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越南一家中心外科医院门诊患者的候诊时间:对资源分配的影响。

Patient waiting time in the outpatient clinic at a central surgical hospital of Vietnam: Implications for resource allocation.

作者信息

Tran Tho Dinh, Nguyen Uy Van, Minh Nong Vuong, Tran Bach Xuan

机构信息

Department of Hepatobiliary Surgery, Viet Duc Hospital, Hanoi City, Vietnam.

Outpatient Clinic, Viet Duc Hospital, Hanoi City, Vietnam.

出版信息

F1000Res. 2017 Apr 10;6:454. doi: 10.12688/f1000research.11045.3. eCollection 2017.

DOI:10.12688/f1000research.11045.3
PMID:28690831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5482327/
Abstract

Patient waiting time is considered as a crucial parameter in the assessment of healthcare quality and patients' satisfaction towards healthcare services. Data concerning this has remained limited in Vietnam. Thus, this study aims to assess patient waiting time in the outpatient clinic in Viet Duc Hospital (Hanoi, Vietnam) in order to enable stakeholders to inform evidence-based interventions to improve the quality of healthcare services. A cross-sectional study was conducted from June 2014 to June 2015 in the outpatient clinic at Viet Duc Hospital. Waiting time stratified by years (2014 and 2015), months of the year, weekdays, and hours of the day were extracted from Hospital Management software and carefully calculated. Stata 12.0 was employed to analyze data, including the average time (M± SD), frequencies and percentage (%). There was a total of 137,881 patients involved in the study. The average waiting time from registration to preliminary diagnosis in 2014 was 50.41 minutes, and in 2015 was 42.05 minutes. A longer waiting time was recorded in the morning and in those having health insurance. Our results provided evidence that despite the decrease of waiting time from 2014 to 2015, waiting time was much higher among patients having health insurance compared to their counterparts. The findings suggest that human resources promotion and distribution should be emphasized in outpatient clinics and health insurance-related administrative procedures should be simplified.

摘要

患者等待时间被视为评估医疗质量以及患者对医疗服务满意度的关键参数。在越南,关于这方面的数据仍然有限。因此,本研究旨在评估越南河内市越德医院门诊患者的等待时间,以便让利益相关者能够采取基于证据的干预措施来提高医疗服务质量。2014年6月至2015年6月在越德医院门诊进行了一项横断面研究。从医院管理软件中提取按年份(2014年和2015年)、月份、工作日以及一天中的时间段分层的等待时间,并仔细计算。使用Stata 12.0软件分析数据,包括平均时间(M±SD)、频率和百分比(%)。共有137,881名患者参与了该研究。2014年从挂号到初步诊断的平均等待时间为50.41分钟,2015年为42.05分钟。上午以及有医疗保险的患者等待时间更长。我们的结果表明,尽管2014年至2015年等待时间有所减少,但有医疗保险的患者等待时间比没有医疗保险的患者长得多。研究结果表明,门诊应加强人力资源的提升和分配,并简化与医疗保险相关的行政程序。

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