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篇名 提升電子轉診平台回覆率之改善專案
卷期 28:1
並列篇名 The improvement for reply rate of the project
作者 賴佩君顏祥茹徐旭岑張秋燕呂麗戎劉洪香水
頁次 043-058
關鍵字 電子轉診平台回覆率資訊系統Integrated electronic referral platformReply rateInformation System
出刊日期 202206

中文摘要

研究目的
衛生福利部中央健保署推行電子轉診平台主要目的在於整合全國轉診資訊,真正落實院際間的雙向轉診策略,並運用資訊系統建立有效率的轉診醫療協助,藉以提升轉診品質及資訊傳遞完整性。

方法
專案小組經查核發現問題後,共同擬定對策並透過專案策略實施6項計畫:規劃建置智能化回覆系統、規劃建置VPN電子轉診平台初步回覆獎懲制度、規劃建置『初步回函上傳結果回傳』系統、設計將轉診識別系統建置於本院網路掛號APP、設計手機簡訊提示醫師功能、規劃轉診醫療資訊宣導課程。

結果
經結果顯示初步回函回覆率大幅提升至84.7%,達專案之目標,改善電子轉診平台初步回覆之現況。

結論
此次專案改善成效不僅初步回函回覆率大幅提升,並掌握轉診病人就醫動向,減低健保醫療浪費,促進基層診所醫師與醫療院所醫療無縫銜接,以及轉診後續作業滿意度。

英文摘要

Objectives
In 2017, the electronic referral system was promoted by the Ministry of Health and the Welfare of Taiwan, which the main purpose is to integrate referral healthcare information, enable continuous medical care, and raising medial efficiency and quality.

Methods
We found the initial response rate from the referral system when the case hospital implements the system after four months was only 32.6% which means very inefficient. Several critical reasons are 1) the system without any feedback healthcare information function to help communication, 2) the medical information cannot integrate with the data from HIS, 3) the interface of the system is not user-friendly for the medical staff, 4) the referral serial number is not combined with the same referral number, 5)and insufficient publicity. Therefore, the project team was established in April 2018 to solve it.

Results
The results showed that the initial reply rate increased significantly to 84.7% after we implement several strategies.

Conclusion
In this study, we introduced several methodologies and strategies to improve the inefficient response rate. And further enhancement of the function of the electronic referral platform.

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