Zhang Yong, Luo Yan, Qiu Li, Zhu Ying, Lu Xiao
Department of Medical Ultrasound, West China Hospital of Sichuan University, Chengdu, China.
Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu, China.
Front Public Health. 2025 Feb 24;13:1496860. doi: 10.3389/fpubh.2025.1496860. eCollection 2025.
The existing ultrasound appointment system faces multiple challenges, including a lack of diversity in its operation modes, sluggish efficiency, and limited flexibility. During emergency situations, such as disease outbreaks or severe disaster events, the demand for ultrasound examinations skyrockets, making it imperative to offer patients efficient and user-friendly ultrasound appointment services.
This study introduces the application of a patient-centered real-time dynamic resource allocation strategy in an ultrasound appointment system. This strategy focuses on the demand of patients, builds a multichannel and multimode ultrasound appointment system, and opens sets of parameters related to ultrasound appointments, such as examination room attributes, workload adjustments, and mutually exclusive rules of medical orders. The system can display patient appointment data in real time and carry out statistical analysis, and medical resources can be flexibly configured according to the patient appointment situation to fully meet the needs of patients. Moreover, the system interconnects the appointment data with the registration system and the examination room examination list to further optimize the medical service process.
Data such as the proportion of appointment channels, appointment time, and the quality and efficiency of ultrasound examinations before and after the introduction of the appointment system were compared and analyzed. According to the statistics, the proportion of online bookings increased from 0% to 81.42%. The average appointment times of general ultrasound examination and specialist ultrasound examination were reduced by 90.7% and 78.86%, respectively. The appointment staff was saved by 4 people, the average waiting time of patients in the examination area was reduced from 42 min to 11 min, and the number of ultrasound examinations was increased by 11.5%, while the number of error reports was also significantly reduced.
The results show that the application of this strategy in an ultrasound appointment system is feasible and efficient. Patients can participate more in the entire process of ultrasound appointment and examination, obtain reliable ultrasound medical services faster and more efficiently, improve the diagnosis and treatment environment and order of the hospital, and optimize the medical service process.
现有的超声预约系统面临多重挑战，包括运行模式缺乏多样性、效率低下以及灵活性有限。在诸如疾病爆发或严重灾害事件等紧急情况下，对超声检查的需求急剧上升，因此为患者提供高效且用户友好的超声预约服务势在必行。
本研究介绍了以患者为中心的实时动态资源分配策略在超声预约系统中的应用。该策略关注患者需求，构建了多渠道、多模式的超声预约系统，并开放了与超声预约相关的参数集，如检查室属性、工作量调整以及医嘱互斥规则。该系统能够实时显示患者预约数据并进行统计分析，可根据患者预约情况灵活配置医疗资源，以充分满足患者需求。此外，该系统将预约数据与挂号系统和检查室检查列表相互连接，以进一步优化医疗服务流程。
对预约系统引入前后的预约渠道比例、预约时间以及超声检查的质量和效率等数据进行了比较和分析。据统计，在线预约比例从0%增至81.42%。普通超声检查和专家超声检查的平均预约时间分别减少了90.7%和78.86%。节省了4名预约工作人员，检查区域患者的平均等待时间从42分钟降至11分钟，超声检查数量增加了11.5%，同时错误报告数量也显著减少。
结果表明，该策略在超声预约系统中的应用是可行且高效的。患者能够更多地参与超声预约和检查的全过程，更快、更高效地获得可靠的超声医疗服务，改善医院的诊疗环境与秩序，优化医疗服务流程。
