【摘要】：目的 在國家醫(yī)改取得明顯成效的形勢下，三甲醫(yī)院作為江蘇省醫(yī)療衛(wèi)生行業(yè)的中堅力量，需要建立高水平的網站，滿足互聯網高度發(fā)展下日益增多的患者需求。本研究從分析醫(yī)院網站的概念、目的、必要性、現狀等方面入手，旨在通過理論研究和現場調查，了解江蘇省三甲醫(yī)院網站建設現狀和總體水平，明確、歸納三甲醫(yī)院網站建設的優(yōu)勢與不足，結合醫(yī)患雙方對醫(yī)院網站建設的認識、意見，探索江蘇省三甲醫(yī)院網站今后建設及完善的方向及模式，以期能夠在醫(yī)療衛(wèi)生體制改革的形勢下，進一步為醫(yī)院網站服務患者提供更好的建議。 方法 采用自編《江蘇省三甲醫(yī)院網站欄目統計表》，其中包括建站情況、醫(yī)院宣傳、患者服務三張分表，通過搜索引擎查找江蘇省全部50家三甲醫(yī)院的門戶網站進行欄目歸類統計，其中綜合醫(yī)院20家、中醫(yī)醫(yī)院11家、中西醫(yī)結合醫(yī)院2家、專科醫(yī)院17家。 采用自編的醫(yī)務人員和患者《三甲醫(yī)院網站建設現狀調查問卷》，對抽樣獲得的南京市6家三級甲等醫(yī)院醫(yī)務人員和患者隨機開展問卷調查。針對醫(yī)務人員和患者分別設計問卷，，問題大部分采用客觀選擇題，較少設有開放式問題。調查前對調查員進行培訓，統一標準，被調查對象當場填寫后回收。 結果與結論 1.江蘇省50家三甲醫(yī)院網站建站率100%，總體而言，這些網站內容詳實豐富、頁面大方簡潔、功能豐富實用，健康常識教育、就診指南、地理位置及交通信息欄目設置率最高，依次達到92%、88%，86%，而電子商務應用、科室網站、信息查詢、醫(yī)患溝通互動等設置率不高且實際應用不大，可以認為，江蘇省三甲醫(yī)院網站已基本由信息階段轉化為交互階段。 2.江蘇省網上預約掛號系統建設水平較高，84%被調查的醫(yī)院網站有預約掛號服務，多家城市已經建立了市級統一掛號系統，省級系統在建設中，雖還沒得到普遍應用，但其便捷性還是讓過半數的被調查的患者表示愿意嘗試。同時值得關注的是，預約服務在推行過程中,掛號成功率低、爽約率高等問題又同時困擾著醫(yī)院。 3.受問卷調查672名醫(yī)務人員，96.73%的人關注醫(yī)院網站，95.7%的被調查的者認為醫(yī)院網站比較重要及重要，醫(yī)務人員對網上溝通的各種方式還是持樂觀并愿意嘗試的態(tài)度。對于醫(yī)務人員,不論是管理者、醫(yī)生、護士、還是其他醫(yī)務工作者,醫(yī)院網站如可以增進醫(yī)患溝通、減少不必要的糾紛、簡化就診就醫(yī)流程等，能給他們節(jié)省時間與精力，而68.6%的被調查的者認為醫(yī)院管理者對醫(yī)院網站建設不太重視。 4.當前，患者獲得醫(yī)院信息的主要途徑還是熟人介紹方式，占全部被調查的者的72.38%，但也有42.84%的人表示網絡查詢也是獲取信息的重要途徑，患者肯定并重視醫(yī)院網站在方便就醫(yī)中起到的作用，46.1%的人表示醫(yī)院網站要不斷完善才能更好的滿足自己的就醫(yī)需求，同時，雖然患者愿意并要求加強與醫(yī)院的溝通與聯系，但由于當前大醫(yī)院醫(yī)務人員工作繁忙，三甲醫(yī)院網上互動溝通類欄目的時效性及答復質量不能得到保證，因此更多的患者選擇到醫(yī)院與醫(yī)務人員面對面溝通。 建議 醫(yī)院應充分利用醫(yī)務人員及患者對醫(yī)院網站建設持積極支持態(tài)度，進一步的落實并強化醫(yī)院管理者對醫(yī)院網站建設的關注與支持，應以患者為中心，提供個性化服務；醫(yī)院網站的語言版本有待豐富，擴大對外交流能力；應結合信息化建設，豐富信息共享與查詢功能內涵；應嘗試網站電子商務功能的開發(fā)；應利用網站加強醫(yī)患網上交流，使醫(yī)院網站成為醫(yī)院服務的重要形式，成為醫(yī)患之間加強溝通理解的橋梁。 衛(wèi)生行政部門應注意結合本地醫(yī)院發(fā)展水平及患者需求情況，制定不同等級醫(yī)院網站考核具體指標，督促醫(yī)院管理者重視醫(yī)院網站建設，不斷提高醫(yī)院網站建設水平。
[Abstract]:objective
Under the situation of national medical reform, three a hospital, as the backbone of the medical and health industry in Jiangsu Province, needs to establish a high level website to meet the increasing demand of the patients under the high development of the Internet. This study aims at analyzing the concept, purpose, necessity and status of the hospital website, aiming at theoretical research. And field investigation, to understand the status and overall level of the website construction of Jiangsu three a hospital, clarify the advantages and disadvantages of the website construction of three a hospital, and to explore the direction and mode of the construction and improvement of the website of the three a hospital of Jiangsu Province in order to improve the medical and health system. Under the circumstances of the leather industry, we will further provide better advice for patients in hospital websites.
