JP2001184408A - Evaluation system for dealing outpatient in hospital - Google Patents

Abstract

PROBLEM TO BE SOLVED: To easily evaluate the operation of facilities according to the facilities and operation conditions of a hospital, and an arrival distribution of patients. SOLUTION: This system is equipped with an input means 3 for inputting information regarding the facilities and operation conditions of the hospital and the arrive distribution of patients for calculating reception times and inter- facility movement times of each counter, consultation departments, etc., a storage means 2 which stores at least the information regarding the facilities and operation conditions of the hospital and the arrival distribution of the outpatients inputted by the input means, an arithmetic processing means which calculates at leas the arrival times, movement times, wait times, and the numbers of waiting patients of each of the counters, consultation departments, etc., the use rates of the facilities, etc., on the basis of the information on the facilities and operation conditions stored in the storage means according to the arrival distribution of outpatients of the hospital, and an output means 4 which outputs evaluation information on the operation calculated by the arithmetic processing means; and the waiting times, the number of waiting patients, use rates of the hospital, etc., are outputted as evaluation information on the operation according to the arrival distribution of the outpatient.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a hospital outpatient operation evaluation system for evaluating operation based on the arrival distribution of outpatients in a hospital.

[0002]

2. Description of the Related Art It is said that a general hospital of a medium or larger size accepts hundreds of outpatients per day.
As generally referred to as waiting for 3 hours and 3 minutes of medical treatment, the length of waiting time in hospitals has become chronic, and the elimination of such a chronic waiting time not only improves the service to patients, This is a major issue as it leads to improvement in the quality of medical care and operational efficiency.

Conventionally, this problem has been solved by static examination such as introduction of a reservation system and computerization. However, in operation, a complicated causal chain has occurred, and it has not been an effective solution. .

[0004]

SUMMARY OF THE INVENTION The present invention has been made to solve the above-mentioned problems, and is intended to facilitate the evaluation of the operation of a facility according to the facilities of a hospital, operating conditions, and distribution of arrival of patients. It is.

[0005] For this purpose, the present invention is a hospital outpatient operation evaluation system for evaluating operation based on the arrival distribution of outpatients in a hospital, and calculates a corresponding time at each window, a medical department, etc., and a moving time between facilities. Input means for inputting information on hospital facilities and operating conditions and arrival distribution of outpatients, and storage means for storing at least information on hospital facilities and operating conditions and outpatient arrival distribution inputted by the input means According to the arrival distribution of outpatients of the hospital, the facility stored in the storage means, the arrival time of at least each of the windows and medical departments based on information on operating conditions, travel time,
Computing means for calculating the waiting time, the number of persons waiting, the utilization rate of the facility, etc., and output means for outputting the operation evaluation information calculated by the computing processing means, the waiting time and the waiting time according to the arrival distribution of outpatients. It is characterized in that the number of persons, the utilization rate of facilities, and the like are output as operation evaluation information.

Further, the arithmetic processing means obtains a time series change and an average value such as a waiting time, a waiting person, a facility utilization rate, and the like, and further obtains an operation rate of each facility based on the facility utilization rate. And output from the output means as the operation evaluation information.

[0007]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a diagram showing an embodiment of a hospital outpatient operation evaluation system according to the present invention, wherein 1 is an arithmetic processing unit, 2 is a storage device, 3 is an input device, 4 is an output device, 11 is a setting input processing unit, 12 is a waiting time calculation processing unit, 13 is a waiting person calculation processing unit, 14 is a utilization rate calculation processing unit, 21 is a facility information file, 22 is a hospital basic file, 23 is a patient configuration file, 24 is an inter-institution information file, 25 Indicates a wait processing table, and 26 indicates a wait order processing method table.

