Abramowitz S, Joy S A, Yurt R W
N Y State J Med. 1989 Aug;89(8):446-9.
A one-week time and motion study was conducted at a large urban hospital replicating a study performed in 1969 in the same hospital, allowing a longitudinal study of emergency room utilization to be reported. Despite a 36% increase in the number of emergency room patients over the 16-year period, the findings from both studies replicate many of the patterns previously reported. Over time, both length of stay and wait times to see physicians have increased, although the values are still well within the ranges found in the literature. As competition increases, hospitals and their emergency room managers will have to determine what constitutes acceptable visit and waiting times in order to compete effectively for emergency room "clientele." Studies such as this one serve as a foundation for hospitals to implement policy changes that will improve health care delivery, and, in fact, this institution has already implemented changes based on this study.
在一家大型城市医院进行了为期一周的时间与动作研究，该研究重复了1969年在同一家医院进行的一项研究，从而能够报告一项关于急诊室使用情况的纵向研究。尽管在这16年期间急诊室患者数量增加了36%，但两项研究的结果都重现了许多先前报告的模式。随着时间的推移，住院时间和看医生的等待时间都增加了，尽管这些数值仍在文献中所发现的范围内。随着竞争加剧，医院及其急诊室管理人员将不得不确定什么构成可接受的就诊和等待时间，以便有效地争夺急诊室“客户”。这样的研究为医院实施能够改善医疗服务的政策变革奠定了基础，事实上，该机构已经根据这项研究实施了变革。
