CN110766209B - Preferential waiting method based on WeChat platform - Google Patents
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Abstract
The invention discloses a preferential waiting method based on a WeChat platform, which relates to the technical field of Internet medical platforms and comprises the following steps: s1, the patient enters a treatment process from the WeChat platform, and a disease set possibly suffered by the patient and a department and an examination which the patient needs to treat are determined according to symptoms provided by the patient through intelligent diagnosis guide; s2, the patient makes appointment registration and payment operation according to the intelligent diagnosis guide result; s3, after the payment is finished, the preferential waiting model plans a reasonable treatment route for the patient according to the waiting requirement of the patient, and the invention has the advantages that: the invention provides a preferential waiting system based on a WeChat public platform, which saves a great deal of time for patients to see a doctor, improves the efficiency of seeing a doctor in a hospital, improves the satisfaction degree of the patients and realizes reasonable allocation of limited resources.
Description
Technical Field
The invention relates to the technical field of internet medical platforms, in particular to a preferential waiting method based on a WeChat platform.
Background
With the rapid development of mobile internet and the emergence of intelligent devices, the service mode of the medical industry faces subversive changes. Because of the large population of China, the traditional hospitalization process restricts the overall operation of hospitals, the problem of hospitalization with three long and one short is becoming more serious, and the quality of medical service is urgently improved. Mobile medical treatment is an application technology for providing medical service and information by utilizing the Internet and the mobile communication technology, changes the traditional treatment process, and saves the time cost for treatment of people because people can make a appointment by using the network, pay fees by using WeChat and communicate with doctors to acquire illness information at any time.
The carrier of the mobile medical treatment mainly comprises a web browser, an mobile medical treatment APP and a WeChat public platform in the WeChat new function. Although the web browser is based on the mobile terminal, the web browser is complex to operate and poor in confidentiality; the mobile medical APP is medical application software, provides services such as medical finding inquiry, appointment registration and professional information inquiry, and has the problem of large memory occupation; the WeChat public platform has the advantages of convenience in operation, small occupied memory, high confidentiality and the like, and is widely applied to various fields. Thus, mobile medical services based on the WeChat public platform are being investigated herein.
Mobile medical services have been studied extensively, such as: the design and implementation of a medical treatment system based on a WeChat platform in the literature analyzes the treatment flow and the current development situation of the current hospital treatment population, and realizes the services of information inquiry, appointment treatment, independent number taking, number calling and the like based on the WeChat platform; the traditional doctor seeing process is optimized in the literature 'research based on the mobile intelligent hospital doctor seeing process', and a new mobile intelligent doctor seeing process is provided. The mobile intelligent diagnosis method is utilized in the document 'mobile intelligent application analysis facing the hospital diagnosis process', so that the diagnosis process is innovated and simplified to a great extent, and the diagnosis efficiency is improved; in the literature, "design and research of intelligent remote medical robot guidance system", a polynomial bayesian classification model is used as a basis, a database technology is utilized, and diseases possibly suffered by a patient are rapidly diagnosed according to chief complaints and symptoms of the patient, so that the medical time of the patient is shortened.
However, the existing research mainly focuses on the procedures of intelligent diagnosis guiding, appointment making, registration, payment and the like, and does not efficiently guide the sequence and route of the patient's visiting department. Patients are not familiar with hospital department distribution, so that a great deal of time and energy are wasted, the satisfaction degree of the hospitals is reduced, and meanwhile, hospital resources cannot be effectively utilized.
In the literature, "design of a preferential medical guidance assistant treatment system based on a wireless local area network", although a treatment route of a patient is planned, only a department with the minimum waiting time required for treatment at the current time is screened for a single patient, and the existing global information (such as patient information, treatment department information, treatment waiting time and the like) of the system is not fully utilized to carry out overall optimization guidance on the treatment sequence of the patient.
In order to solve the problem, the application provides a preferential waiting method of the WeChat platform.