In FIG. 1, an arithmetic processing unit 1 inputs an arrival distribution of outpatients, and performs a general reception, a medical office, an examination room, an accounting, a pharmacy, etc., based on information on hospital facilities and operating conditions. It performs arithmetic processing to obtain information for evaluating the operation of outpatients in a hospital, such as the arrival time, travel time, waiting time, number of waiting people, and the waiting room utilization rate of each patient. 11, a waiting time calculation processing unit 12, a waiting number calculation processing unit 13, and a utilization calculation processing unit 14. The storage device 2 is a database that stores information on hospital facilities and operation conditions necessary for arithmetic processing for obtaining information for evaluating the operation of the hospital by the arithmetic processing device 1, and files and tables of information on the operation results. , At least a facility information file 21, a hospital basic file 22, an inter-facility information file 24, a waiting process table 25, a waiting order processing method table 26, and a patient configuration file 23 including information on an outpatient arrival distribution.
Is stored.

The input device 3 is an input for setting information necessary for an arithmetic process for obtaining information for evaluating the operation of an outpatient in a hospital by the arithmetic processing device 1, and an input for an arithmetic instruction or the like of the arithmetic processing device 1. For example, it is a pointing device such as a keyboard and a mouse, and further includes a scanner and a card reader. The output device 4 outputs information input by the input device 2 for confirmation, or outputs information processed by the arithmetic processing device in response to the input of the operation command and contents of the database stored in the storage device 2. For example, a printer as a display or a print output unit as a display output unit.

In the arithmetic processing unit 1, a setting input processing unit 11 receives a facility information file 21, a hospital basic file 22, and a patient configuration file 2 based on an input from the input device 3.
3. A process for setting the inter-facility information file 24, the waiting order processing method table 26, and the like and storing them in the storage device 2. The waiting time calculation processing unit 12 calculates the patient arrival distribution according to the patient arrival distribution set in the patient configuration file 23.
The waiting time at each reception, such as the general reception and each medical office, examination room, accounting, pharmacy, etc., is calculated and processed.
The number of waiting persons at that time is calculated, and the utilization rate calculation processing unit 1
Numeral 4 is for calculating the utilization rate in each waiting room and the like, and accumulates and stores them in, for example, the waiting process table 25.

In the database stored in the storage device 2, the facility information file 21 is a file for storing various kinds of information on the facilities in the hospital, and includes, for example, the number of general reception desks, the number of reception desks for each medical department, the number of consultation rooms, The number of treatment rooms, the number of examination reception counters, the number of examination rooms, the number of accounting counters, the number of pharmacy counters, the maximum number of persons for each waiting room, etc. are set and stored. The hospital basic file 22 is a file for storing information on the basic configuration within the hospital, and includes, for example, the configuration of medical subjects (internal medicine, surgery,...).
…), Medical chart system (handwritten, electronic), medical chart format (by medical department, 1 patient 1 medical chart, 1 patient 1 medical record file), medical chart storage method (complete medical storage, active medical chart storage, active medical chart comprehensive Reception desk storage, complete central storage), comprehensive reception method (sequential reception, complete reservation, combined use type)
Etc. are set and stored. The patient configuration file 23 is a file for storing the distribution of outpatients reached, the distribution of patients, and the like. Set and store the ratio of various patients such as the ratio. The facility-to-facility information file 24 stores information related to a travel route for calculating a travel time, and sets and stores a travel route, a walking or staircase, an elevator, an inter-facility travel distance for each escalator, and the like. The waiting process table 25 stores the contents of the arithmetic processing at the reception window or the like where the waiting time occurs, and stores, for example, the waiting time, the number of waiting people, the utilization rate of the waiting room, and the like for each patient arrival time. The waiting order processing method table 26 stores information relating to the nomination system and other order processing methods.

FIG. 2 is a diagram for explaining the overall processing flow of the hospital outpatient operation evaluation system according to the present invention, and FIG.
FIG. 9 is a diagram for explaining an example of calculation processing of a waiting time, the number of waiting people, a utilization rate, and the like.

