Teichgräber U K M, Gillessen C, Neumann F
Klinik für Strahlenheilkunde, Charité Campus Virchow-Klinikum, Humboldt-Universität zu Berlin.
Rofo. 2003 Dec;175(12):1627-33. doi: 10.1055/s-2003-45331.
The main emphasis in health care has been on quality and availability but increasing cost pressure has made cost efficiency ever more relevant for nurses, technicians, and physicians. Within a hospital, the radiologist considerably influences the patient's length of stay through the availability of service and diagnostic information. Therefore, coordinating and timing radiologic examinations become increasingly more important. Physicians are not taught organizational management during their medical education and residency training, and the necessary expertise in economics is generally acquired through the literature or specialized courses. Beyond the medical service, the physicians are increasingly required to optimize their work flow according to economic factors. This review introduces various tools for process management and its application in radiology. By means of simple paper-based methods, the work flow of most processes can be analyzed. For more complex work flow, it is suggested to choose a method that allows for an exact qualitative and quantitative prediction of the effect of variations. This review introduces network planning technique and process simulation.
医疗保健的主要重点一直是质量和可及性,但成本压力不断增加,使得成本效益对护士、技术人员和医生来说变得越来越重要。在医院内部,放射科医生通过服务的可及性和诊断信息,对患者的住院时间有很大影响。因此,协调和安排放射检查变得越来越重要。医生在医学教育和住院医师培训期间没有学习组织管理,经济学方面的必要专业知识通常是通过文献或专业课程获得的。除了医疗服务,医生越来越需要根据经济因素优化工作流程。本综述介绍了各种流程管理工具及其在放射学中的应用。通过简单的纸质方法,可以分析大多数流程的工作流程。对于更复杂的工作流程,建议选择一种能够对变化的影响进行精确的定性和定量预测的方法。本综述介绍了网络规划技术和流程模拟。