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題名:某醫學中心家庭醫學科病人候診與看診時間之研究
書刊名:中華公共衛生雜誌
作者:蘇喜 引用關係李敏楨劉嘉珍
作者(外文):Su, SyiLee, Ming-genLieu, Gia-ling
出版日期:1998
卷期:17:6
頁次:頁504-511
主題關鍵詞:門診候診時間看診時間Outpatient departmentWaiting timeVisiting time
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:1
  • 點閱點閱:27
     研究係以一家醫學中心的家庭醫學科為對象,實際記錄門診病人到診、醫師叫號及離開診間的時間。於1994年12月19日至24日及1995年1月12日至24日間,分別收集初診(初診診間)及複診(一般診間)病人就診過程的時間資料。結果顯示,在初診診間方面,82.5%為現場掛號病人;17.4%為預約掛號病人;現場掛號病人平均候診時間為72.1分鐘,平均看診時間為17.4分鐘;預約掛號病人,平均候診時間為42.1分鐘,平均看診時間為13.0分鐘。在一般診間方面,31.9%為現場掛號病人,68.1%為預約掛號病人;現場掛號病人平均候診時間為81.9分鐘,平均看診時間為7.7分鐘;預約掛 號病人,平均候診時間為40.8分鐘,平均看診時間為5.8分鐘。普遍病人認為可接受的候診及看診時間分別為16∼30分鐘(50.6%)及6∼10分鐘(49.6%)。若比較病人就醫的時間差異,在候診時間方面,不論初複診病人,現場掛號的候診時間都比預約掛號來得久;在看診時間方面,一般診間現場掛號的看診時間比預約掛號來得久,但在初診診間則無顯著差異。若比較醫師的看診時間,則初診診間比一般診間來的長。若比較不同疾病的看診時間,在一般診間並無顯著不同,但在初診診間則有顯著不同。對於等候時間的研究,若能利用等候理論並建立模擬模式,則等候問題將可被改 善,且醫院的人力規劃及資源的分配,也將更為適當。
     This study using a family medicine department as subject, tries to explore the actual behavior of outpatient services. From Dec. 19 to Dec. 24 1994, the first-visit patients' arrival time, waiting time, and physicians consulting time were gathered. The same sets of data were collected for repeated-visit patients from Jan. 12 to Jan. 24, 1995. This data revealed that the satisfied mean waiting time and mean doctor-contact time of patients were 16-30 minutes and 6-10 minutes respectively. No matter what ki nd of patient visits, it is also found that the waiting time of on-site registration is much longer than that of the pre-registered. The research figured out that the most important strategy to solve the related problem of waiting time is to establish a simulation model based on the queuing theory for the subject hospital.
期刊論文
1.AlIerssandra, A. J.、Grazman, T. E.、Parameswaran, R.、Yavas, U.(1978)。Using Simulation in Hospital Planning。Simulation,30,62-67。  new window
2.Vassilacopoulos, G.(1985)。Allocating Doctors to Shifts in an Accident and Emergency Department。Journal of Operational Research Society,36(6),517-523。  new window
3.Vogt, W.、Braun, S. L.、Hanssmann, F.(1994)。Realistic modeling of clinical laboratory operation by computer simulation。Clinical Chemistry,40(6),922-928。  new window
4.Jackson, R. R. P.(1964)。Appointments systems in hospitals and general practice。Operational Research Quarterly,15,214-219。  new window
5.Vissers, J.(1979)。Selecting a suitable appointment system in an outpatient setting。Medical Care,10522(12),1207-1220。  new window
6.Naylor, C. D.、Levinton, C. M.、Wheeler, Susan(1993)。A case study of Implicit rationing queuing for coronary surgery during severe supply-demand mismatch in a Canadian referral center。Social Science Medicine,37,61-67。  new window