In the hospital outpatient operation evaluation system according to the present invention, as shown in FIG. 2, by first setting and inputting facility operation conditions, a facility information file 21, a hospital basic file 22, a patient configuration file 23, a facility The necessary information is stored in the interim information file 24, the waiting order processing method table 26, and the like (step S11), and furthermore, a general reception, a medical chart search, a medical department reception, a consultation room, a treatment room, an examination reception, an examination room, an accounting reception, respectively. , Accounting, pharmacy reception, drug accounting,
The corresponding time of the preparation or the like is calculated and set in accordance with each method (step S12). Next, each waiting order processing method is selected (step S13). Then, the waiting time at the general reception counter is obtained according to the set patient arrival distribution (step S14). If there is a waiting time (step S15), if there is a waiting time, the number of waiting persons and the waiting room The usage rate and the like are calculated (step S16).

Next, a medical treatment subject is selected according to the patient (step S17), a travel time from the general reception desk to the selected medical treatment window is calculated (step S18), and a waiting time at the reception desk is calculated. According to the determination (step S19) and whether there is a waiting time (step S20), if there is a waiting time, the number of waiting persons, the utilization rate of the waiting room, and the like are calculated (step S21).

In the case of medical departments such as internal medicine and surgery,
Furthermore, in the consultation room, the waiting time, the number of persons waiting, the utilization rate, etc. are calculated for each booth based on the number of consulting rooms and the waiting order processing method, and the travel time and waiting time are similarly determined according to the presence / absence of treatment and presence / absence of examination. , The number of people waiting, the utilization rate, etc. are calculated. In these calculations, for example, in the calculation of the travel time and the corresponding time, it is possible that the ratio of various types of patients, such as travel routes, walking and stairs, elevators, the distance traveled between facilities by escalator, etc., are considered in accordance with each patient. Needless to say. In addition, a patient who arrives with a test after receiving a medical examination in a medical department and a patient who arrives only with a test from a general receptionist without a medical examination join the reception desk of the examination room. The patients who undergo examinations after passing through these medical departments, the patients who undergo examinations only, and the presence / absence of treatment are based on information set and stored in the patient configuration file 23, for example.

Next, an example of calculation processing of the waiting time, the number of waiting persons, the utilization rate, etc. will be described in detail. The calculation processing of the waiting time, the number of waiting persons, the utilization rate, etc. in each scene, such as a general reception desk, a medical treatment department, each booth, etc., first calculates the arrival time of the patient as shown in FIG. S3
1) It is determined whether or not a waiting time has occurred in the previous patient (step S32).

If a waiting time has occurred in the previous patient, the waiting time of the previous patient is added to the corresponding time at the reception desk, the window of the medical treatment department, each booth, etc., and then the waiting time of the previous patient is added. The elapsed time after arrival is subtracted (step S3)
3). If the waiting time has not occurred in the previous patient, the elapsed time since the arrival of the previous patient is subtracted from the corresponding time at the reception window, the window of the medical department, each booth, etc. (step S34). . Then, step S33 or S3
4 is determined to be a positive value, and if it is a positive value, the calculated value is set as a waiting time (step S3).
6) If it is not a positive value, that is, if it is 0 or negative, there is no waiting time (step S37).

As a result of the waiting time calculation, it is determined whether or not there is a waiting time (step S38). If there is a waiting time, the waiting time, that is, the value obtained by dividing the calculated value by the corresponding time in the scene is determined. The number of waiting persons is obtained (step S39), and a value obtained by dividing the number of waiting persons by the maximum number of persons in the waiting room is obtained as a utilization rate (step S40).

The present invention is not limited to the above embodiment, and various modifications are possible. For example, in the above-described embodiment, the description has been made of the case where the waiting process is performed at the general reception desk and each medical department reception desk for each patient. Of course. In addition, the waiting time obtained as operation evaluation information,
The time series change and the average value may be further obtained from the number of waiting persons, the facility use rate, and the like, and the operation rate of each facility may be obtained based on the facility use rate.