Disclosure of Invention
The invention aims to provide a preferential waiting method based on a WeChat platform, so as to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme:
a preferential waiting method based on a WeChat platform comprises the following steps:
s1, the patient enters a treatment process from the WeChat platform, and a disease set possibly suffered by the patient and a department and an examination which the patient needs to treat are determined according to symptoms provided by the patient through intelligent diagnosis guide;
s2, the patient makes appointment registration and payment operation according to the intelligent diagnosis guide result;
and S3, after the payment is finished, planning a reasonable treatment route for the patient by the preferred treatment model according to the treatment requirement of the patient.
As a further scheme of the invention: the establishment method of the preferential waiting model comprises the following steps:
defining the number of outpatients of a hospital to be M, wherein M corresponds to NmThe examination item, M is 1,2, …, M, the current number of patients is I, the treatment sequence of the ith patient isWherein y ispFor the p-th visit department, piThe total number of visits to patient I, I ═ 1,2, …, I;
finding the patient i in the visit sequence yiThe following total visit times were:
wherein,in the order of visit yiThe time required for the next patient i to complete the p-th office examination,andrespectively show the treatment sequence yiNext, the walking time, waiting time and visiting/examining time of the patient i at the p-th visit department,in the order of visit yiNext, patient i waits for the examination result in the p-th office, and when yp∈{xm,0,x'm,0When the position of the movable part is changed,
the shortest total visit time model for all patients was found to be:
finally, an optimal solution Y is obtained*={y* 1,y* 2,…y* IMinimize the sum of the total time to visit for all patients.
As a still further scheme of the invention: when the patient requires to see the first diagnosis xm,0When the corresponding examination is carried out again later,
when the patient requires a return visit x'm,0When all the examinations corresponding to the out-patient m are done before,
in the formula, xm,nN, N is 1,2, corresponding to the outpatient mm,xm,0And x'm,0First and second visits, T, of the clinic mb(yi,xm,0)、Tb(yi,xm,n) And Tb(yi,x'm,0) Respectively for patient i in the visit sequence yiThe initial time of the first visit, examination and the second visit, X, of the outpatient clinic miSet of outpatients and examinations for patient i registration, Ni,mNumber of examinations in outpatient m for patient i, Ni,m=0,1,…,Nm,Tg(yi,xm,n) For patient i in the visit sequence yiGet the department x of seeing a doctorm,nThe time of the examination of the results.
As a still further scheme of the invention: defining that the patient who is registered preferentially has the right to visit preferentially, the visit time for patient i is:
in the formula, FiIs the set of all possible visit orders for patient i.
When the patient requires to see the first diagnosis xm,0When the corresponding examination is carried out again later,
when the patient requires a return visit x'm,0When all the examinations corresponding to the out-patient m are done before,
as a still further scheme of the invention: the shortest visit time of the patient i is obtained by an enumeration method;
firstly, arranging all the consulting rooms in a stack structure;
traversing all patient treatment sequences by using the constant change of the stack length;
and finally, screening out the path with the shortest time consumption.
As a still further scheme of the invention: define patient i inDepartment of diagnosis xm,nIs available for a time interval of greater length than the average visit/examination timeThe set of these is noted as:
in the formula,for the ith patient in office xm,nJ is the total number of time intervals, and thus, patient i arrives at office xm,nThe waiting time before the visit is as follows:
tw(i,xm,n,t)=tb(i,xm,n,j)-t,tb(i,xm,n,j)<t<tg(i,xm,n,j);
in the formula, tb(i,xm,nJ) and tg(i,xm,nJ) patient i is in office xm,nThe jth available time interval ofThe start and end times of the system.
As a still further scheme of the invention: the time interval of each patient visit is integral multiple of the average visit/examination time of the consulting room.
Compared with the prior art, the invention has the beneficial effects that: the invention is based on the WeChat public platform, has proposed the shortest time systematic model of seeing a doctor with priority to make the patient who registers a doctor have the right of seeing a doctor first, wherein the queue waiting time model of inserting allows the patient who registers a doctor after and can make full use of the idle time of the consulting room, guaranteed that the time of seeing a doctor is shortest overall, give consideration to the shortest time algorithm of the totality and normalize the time interval that every patient sees a doctor, has sacrificed some priority, but make the time of seeing a doctor further shorten, the preferential waiting system that offers saves a large amount of time of seeing a doctor for the patient, improve the efficiency of seeing a doctor of the hospital, while improving patient's satisfaction, have realized the rational disposition of the limited resource.
