【摘要】 目的 基于服务链理论，优化急诊增强CT诊疗流程，提高患者就医效率。方法 运用服务链理论，对案例医院放射科急诊增强CT的诊疗流程现存问题进行深入分析，针对性地提出改进措施和优化方案。以医院流程优化前（2022年1月至2023年1月）的144例患者为对照组，流程优化后（2023年2—10月）的359例患者为观察组，对比2组患者等待时间和满意度。结果 通过对服务前期、中期和后期制定实施相应的改进措施，在控制患者性别、年龄和检查部位变量后，急诊增强CT患者等待时间从优化前的（1.38±0.93）h降低到优化后的（0.94±0.42）h，且患者满意度从60.42%提高到了84.12%，差异均有统计学意义（P<0.001）。结论 在一院多区模式下基于服务链理论对急诊增强CT诊疗流程进行优化，能持续有效优化患者就医流程，缩短患者等待时间，提升医疗服务效率。更多还原

【Abstract】 Objective To optimize the emergency enhanced CT diagnosis and treatment process based on service chain theory,and improve the efficiency of patients’ medical treatment. Methods Based on the service chain theory, the existing problems in the diagnosis and treatment process of emergency enhanced CT of radiology in the case hospital were deeply analyzed, and the improvement measures and optimization plans were put forward. A total of 144 patients before the hospital process optimization(January 2022 to January 2023) were taken as the control group, and 359 patients after the process optimization(February to October 2023) were taken as the observation group. The waiting time and satisfaction of patients in the two groups were compared.Results Through the development and implementation of corresponding improvement measures in the early, middle and later stages of service, after controlling for patient gender, age and examination site variables, the waiting time of patients with emergency enhanced CT decreased from(1.38±0.93) h before optimization to(0.94±0.42) h after optimization, and patient satisfaction increased from 60.42% to 84.12%, and both differences were statistical significant(P<0.001). Conclusion In multi-district hospital, the optimization of emergency enhanced CT diagnosis and treatment process based on service chain theory can continuously and effectively optimize the patients’ medical treatment process, shorten the waiting time of patients and improve the efficiency of medical service.更多还原