[0020]

As is apparent from the above description, according to the present invention, as a hospital outpatient operation evaluation system for evaluating operation based on the arrival distribution of outpatients at a hospital, correspondence at each window, medical department, and the like. Input means for inputting information on hospital facilities and operating conditions for calculating time and inter-facility travel time, and arrival distribution of outpatients, and at least information on hospital facilities and operating conditions and outpatients input by the input means Storage means for storing the arrival distribution of hospitals, and the arrival time, travel time, waiting time, and waiting time of at least each window and medical department based on information on facilities and operating conditions stored in the storage means according to the arrival distribution of outpatients at the hospital. An arithmetic processing means for calculating the number of persons, facility utilization, and the like; and an output means for outputting operation evaluation information calculated by the arithmetic processing means. Waiting time, number of persons waiting, because the output of the facility utilization rate and the like as the evaluation information of the operation, hospital facilities,
It is possible to obtain operation evaluation information such as waiting time, number of people waiting, number of facilities, facility utilization rate, etc. at each window and medical department corresponding to the actual operation conditions, which is effective for operation evaluation examination at the planning stage of hospital planning It can also be used to evaluate the operation of existing hospitals.

Further, a time series change and an average value of the waiting time, the number of waiting persons, the utilization rate of the facility and the like are obtained, and the operation rate of each facility is obtained based on the utilization rate of the facility and the like, and these are output as operation evaluation information. By doing so, it can also be used for setting conditions for computerization of medical facilities and system analysis, clarifying the investment effects of computerization, reducing the cost of examination and analysis work, reducing operating costs, and improving the quality of medical facilities. And the quality of patient services can be improved.

[Brief description of the drawings]

FIG. 1 is a diagram showing an embodiment of a hospital outpatient operation evaluation system according to the present invention.

FIG. 2 is a diagram for explaining the overall processing flow of the hospital outpatient operation evaluation system according to the present invention.

FIG. 3 is a diagram for explaining an example of calculation processing of a waiting time, the number of people waiting, a utilization rate, and the like.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 ... Operation processing device, 2 ... Storage device, 3 ... Input device, 4 ...
Output device, 11 setting input processing unit, 12 waiting time calculation processing unit, 13 waiting queue calculation processing unit, 14 utilization rate calculation processing unit, 21 facility information file, 22 hospital basic file, 23 patient configuration File, 24: information file between facilities, 25: wait processing table, 26: wait order processing method table

Claims (3)

[Claims] 1. A hospital outpatient operation evaluation system for evaluating operation based on the arrival distribution of outpatients in a hospital, wherein the hospital is used to calculate a response time at each window or a medical department, and a travel time between facilities. Input means for inputting information on facilities, operating conditions and arrival distribution of outpatients, storage means for storing at least information on hospital facilities and operating conditions input by the input means and arrival distribution of outpatients, Based on the information on the facilities and operating conditions stored in the storage means according to the arrival distribution of outpatients, at least the arrival time, travel time, waiting time, number of waiting persons, facility utilization rate, etc. of each of the windows and medical departments are calculated. An arithmetic processing means; and an output means for outputting the operation evaluation information calculated by the arithmetic processing means. A hospital outpatient operation evaluation system that outputs usage rates and the like as operation evaluation information. 2. The method according to claim 1, wherein the arithmetic processing unit obtains a time series change and an average value of the waiting time, the number of waiting people, the facility utilization rate, and the like, and outputs the average value as the operation evaluation information. 1. The hospital outpatient operation evaluation system according to 1. 3. The operation processing unit according to claim 1, wherein the operation rate of each facility is obtained based on the utilization rate of the facility, and the calculated operation rate is output from the output unit as the operation evaluation information.
Hospital outpatient operation evaluation system described.