Drawings
Fig. 1 is a flow chart of a preferential waiting method based on a WeChat platform.
Fig. 2 is a time chart of a patient's visit in a visit sequence.
Figure 3 is a diagram illustrating the waiting time before a patient visit.
FIG. 4 is a flow chart of an enumeration method for optimal solution.
Fig. 5 is a graph of the average total time to visit of patients.
Fig. 6 is a graph of the total time of patient visit.
Fig. 7 shows the total working time of each department.
FIG. 8 is a graph comparing the method described in example 3 with an optimal path.
Detailed Description
Reference will now be made in detail to the exemplary embodiments, examples of which are illustrated in the accompanying drawings. When the following description refers to the accompanying drawings, like numbers in different drawings represent the same or similar elements unless otherwise indicated. The implementations described in the exemplary embodiments below are not intended to represent all implementations consistent with the present disclosure. Rather, they are merely examples of apparatus and methods consistent with certain aspects of the present disclosure, as detailed in the appended claims.
Example 1
In the embodiment of the invention, a preferential waiting method based on a WeChat platform comprises the following steps:
s1, the patient enters a treatment process from the WeChat platform, and a disease set possibly suffered by the patient and a department and an examination which the patient needs to treat are determined according to symptoms provided by the patient through intelligent diagnosis guide;
s2, the patient makes appointment registration and payment operation according to the intelligent diagnosis guide result;
and S3, after the payment is finished, planning a reasonable diagnosis route for the patient by the preferred waiting model according to the waiting requirement of the patient, and then carrying out operations such as initial diagnosis, registration payment, examination, re-diagnosis and the like on the patient according to the reasonable diagnosis route.
Specifically, the method for establishing the preferential waiting model comprises the following steps:
defining the number of outpatients of a hospital to be M, wherein M corresponds to NmItem inspection, M is 1,2, …, M, the current number of patients is I,
since the patient's treatment process may include multiple treatment departments (initial treatment, examination and re-treatment), for convenience of expression, the treatment sequence of the ith patient is defined asWherein y ispFor the p-th visit department, piThe patient I is given the total number of visits, I ═ 1,2, …, I. Because the patient can simultaneously carry out other treatment processes (walking, waiting, seeing/examining, etc.) when waiting for the examination result, the shortest treatment time is not a simple problem that the total time of each treatment process is the smallest, and the patient i is in the treatment sequence yiThe following total visit times were:
wherein,in the order of visit yiThe time required for the next patient i to complete the p-th office examination,andrespectively show the treatment sequence yiNext, the walking time, waiting time and visiting/examining time of the patient i at the p-th visit department (for convenience of expression and without loss of generality, the visiting time of different patients at the same visit/examination room is assumed to be a certain average value),in the order of visit yiNext, patient i waits for the examination result in the p-th office, and when yp∈{xm,0,x'm,0When the position of the movable part is changed,it is assumed that the examination result can be directly transmitted to the computer of the doctor, so that the queuing time for taking the result is saved. Patient i is in visit sequence yiThe following visit times are shown in fig. 2.
Thus, the shortest total visit time model for all patients is:
wherein x ism,nThe examination N corresponding to the clinic m is 1,2, …, Nm,xm,0And x'm,0First and second visits, respectively, of clinic m (without loss of generality, assuming that only one first and second visits are performed per clinic), Tb(yi,xm,0)、Tb(yi,xm,n) And Tb(yi,x'm,0) Respectively for patient i in the visit sequence yiThe initial time of the first visit, examination and the second visit, X, of the outpatient clinic miSet of outpatients and examinations for patient i registration, Ni,mNumber of examinations in outpatient m for patient i (ifThen N isi,m0, or vice versa), Ni,m=0,1,...,Nm,Tg(yi,xm,n) For patient i in the visit sequence yiGet the department x of seeing a doctorm,nThe time of the examination of the results.
