Reid R A
Public Health Rep. 1976 Sep-Oct;91(5):471-6.
A study of the processing of patients at the rural clinic of a medical care delivery system was done to describe quantitatively the movement of patients from their arrival to their departure. The data collected provided a statistical summary of the sequence and duration of observed events in the medical care process as they related to the patients. An analysis of 485 patients visits that were observed on 60 random days during a 12-month period showed that patient arrival rates were generally higher during the morning. The average visit lasted 74 minutes; 94 percent of this time was spent in the waiting and examination rooms. The period that that the patient spent unattended by clinic personnel represented three-fourths of the average patient's total time in the delivery system. Data analysis indicated that if patients were admitted to an unoccupied examination room as soon as possible after their arrival and if standing orders for the family nurse practitioner were expanded, a significant reduction would occur in the average patient's unattended visit time.
对医疗服务提供系统农村诊所的患者诊疗过程进行了一项研究，以定量描述患者从到达诊所到离开诊所的流程。收集到的数据提供了医疗过程中观察到的与患者相关事件的顺序和持续时间的统计摘要。对12个月期间随机抽取的60天内观察到的485次患者就诊情况的分析表明，患者到达率通常在上午较高。平均就诊时间为74分钟；其中94%的时间花在候诊室和检查室。患者在无人照料情况下度过的时间占其在整个医疗服务系统中总时间的四分之三。数据分析表明，如果患者到达后尽快被安排到空闲的检查室，并且扩大家庭执业护士的常规医嘱，那么患者无人照料的平均就诊时间将显著缩短。
