病人候診時間之模擬研究－以某醫學中心家庭醫學科為例

Using Simulation Method for Waiting Time analysis-take Family Medicine Deparement of a Medical Center as an Example

10.6288/CJPH1998-17-05-05

蘇喜(Syi Su)；李敏禎(Ming-Gen Lee)

門診 ； 等候 ； 模擬 ； outpatient department ； waiting time ； simulation

中華公共衛生雜誌

17卷5期（1998 / 10 / 01）

395 - 403

繁體中文

本研究以一家醫院中心的家庭醫學科為研究場所，藉由現場時間的記錄，瞭解病人實際等候的狀況，經由看診作業模式的建立，擬改善候診時間的問題，經模擬後，瞭解各種改善方案實施後的結果，並據以建議可改善的方案。本研究實料蒐集的時間有二次，第一次是1994年12月19日至24日收集初診診間（初診病人）的現場時間，第二次是1995年l月12日至24日收集一般診間（複診病人）的現場時間。經模擬後，研究結果發現可改善的方案是：(1)設定醫師的看診量；(2)縮短預約病人到診的間隔時間；(3)提昇預約比率；(4)減少病人遲到的比率。在不改變看診作業及增加人力、設備成本的情況，可以做以上的改善。

This research takes the family medicine department of a medical center as the subject. Onsite observation of outpatient operation was conducted to explore the basic parameters and statistics that could be lent to simulation experiments. Data were collected in two periods. The first run was conducted between Dec. 19-24, 1994 for first-visit patients. The second run was conducted between Jan. 12-24, 1995 for repeated-visit patients. Simulation analysis was performed to describe the actual situation and to explore potential improvement schemes. The following alternatives were found to be helpful in improving the outpatient departments operation: (1) Setting a maximum amount of patient visits for each section. (2) Lessening the interarrival time for pre-registration patients. (3) Increasing the pre-registration rate. (4) Discouraging patients from arriving late.