The constraint (2.1) is used for ensuring that the patient finishes the first visit xm,0Then the corresponding inspection is carried out, xm,0∈Xi;
Restraint (2.2) is used to ensure patient's return visit x'm,0All examinations x corresponding to the out-patient m are done beforem,0∈Xi。
Since the solution set of the patient's shortest total visit time model is finite, there must be an optimal solution Y*={y* 1,y* 2,...y* IMinimize the sum of the total time to visit for all patients.
Example 2
In the embodiment of the invention, the calculation complexity of the shortest total treatment time model (2) of the patient is increased along with the increase of the number of patients. To reduce the amount of computation and maintain fairness, it is assumed that the priority registered patient always has the priority of the registered department during the visit, in other words, the decision of the current patient is only influenced by the previous registered person. Since the decision of the previously registered patient is known in the system, the patient minimum total visit time model (2) translates into the problem of minimum visit time for patient i, expressed as:
wherein, FiIs the set of all possible visit orders for patient i.
Patients who are preferentially registered have the right to visit preferentially according to the priority principle described above. When a single patient needs to go to a plurality of consulting rooms for treatment, if the patient cannot arrive at the consulting rooms in time, in order to avoid the idle consulting rooms, the patient who is registered later is allowed to be inserted into the idle interval for treatment on the premise that the patient who is registered earlier is not influenced.
To ensure that the patient has sufficient time to perform the interrogation/examination after insertion into the queue, patient i is at visit department xm,nIs available for a time interval of greater length than the average visit/examination timeThe set of these is noted as:
in the formula,for the ith patient in office xm,nJ is the total number of time intervals. Thus, patient i arrives at office xm,nThe waiting time before the visit is as follows:
tw(i,xm,n,t)=tb(i,xm,n,j)-t,tb(i,xm,n,j)<t<tg(i,xm,n,j);
in the formula, tb(i,xm,nJ) and tg(i,xm,nJ) patient i is in office xm,nThe jth available time interval ofThe start and end times of the system. In particular, tg(i,xm,n,0)=0,tg(i,xm,n,J)=Ttotal,TtotalFor the ith patient in office xm,nIs determined by the maximum time that can be waited. Fig. 3 is a diagram illustrating waiting time before a visit.
Since the formula (3) only considers the total time of the visit of a single patient at a time, the calculation amount is small. In order to improve the accuracy, the embodiment solves the optimal problem by using an enumeration method.
Firstly, arranging the diagnosis rooms in a stack structure, and then realizing the purpose of traversing the diagnosis sequence of all patients by using the constant change of the stack length (as shown in fig. 4), and finally, screening out the path with the shortest time consumption. The screening process can calculate the waiting time of each clinic when different paths are selected through the queue waiting time model.
Example 3
In the embodiment of the invention, for the method for obtaining the optimal treatment route, due to the known factors such as the waiting time of each treatment room, the average treatment time and the like, the optimal solution can be easily obtained, but the obtained treatment time can only ensure the shortest treatment time of a single patient, the solution can cause fragmentation of the free time of the treatment departments, for the subsequent patients, the resource consumed by the current patient during treatment is even far higher than that consumed by the conventional registration treatment mode, and aiming at the problem, the embodiment provides another algorithm which can not waste the treatment time of the current patient as a whole.
The algorithm is mainly characterized in that on the basis of the original algorithm, the time interval of the visit of each patient is defined to be integral multiple of the average visit/examination duration of a consulting room, and the condition that the patient is inserted into a visit queue cannot cause idle time fragmentation is guaranteed. For the initial time of the treatment in a certain treatment room, not only the waiting time and the current time are considered, but also a short period of time is added on the basis of the original initial time of the treatment to make the initial time be integral multiple of the treatment time.
Simulation verification
The shortest time algorithm with priority in the embodiment 2 and the shortest time algorithm with total consideration in the embodiment 3 are compared with a conventional registration and treatment mode, and then the effectiveness of the method is analyzed.