7.Troxell, J. R.(1981)。Service time quality standards。Quality Progress,1981(Sep.),35-37。  new window
8.劉弘煌(19860600)。等候理論及其在小型醫院等候問題之模擬研究。實踐學報,17,217-293。  延伸查詢new window
9.Liebman, J. S.、Lamy, P. P.、Kilter, M. E.(1970)。Further investigation of the use of queuing theory to predict manpower requirements in an outpatient pharmacy。Am. J. Hosp. Pharm.,27,480-483。  new window
10.Wilt, A.、Drew, G.(1989)。Health care case studysimulating staffing needs and work flow in an outpatient diagnostic center。Industrial Engineering,12,22-26。  new window
11.廖高顯(19901200)。等候理論在中醫院服務規模最佳規劃之研究。國立臺北商專學報,35,39-86。new window  延伸查詢new window
12.Mahachek, A. R.、Knabe, T. L.(1984)。Computer simulation of patient flow in obstetrical/gynecology clinics。Simulation,43,95-101。  new window
13.Taylor, T. H.、Jennings, M. C.、Nightingale, D. A.(1969)。A study of anaesthetic emergency work。Brit J Anaesthesia,41,70-84。  new window
14.Vassilacopoulos, G.(1985)。A simulation model for bed allocation to hospital inpatient departments。Simulation,45,233-241。  new window
15.Worthington, D. J.(1987)。Queuing models for hospital waiting lists。J Opera Res Soc,38,413-422。  new window
16.陳慶餘、李龍騰、邱泰源(19910900)。候診民眾對門診醫療服務的期望性認知之調查。中華民國家庭醫學雜誌,1(3),119-124。  延伸查詢new window
17.Carlso, R. C.、Hershey, J. C.、Kropp, D. H.(1979)。Use of optimization and simulation models to analyze outpatient health care settings。Decision Sciences,10,412-433。  new window
18.鄧安芬、張錦文(19860400)。門診部。醫院,19(2),4-15。  延伸查詢new window
19.Fry, John(1964)。Appointments Systems in Hospitals and General Practice: Appointments in General Practice。Operational Research Quarterly,15,233-237。  new window
20.陳慶餘、邱泰源、謝維銓(19910300)。基層醫療服務內容理論與實際之探討:以三所群醫中心為例。中華民國家庭醫學雜誌,1(1),1-10。  延伸查詢new window
21.Rising, Edward J.、Baron, Robert、Averill, Barry(1973)。A systems analysis of a university-health services outpatient clinics。Operations Research,21,1031-1047。  new window
22.Maister, D. H.(1985)。The psychology of waiting lines。Health and Company,113-123。  new window
研究報告
1.台大醫院企劃室(1992)。台大醫院門診病人意見調查報告。台北:台大醫院企劃室。  延伸查詢new window
2.呂碧鴻、王英偉(1980)。家庭醫師在全民健康保險及醫療網中的角色--現在與未來探討。台北。  延伸查詢new window
3.藍忠孚、李玉春(1984)。中華民國醫院系統現況與發展之規劃研究。臺北:中華民國醫院行政協會。  延伸查詢new window
學位論文
1.張櫻淳(1996)。醫院形象定位之研究:以臺北市六家醫學中心的家醫科就診民眾為例(碩士論文)。國立臺灣大學,台北市。  延伸查詢new window
2.李孟厚(1993)。醫院門診作業系統規劃之研究(碩士論文)。國立中正大學。  延伸查詢new window
3.胡國岱(1996)。醫院門診掛號時間之研究(碩士論文)。國立中正大學。  延伸查詢new window
4.黃榮田(1996)。自費型牙醫診所患者就醫選擇因素之探討(碩士論文)。高雄醫學院。  延伸查詢new window
圖書
1.Chen, Yingyu(1994)。The control of outpatient visit waiting time at the Mennonite Christian hospital。US:Healthcare Administration Program of University of Houston。  new window
2.Scott, N. C.(1983)。Bridging the gap between theory and practice Primary Health Care。New York:Springer。  new window
 
 
 
 
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