Thi Thao Nguyen Suong, Yamamoto Eiko, Thi Ngoc Nguyen Mai, Bao Le Huy, Kariya Tetsuyoshi, Saw Yu Mon, Duc Nguyen Cong, Hamajima Nobuyuki
Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Thong Nhat Hospital, Ho Chi Minh, Vietnam.
Nagoya J Med Sci. 2018 May;80(2):227-239. doi: 10.18999/nagjms.80.2.227.
Vietnam is facing a problem of over-crowding in public hospitals. Long waiting time is a major dissatisfaction for patients. Reducing waiting time benefits not only patients but also hospitals in decreasing overall workload. To identify factors contributing to long waiting time in outpatient clinics, a cross-sectional study was conducted at a national hospital in Vietnam. The time for each process of 7,931 patients who visited the outpatient clinics within Thong Nhat Hospital from 5 to 9 September 2016 was collected from the computerized clinical database. Characteristics of patients (age, sex, address, day of visit, registration time, visited department and test) and waiting times were studied at the outcome measures. Multivariate analyses using the linear regression model was carried out to evaluate the contribution of these factors to the total waiting time. Among 7,931 patients, 52.3% were women, 46.3% were 60-80 years, and 64.8% registered between 5:30 and 9:30. The mean total waiting time was 104.1 minutes. The analysis on total waiting time among 4,564 patients who visited one department without any test showed that department group and registration time were significantly associated with a total waiting time. In 1,259 patients who visited one department with one test, early registration and undergoing blood tests were significantly associated with a longer total waiting time. These results showed that old age, visiting internal medicine departments, early registration time, and undergoing blood tests were factors contributing to a longer total waiting time in the outpatient clinics within Thong Nhat Hospital.
越南公立医院面临着过度拥挤的问题。长时间等待是患者的主要不满之处。缩短等待时间不仅对患者有益，对医院减少整体工作量也有好处。为了确定导致门诊长时间等待的因素，在越南一家国立医院进行了一项横断面研究。从计算机化临床数据库中收集了2016年9月5日至9日在统一医院门诊就诊的7931名患者每个流程的时间。研究了患者的特征（年龄、性别、地址、就诊日期、挂号时间、就诊科室和检查项目）以及等待时间作为结果指标。使用线性回归模型进行多变量分析，以评估这些因素对总等待时间的影响。在7931名患者中，52.3%为女性，46.3%年龄在60 - 80岁之间，64.8%在5:30至9:30之间挂号。平均总等待时间为104.1分钟。对4564名只就诊一个科室且未进行任何检查的患者的总等待时间分析表明，科室分组和挂号时间与总等待时间显著相关。在1259名就诊一个科室且进行一项检查的患者中，提前挂号和进行血液检查与更长的总等待时间显著相关。这些结果表明，高龄、就诊内科科室、提前挂号时间以及进行血液检查是导致统一医院门诊总等待时间较长的因素。
