Study on the reengineering application of tumor radiotherapy process in a tertiary hospital_West China Medical Journal

Authors：

CUI Xinyu ¹ ,  CHENG Yongzhong ²

1. Discipline Inspection Commission Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CHENG Yongzhong, Email: eeecheng@163.com

Keywords：

Radiotherapy; Process reengineering; Improving medical services

DOI：

10.7507/1002-0179.201805045

Video：

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ObjectiveGiven the relatively limited resources available for tumor radiotherapy, the reengineering theory to the tumor radiotherapy process of a tertiary hospital is applied to improve the efficiency of medical service, shorten patient waiting time and improve patient satisfaction. MethodsThe tumor radiotherapy process of a tertiary hospital was studied from January 2017 to September 2018. The indicators such as efficiency and satisfaction were analyzed before reconstruction (from January to December 2017) and after reconstruction (from January to September 2018). ResultsAfter radiotherapy process reengineering, on the one hand, the medical efficiency was improved: the number of new patients for radiotherapy per month rose by 16.58% (P<0.05), and the number of daily radiotherapy increased by 5.80% (P<0.05). On the other hand, the patient treatment process became more concise: the preparation time was shortened from 2-3 days to 1 day, while the waiting time for radiotherapy was shortened by nearly 10 days, and the overall satisfaction of patients increased from 64.17% to 83.55%. ConclusionIt can improve the operation efficiency of tumor radiotherapy and improve patient satisfaction under the condition of relatively fixed resources through the reconstruction of the information-based tumor radiotherapy process.

Citation： CUI Xinyu, CHENG Yongzhong. Study on the reengineering application of tumor radiotherapy process in a tertiary hospital. West China Medical Journal, 2018, 33(11): 1444-1448. doi: 10.7507/1002-0179.201805045 Copy

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12.	富宏羽, 張瓊瑤, 林茜, 等. 醫院信息系統支撐下的改善醫療服務行動實踐. 中華醫院管理雜志, 2017, 33(11): 872-875.
13.	李樂升. 放射治療前期工作管理信息系統的設計與實現. 成都: 電子科技大學, 2013.
14.	蔡戰英. 信息化條件下公立醫院服務流程再造實踐與思考. 中國醫院, 2016(9): 67-69.
15.	周峰, 丁小倩, 孫穎, 等. 某三甲醫院放療管理信息系統的應用效果評價. 中國醫藥指南, 2014(34): 390-392.

1. 劉曉寧, 羅力, 白鴿, 等. 我國三級醫院醫療服務改善現狀評估. 中華醫院管理雜志, 2016, 32(6): 415-418.
2. 張宗久. 進一步改善醫療服務增強人民醫改獲得感--《進一步改善醫療服務行動計劃》全面解讀. 中華醫院管理雜志, 2016, 32(6): 401-403.
3. 關于印發 2017 年深入落實進一步改善醫療服務行動計劃重點工作方案的通知. (2017-02-24)[2018-05-15]. http://www.nhfpc.gov.cn/yzygj/s3594q/201702/32e855b8b7564f7cb84d628cea5e5aca.shtml.
4. Tao Z. Process reengineering for quality improvement in ICU based on taylor's management theory. Cell Biochem Biophys, 2015, 72(2): 349-352.
5. 劉成鳳, 黃輝, 陳堅, 等. 基于流程再造的日間手術管理與效果評價. 中國衛生事業管理, 2017(8): 577-581.
6. Rodin D, Aggarwal A, Lievens Y, et al. Balancing equity and advancement: the role of health technology assessment in radiotherapy resource allocation. Clin Oncol (R Coll Radiol), 2017, 29(2): 93-98.
7. 胡琳, 余江, 李軍, 等. 全信息化入院服務新模式的設計與實現. 中國醫院管理, 2017, 37(3): 47-48.
8. Mahdi M, Mothd O. Knowledge map and enterprise ontology for enhancing business process reengineering in healthcare: a case of radiology department. Int J Enterp Informat Syst, 2016, 12(2): 26-46.
9. 白雪, 馬洪升, 戴燕. 日間手術流程再造及管理模式優化研究. 華西醫學, 2015(5): 842-845.
10. 安立超, 劉曉允, 秦嶺, 等. 基于流程再造的醫院門診流程優化研究. 管理評論, 2017, 29(2): 191-200.
11. 劉遠立, 孫靜, 胡廣宇, 等. 全國改善醫療服務第三方評估調查. 中華醫院管理雜志, 2016, 32(6): 404-409.
12. 富宏羽, 張瓊瑤, 林茜, 等. 醫院信息系統支撐下的改善醫療服務行動實踐. 中華醫院管理雜志, 2017, 33(11): 872-875.
13. 李樂升. 放射治療前期工作管理信息系統的設計與實現. 成都: 電子科技大學, 2013.
14. 蔡戰英. 信息化條件下公立醫院服務流程再造實踐與思考. 中國醫院, 2016(9): 67-69.
15. 周峰, 丁小倩, 孫穎, 等. 某三甲醫院放療管理信息系統的應用效果評價. 中國醫藥指南, 2014(34): 390-392.

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West China Medical Journal

Study on the reengineering application of tumor radiotherapy process in a tertiary hospital

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