Because the conventional registration and treatment mode has randomness and cannot be accurately simulated, the conventional registration and treatment is assumed to be the optimal solution of a treatment simulation model obtained by an enumeration method (at this time, queue insertion and standard queue insertion are not allowed), the simulation starting time is assumed to be 0 minute, the 1 st patient is registered and treated in the 1 st minute, then 1 patient is registered every 1 minute, 48 patients are totally registered, and 3 departments, namely, a department A, a department B, a department C, a department D, a department E and a department F are assumed to be provided, and the corresponding operations are respectively executed. The registered clinics are randomized, and the average visit time and examination result waiting time for each clinic are shown in table 1. The inter-room distance is the inter-room walking distance, as shown in table 2. For the sake of calculation, it is assumed that each patient has a walking speed of 1.
TABLE 1 mean time to visit and examination waiting time for each clinic
Department A | Department's office B | Department C | Department D | Department E | Department F | |
Mean time to visit | 5min | 4min | 5min | 3min | 10min | 6min |
Examination result waiting time | 0min | 10min | 0min | 15min | 0min | 20min |
TABLE 2 interventricular distances
Department's office | A | B | C | D | | F |
A | ||||||
0 | 1 | 1 | 2 | 2 | 3 | |
|
1 | 0 | 2 | 1 | 3 | 2 |
|
1 | 2 | 0 | 1 | 1 | 2 |
|
2 | 1 | 1 | 0 | 2 | 1 |
|
2 | 3 | 1 | 2 | 0 | 1 |
|
3 | 2 | 2 | 1 | 1 | 0 |
Figure 5 is a graph of the change in average total time to visit patients as the total number of patients increases. Fig. 6 is a graph of the total time of patient visit as the total number of patients increases.
As can be seen from the above figure, when the number of patients is small, the average time of the patients in the overall compromise shortest time algorithm (enumeration + queue + overall compromise is optimal) in example 3 is slightly longer than that of the shortest time algorithm (enumeration + queue) with priority in example 2, because a small number of patients are closely linked, time fragmentation rarely occurs, but all the time fragmentation is better than that of the conventional registration method. Because the method provided by the embodiment effectively utilizes the waiting time of the examination result, the total time of the treatment of all users is minimized. As the number of patients increases, the average treatment time of the patients in the overall compromise shortest time algorithm in example 3 after the total number of patients is greater than 7 is lower than that of the shortest time algorithm with priority in example 2, because the time fragmentation increases as the number of patients increases, but the time consumption of the patients is far lower than that of the conventional registration treatment mode.
Fig. 7 shows the total working time of each of the 6 departments and compares the algorithm proposed by the present invention with the conventional registration and visit algorithm and the ideal elapsed time (ideal elapsed time is the time excluding the idle time). From the figure, the total working time of the two methods provided by the invention is greatly reduced compared with the conventional method, which is beneficial to increasing the satisfaction degree of patients and also improves the working efficiency of hospitals, wherein the utilization rate of the optimal method for each consulting room is highest. Compared with the ideal time consumption, the method provided by the invention has the advantages that although the total time for visiting a doctor is slightly longer, the proportion among departments is basically consistent with the ideal time consumption method, and the reasonability of the time arrangement of the invention is demonstrated.
Fig. 8 compares the overall compromise optimization method proposed by the present invention with the path optimization method. Compared with the average diagnosis time of the path optimal solution, the method provided by the invention has the advantages that the time of walking, waiting for diagnosis/examination, diagnosis/examination and waiting for examination results is considered, and only the single factor with the shortest path is considered in the path optimal method.
It should be particularly noted that the invention is based on the WeChat public platform, and a reasonable hospital diagnosis system is designed by an enumeration method, wherein the system comprises links of intelligent diagnosis guiding, appointment registration, preferred waiting, WeChat payment and the like. And a preferential waiting model is intensively researched, the proposed shortest time to see a doctor system model with priority ensures that the first registered patient has the right to see a doctor, and the queue waiting time model also allows the later registered patient to fully utilize the idle time of a doctor room, so that the shortest overall time to see a doctor of all patients is ensured. The proposed overall compromise shortest time algorithm specifies the time interval for each patient visit, sacrifices some of the priority, but further shortens the visit time. The preferential waiting system saves a large amount of treatment time for patients, improves the treatment efficiency of hospitals, and realizes reasonable allocation of limited resources while improving the satisfaction degree of the patients.
