Objective To optimize the environment of outpatient clinics in large hospitals, facilitate the patients’ visits and improve the comprehensive management level. Methods From September to November 2015, 2 hospitals in each part of a provincial city (middle, east, west, north and south), a total of 10 hospitals were chosed by convenient sampling method. The forms, types and distribution of outpatient navigation service system were investigated and analyzed by using a self-designed questionnaire. Results There were a total of 14 forms of counseling-guide services in the 10 hospitals. Just 1 hospital provided all the 14 forms of counseling-guide services, and 2 hospitals provided 13 forms of counseling-guide services, which were relatively complete. While the other 7 large hospitals provided only 4 to 6 forms of counseling-guide services, which were relatively simple. Conclusion Qualified outpatient navigation service system can help patients to receive more effective treatment, optimize the environment, highlighting the modern hospital humanistic service and the concept of intelligent service and scientific management.
ObjectiveTo explore the function of information system platform in the management of outpatient registration source. MethodsOn the basis of registration appointment system, we surveyed again on outpatients traffic between February 6th and 10th in 2012 to find out find out the disadvantages of outpatient service procedures. Certain measures were taken for improvement, especially the management of registration source. ResultsAfter improvement by certain measures, queuing phenomenon and the degree of congestion in the waiting area were improved. To some extent, the satisfaction of patients and doctors was raised from 91% to 93%. ConclusionStandardizing outpatient administration and behavior of patients by information system platform has a good effect and is worth promoting.
Diabetic foot is one of the most common complications of diabetes. The incidence of diabetic foot is high and its treatment is difficult. The cost of treating this disease is huge, which brings a huge burden to patients, families, and society. According to the development process of diabetic foot, this article reviews the rehabilitation nursing of diabetic foot from the perspective of rehabilitation nursing problems, intervention measures, and intervention modes. The rehabilitation nursing problems are summarized as body functions, body structures, activities, and participation; the intervention measures involve rehabilitation education, skin nursing, exercise therapy, mental nursing, hyperbaric oxygen therapy, platelet-rich plasma therapy, and rehabilitation aids; the intervention modes include preventive rehabilitation nursing, in-hospital rehabilitation nursing, community and family rehabilitation nursing, and palliative nursing.
Objective To explore the effects of the centralized management of bed use in a large-scale integrated hospital. Methods We selected the staff with good quality for centre work after setting up the bed use centralized management centre in the West China Hospital. Then, we formulated unified an admission principle and incorporated it into the systematic management and control, made a short instructional video for rolling show in the centre so as to let the patient know basic conditions of this hospital before admission; and regulated the admission process for patients’ convenience. Results After more than one year, the centre simplified the in-patient admission procedures, regulated the process, saved nursing manpower (24 persons), and increased patients’ satisfaction (from 89.30% to 93.25%). Meanwhile, the bed use rate was increased and the average length of stay was shortened the to some extent, which improved the order in wards. Conclusion Unified bed use management centre established in large-scale integrated hospitals, can save nursing manpower, simplify the admission process of patients, and meet the need for the development of hospitals, which is worthy of promoting application.
Objective To investigate safety of influenza A H1N1 vaccine vaccinations. Methods A total of 3 300 medical workers were vaccinated by batch of 200909012 influenza A H1N1 vaccine produced by Shanghai Biological Products Corporation Limited according to the principle of voluntary and concentration. The adverse reactions were observed within half an hour, three days and a week after vaccinations, respectively. Results The inoculators with local or systemic reaction reached 1.18% (39/3 300). There were 0.15% (5/3 300) of the inoculators with adverse reaction within half an hour; 0.70% (23/3 300) within 1 to 3 days after vaccination; and 0.33% (11/3 300) within 3 days to 1 week after vaccination. No severe adverse events were found. Conclusion Influenza A H1N1 vaccine vaccinations is an economic and effective way of influenza A H1N1 prevention with mild reactions.
目的：为了在门诊“一切以病人为中心”的服务理念中体现人性化护理服务，为病人提供优质护理。方法：通过自行设计的问卷调查门诊病人的需求。针对这些需求及门诊护理工作的特点，提出作为门诊护士长及护士的管理要求。结果：病人需求最高的是高操的医疗技术和早就诊，早明确诊断，尽早治疗的迫切心理，各占95.18%、94.68%；其次是希望能有一简便、快捷、明了的就诊流程占88.59%，再其次为希望得到医护人员关注，对医护人员态度的要求比例也较高各占调查的85.17%和83.36%。结论：通过了解病人的需求，从护理的角度有针对性的实行有序管理，改善就诊流程，简化就诊手续，最终赢得病人的认可，使病人满意度提高至95%以上。
With the increasing demand for medical and health services in China, Internet hospitals have emerged, which can provide the public with diversified health services from multiple levels and dimensions. Based on the Internet hospital policies issued, this article sorts out and summarizes the information of Internet hospitals publicly reported in China, compares and analyzes the classification characteristics and similarities and differences of the two major service models of Internet hospitals, which are the second-named entity medical institutions, and Internet hospitals independently established by medical institutions, puts forward suggestions on how to improve the service model of Internet hospitals, and reveals the challenges faced by Internet hospitals. It aims to provide a reference for the promotion and development of Internet hospitals in China in the future.