2021年莫斯科NEAO综合诊所“儿科外科”概况接待失败分析

Evgeny A. Ignatev, T. M. Vasilyeva
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摘要

介绍。医疗服务的可获得性是医疗服务质量的指标之一。每天,在医生工作期间,都有病人不出现预约而不取消预约的情况。这在限制提供医疗服务方面发挥了重要作用。目的。分析2021年莫斯科东北行政区综合诊所儿科外科医生预约失败的指标。方法和材料。2021年期间,在莫斯科东北部的四家儿童综合诊所对一名儿科外科医生的记录进行了评估。根据记录时间、患者年龄、儿童性别、记录方法等进行分组,对分组进行回顾性分析。结果。确定了莫斯科东北行政区“儿科外科”领域未成功任用的总份额。男性在48718例病例中有8459例(57.4%),女性在35741例(42.6%)中登记较多。逃课比例分别为18%和17%,但差异无统计学意义(p=0.25)。在分析与患者年龄相关的缺勤情况时,注意到0 - 3岁儿童缺勤率最低,为13.4%,6-13岁儿童缺勤率为21%(显著差异p=0.001)。还发现,相对于记录时间而言,未出席预约的最大份额为16-20小时,占20%,最小份额为8 - 12小时,占15% (p=0.001)。结论。应在学生家长群体中更密集地宣传取消与医生预约的可能性。引入一项规则,在晚上预约时与法定代表澄清电话预约的出席情况,可能会导致缺勤比例的下降。与会者指出,患者及其法律代表对医疗组织工作中无障碍这一重要指标的形成作出了重要贡献。
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Analysis of failed receptions in the profile of “pediatric surgery” in polyclinics of the NEAO of Moscow in 2021
Introduction. The availability of medical care is one of the indicators of the quality of medical care. Every day, during the work of doctors, there is a non-appearance of patients for appointments without canceling the appointment. This plays a significant role in limiting the availability of medical care. Purpose. To analyze the indicators of failed appointments with a pediatric surgeon during 2021 in polyclinics of the North-Eastern Administrative District of Moscow. Methods and materials. The evaluation of records to a pediatric surgeon during 2021 was carried out in four children's polyclinics of the north-eastern district of Moscow. Failed receptions were divided into groups depending on the time of recording, the age of the patient, the sex of the child and the method of recording, a retrospective analysis of these groups was carried out. Results. The total share of failed appointments in the field of “pediatric surgery” in the North-Eastern Administrative District of Moscow was determined. Males were more often registered with the surgeon – out of 84 459 in 48 718 cases (57.4 %), females – in 35 741 cases (42.6 %). The proportion of no-shows was 18 % and 17 %, respectively, but the differences are not significant (p=0.25). When analyzing absenteeism in relation to the age of patients, it was noted that children from 0 to 3 years of age have the minimum part of absenteeism – 13.4 %, and children aged 6–13 years old – in 21 % of cases (significant differences p=0.001). It was also found that the maximum share of non-attendance at appointments relative to the recording time falls on 16–20 hours – 20 %, and the minimum – from 8 to 12 hours, which is 15 % of cases (p=0.001). Conclusion. Informing about the possibility of canceling an appointment with a doctor should be carried out more intensively in a group of parents of schoolchildren. The introduction of a rule to clarify with legal representatives about attendance at an appointment by phone, when making an appointment in the evening, may result in a decrease in the proportion of absences. The important contribution of patients and their legal representatives to the formation of such an important indicator in the work of medical organizations as accessibility was noted.
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