Other embodiments of the disclosure will be apparent to those skilled in the art from consideration of the specification and practice of the disclosure herein. This application is intended to cover any variations, uses, or adaptations of the disclosure following, in general, the principles of the disclosure and including such departures from the present disclosure as come within known or customary practice within the art to which the disclosure pertains. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the disclosure being indicated by the following claims.
It will be understood that the present disclosure is not limited to the precise arrangements described above and shown in the drawings and that various modifications and changes may be made without departing from the scope thereof. The scope of the present disclosure is limited only by the appended claims.
Claims (5)
1. A preferential waiting method based on a WeChat platform is characterized by comprising the following steps:
s1, the patient enters a treatment process from the WeChat platform, and a disease set possibly suffered by the patient and a department and an examination which the patient needs to treat are determined according to symptoms provided by the patient through intelligent diagnosis guide;
s2, the patient makes appointment registration and payment operation according to the intelligent diagnosis guide result;
s3, after the payment is finished, planning a reasonable treatment route for the patient according to the patient waiting requirement by the preferred waiting model;
the establishment method of the preferential waiting model comprises the following steps:
defining the number of outpatients of a hospital to be M, wherein M corresponds to NmThe examination item, M is 1,2, M, the current number of patients is I, the treatment sequence of the ith patient is IWherein y ispFor the p-th visit department, piThe total number of visits to the department, I1, 2., I, for patient I;
finding the patient i in the visit sequence yiThe following total visit times were:
wherein,in the order of visit yiThe time required for the next patient i to complete the p-th office examination,andrespectively show the treatment sequence yiNext, the walking time, waiting time and visiting/examining time of the patient i at the p-th visit department,in the order of visit yiNext, patient i waits for the examination result in the p-th office, and when yp∈{xm,0,x'm,0When the position of the movable part is changed,xm,0and x'm,0The first and second visits of clinic m are respectively;
the shortest total visit time model for all patients was found to be:
finally, an optimal solution Y is obtained*={y* 1,y* 2,...y* IMinimizing the sum of the total time of visit for all patients;
when the patient requires to see the first diagnosis xm,0When the corresponding examination is carried out again later,
when the patient requires a return visit x'm,0When all the examinations corresponding to the out-patient m are done before,
in the formula, xm,nN, N is 1,2, corresponding to the outpatient mm,xm,0And x'm,0First and second visits, T, mb(yi,xm,0)、Tb(yi,xm,n) And Tb(yi,x'm,0) Respectively for patient i in the visit sequence yiThe initial time of the first visit, examination and the second visit, X, of the outpatient clinic miSet of outpatients and examinations for patient i registration, Ni,mNumber of examinations in outpatient m for patient i, Ni,m=0,1,...,Nm,Tg(yi,xm,n) For patient i in the visit sequence yiGet the department x of seeing a doctorm,nThe time of the examination of the results.
2. The preferential treatment waiting method based on the WeChat platform as claimed in claim 1, wherein the patient who defines the preferential registration has the right to visit preferentially, and the visit time of patient i is as follows:
in the formula, FiA set of all possible visit orders for patient i;
when the patient requires to see the first diagnosis xm,0When the corresponding examination is carried out again later,
when the patient requires to enter"xing Do Chou'm,0When all the examinations corresponding to the out-patient m are done before,
3. the preferential treatment waiting method based on the WeChat platform as claimed in claim 2, wherein the shortest treatment time of the patient i is determined by an enumeration method;
firstly, arranging all the consulting rooms in a stack structure;
traversing all patient treatment sequences by using the constant change of the stack length;
and finally, screening out the path with the shortest time consumption.
4. The preferential treatment method based on the WeChat platform as claimed in claim 2, wherein the patient i is defined in the clinic xm,nIs available for a time interval of greater length than the average visit/examination timeThe set of these is noted as:
in the formula,for the ith patient in office xm,nJ is the total number of time intervals, and thus, patient i arrives at office xm,nThe waiting time before the visit is as follows:
tw(i,xm,n,t)=tb(i,xm,n,j)-t,tb(i,xm,n,j)<t<tg(i,xm,n,j);
5. The preferential treatment waiting method based on the WeChat platform as claimed in claim 4, wherein the time interval of each patient visit is integral multiple of the average visit/examination time of the consulting room.
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