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三甲医院如何实现门诊限时限号?

2015-08-06 安徽省卫计委主任于德志 卫计委新闻发布会

长期以来挂号时间长,付费时间长,等待时间长,就诊时间短的问题一直困扰着广大患者,也给医院造成了很大压力,到底门诊建多大,公众空间建多大,医患双方都有很大压力。限时限号把真正需要治疗的患者好好治疗。第一,推行预约诊疗,特别是推行鼓励基层预约,患者先到基层去看看,确实需要转诊到大医院的基层医院帮助预约,起到基层首诊的作用。在做这条措施的时候,我们把号源一部分留一部分流到基层,比如刚才说的医联体,我们的

长期以来挂号时间长,付费时间长,等待时间长,就诊时间短的问题一直困扰着广大患者,也给医院造成了很大压力,到底门诊建多大,公众空间建多大,医患双方都有很大压力。限时限号把真正需要治疗的患者好好治疗。

第一,推行预约诊疗,特别是推行鼓励基层预约,患者先到基层去看看,确实需要转诊到大医院的基层医院帮助预约,起到基层首诊的作用。在做这条措施的时候,我们把号源一部分留一部分流到基层,比如刚才说的医联体,我们的医联体就把一些号源留给你,你来初筛,然后把需要的转上来,这是一部分,通过基层预约的患者优先就诊。 

第二,改进服务流程,实行错峰排班。过去医院能上门诊的主要是有限的,现在把大量的大夫都动员起来上门诊。再有,中国人就医还有一个特点,就喜欢上午来,下午三四点钟医院没有人了,我们要把时间拉长,还得保证患者到了医院就能够看的上大夫。 

第三,引导患者选择适宜的专科和不同层次的门诊去就诊,对诊疗量大的专科增加分时段门诊,我们在很多医院有一些巡回人员,看哪个病区排队时间长了,就去调度,调配力量,这样保证患者来了以后能够得到及时诊治。另外,我们限时限号限的是大夫,不限患者,患者来了,允许加一部分号,保证患者不要大老远赶过来然后再回去,目的是为了保证确实需要的患者有足够的时间把病情说清楚,患者跟医生有足够的时间交流,医生不要号太多,后面排50个病人和排30个病人完全不一样,人少一些医生的压力就小一点,他会心情很放松的给你诊查。

院外也有三条措施:第一,加强大医院跟社区的合作,安排一定数量医生到社区去挂牌坐诊。特别是对于慢性病人,就不要到城市大医院来了。第二,加强信息引导,医院跟媒体合作,向社会公布各个专科的号源,就诊高峰时段,把诊疗量分开,引导病人在基层首诊。第三,把分级诊疗和医师多点执业、医疗联合体的建设配合起来,这样保证限时限号的措施得到有效的落实。 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=38183, encodeId=f57138183a7, content=这篇文章写得很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Oct 08 16:31:00 CST 2015, time=2015-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1365833, encodeId=7f5b1365833ca, content=<a href='/topic/show?id=468119e04db' target=_blank style='color:#2F92EE;'>#三甲医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19704, encryptionId=468119e04db, topicName=三甲医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1552278, encodeId=5c2015522e8c4, content=<a href='/topic/show?id=a8d5196997c' target=_blank style='color:#2F92EE;'>#三甲#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19699, encryptionId=a8d5196997c, topicName=三甲)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88e914287502, createdName=陈吴1239, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34975, encodeId=b086349e5b4, content=希望真的都能实现, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34976, encodeId=5fb3349e671, content=这样保证限时限号的措施得到有效的落实。, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34977, encodeId=be9a349e77b, content=医疗方面还有很多值得努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=)]
    2015-10-08 hlycom3356

    这篇文章写得很好

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=38183, encodeId=f57138183a7, content=这篇文章写得很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Oct 08 16:31:00 CST 2015, time=2015-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1365833, encodeId=7f5b1365833ca, content=<a href='/topic/show?id=468119e04db' target=_blank style='color:#2F92EE;'>#三甲医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19704, encryptionId=468119e04db, topicName=三甲医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1552278, encodeId=5c2015522e8c4, content=<a href='/topic/show?id=a8d5196997c' target=_blank style='color:#2F92EE;'>#三甲#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19699, encryptionId=a8d5196997c, topicName=三甲)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88e914287502, createdName=陈吴1239, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34975, encodeId=b086349e5b4, content=希望真的都能实现, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34976, encodeId=5fb3349e671, content=这样保证限时限号的措施得到有效的落实。, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34977, encodeId=be9a349e77b, content=医疗方面还有很多值得努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=)]
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    2015-08-08 陈吴1239
  4. [GetPortalCommentsPageByObjectIdResponse(id=38183, encodeId=f57138183a7, content=这篇文章写得很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Oct 08 16:31:00 CST 2015, time=2015-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1365833, encodeId=7f5b1365833ca, content=<a href='/topic/show?id=468119e04db' target=_blank style='color:#2F92EE;'>#三甲医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19704, encryptionId=468119e04db, topicName=三甲医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1552278, encodeId=5c2015522e8c4, content=<a href='/topic/show?id=a8d5196997c' target=_blank style='color:#2F92EE;'>#三甲#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19699, encryptionId=a8d5196997c, topicName=三甲)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88e914287502, createdName=陈吴1239, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34975, encodeId=b086349e5b4, content=希望真的都能实现, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34976, encodeId=5fb3349e671, content=这样保证限时限号的措施得到有效的落实。, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34977, encodeId=be9a349e77b, content=医疗方面还有很多值得努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=)]
    2015-08-06 hlycom3356

    希望真的都能实现

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=38183, encodeId=f57138183a7, content=这篇文章写得很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Oct 08 16:31:00 CST 2015, time=2015-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1365833, encodeId=7f5b1365833ca, content=<a href='/topic/show?id=468119e04db' target=_blank style='color:#2F92EE;'>#三甲医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19704, encryptionId=468119e04db, topicName=三甲医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5662228, createdName=mjldent, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1552278, encodeId=5c2015522e8c4, content=<a href='/topic/show?id=a8d5196997c' target=_blank style='color:#2F92EE;'>#三甲#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19699, encryptionId=a8d5196997c, topicName=三甲)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=88e914287502, createdName=陈吴1239, createdTime=Sat Aug 08 03:11:00 CST 2015, time=2015-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34975, encodeId=b086349e5b4, content=希望真的都能实现, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34976, encodeId=5fb3349e671, content=这样保证限时限号的措施得到有效的落实。, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34977, encodeId=be9a349e77b, content=医疗方面还有很多值得努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 21:56:00 CST 2015, time=2015-08-06, status=1, ipAttribution=)]
    2015-08-06 hlycom3356

    这样保证限时限号的措施得到有效的落实。

    0

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    2015-08-06 hlycom3356

    医疗方面还有很多值得努力

    0

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