Guire Michelle, Holcomb Kathy, Kopald David, Sawyer Mark H
Department of Pediatrics, Division of Community Pediatrics, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92092-0927, USA.
J Med Pract Manage. 2003 Mar-Apr;18(5):239-43.
Demands to optimize productivity and quality require a patient scheduling system that can balance patient demand and clinic resources. The consequences of unscheduled and late patient arrivals on operational efficiencies have been documented. Less understood is the impact of unscheduled and late arrivals on the quality of service each receives. This article examines the impact of unscheduled and late patient arrivals on operational, clinical and administrative outcomes that affect quality of care of children potentially eligible for immunizations. An unexpected finding was the generally better and faster levels of service for late arrivals.
优化生产率和质量的需求要求有一个能够平衡患者需求和诊所资源的患者预约系统。未预约和迟到患者对运营效率的影响已有记录。但对于未预约和迟到对每位患者所接受服务质量的影响,人们了解较少。本文探讨了未预约和迟到患者对影响可能符合免疫接种条件儿童护理质量的运营、临床和管理结果的影响。一个意外的发现是,迟到患者通常能得到更好、更快的服务水平。