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门诊患者院内层级诊疗体系构建探索 被引量:6

Exploration on the construction of outpatient intra-hospital hierarchical diagnosis and treatment system
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摘要 合理的院内层级诊疗体系能有效引导患者按需就诊,提高诊疗服务效率。首都医科大学附属北京同仁医院针对初诊、复诊等不同类型患者以及同一患者不同诊疗阶段,建立知名专家团队、专病专症门诊、多学科疑难病联合门诊、护理门诊、药学门诊等,构建以专业/学科为导向、以疾病诊治难易程度为梯度的院内层级诊疗模式,依托转诊、复诊等预约方式打通信息通路,降低患者就医的时间成本与经济成本,体现三级医院功能定位,提升患者就医获得感与幸福感。 Reasonable intra-hospital hierarchical diagnosis and treatment system will effectively guide the patients to see a doctor on demand and improve the efficiency of medical services.Beijing Tongren Hospital,Capital Medical University,has explored the intra-hospital hierarchical diagnosis and treatment system depending on different situatioins such as for new patients,subsequent visit patient,and the same patients with different clinical stage.Through establishing a series of intra-hospital hierarchical diagnosis and treatment modes,such as the well-known expert team,the outpatient service for specialized diseases,the multidisciplinary outpatient service for complex diseases,the nursing service,and the pharmaceutical care service,the outpatients could be oriented by specialties and disciplines and graded by the complexity in diagnosis and treatment of diseases.Relying on the appointment methods such as referral and revisit to open up the information channel,it can optimize the time cost and economic cost of patients,reflect the functional positioning of the tertiary hospitals,and improve patients′sense of medical access and happiness.
作者 张川 贾小溪 陈威震 尤慕西 陶蓓 田玮 Zhang Chuan;Jia Xiaoxi;Chen Weizhen;You Muxi;Tao Bei;Tian Wei(Outpatient Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Administration Office of Otolaryngology Head and Neck Surgery Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)
出处 《中华医院管理杂志》 CSCD 北大核心 2021年第10期811-814,共4页 Chinese Journal of Hospital Administration
基金 首都医科大学医院管理研究所支持项目(2020YGS01)。
关键词 门诊医疗 院内层级诊疗体系 门诊管理 知名专家团队 Ambulatory care Intra-hospital hierarchical diagnosis and treatment system Outpatient management Well-known expert team
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