Method
The website of "three a" Hospital of Jiangsu province was compiled, which included the station situation, the hospital propaganda and the patient service three sub tables. Through the search engine, the portal websites of all 50 three A hospitals in Jiangsu province were searched for the column classification statistics, including 20 comprehensive hospitals, 11 Chinese Medical hospitals, 2 traditional Chinese and western hospitals and 17 specialist hospitals. Home.
Using self compiled medical staff and patients' website construction status questionnaire of three a hospital, the questionnaire survey was carried out randomly on medical personnel and patients in 6 grade A hospitals in Nanjing city. The questionnaires were designed for medical personnel and patients respectively. Most of the problems were objective choice questions and fewer open questions. Investigators conducted training and unified standards, and the respondents were filled on the spot and recovered.
Results and conclusions
1. the site rate of 50 third one hospitals in Jiangsu province is 100%. In general, these websites are rich in content, generous and concise, functional and practical, healthy and common sense education, medical guide, geographical location and traffic information column rate is the highest, reaching 92%, 88%, 86%, and electronic commerce application, Department website, information inquiry, doctor-patient communication and communication. The setting rate of mobile service is not high and the actual application is not large. It can be considered that the website of Jiangsu three grade a hospital has basically been transformed from information stage to interaction stage.
2. Jiangsu province online reservation registration system has a high level of construction, 84% of the hospital websites have been registered and registered services, many cities have established a municipal unified registration system, the provincial system in construction, although it has not been widely used, but its convenience is still more than half of the patients surveyed are willing to try. At the same time it is worth paying attention to. In the process of appointment service, the success rate of registration is low, and the high rate of appointment has troubled the hospital at the same time.
3. were surveyed by 672 medical staff, 96.73% of them paid attention to the hospital website, and 95.7% of the respondents believed that the hospital website was more important and important. The medical staff were optimistic and willing to try all kinds of ways of communication on the Internet. For medical staff, doctors, nurses, or other medical workers, hospitals, medical workers, hospitals, and other medical workers The website can improve the communication between doctors and patients, reduce unnecessary disputes, simplify medical treatment process, and save time and energy for them, and 68.6% of the respondents believe that hospital managers do not pay much attention to the construction of hospital websites.
4. at present, the main way for patients to obtain hospital information is the way of acquaintances, accounting for 72.38% of all the respondents, but 42.84% of the people also say that network inquiry is also an important way to obtain information. The patients affirm and attach importance to the role of the hospital website in the convenience of medical treatment, and 46.1% say that the hospital website should be perfected continuously. At the same time, although the patient is willing and required to strengthen communication and contact with the hospital, but because of the busy work of the medical staff in the large hospital, the timeliness and the quality of the response are not guaranteed, so more patients choose to face the face of the hospital and the medical staff. Communicate.
proposal
The hospital should take full advantage of the positive support attitude of medical personnel and patients to the construction of hospital website, further implement and strengthen the attention and support of hospital administrators to the construction of hospital website. We should take patients as the center and provide personalized service; the language version of the hospital website needs to be rich and rich in foreign communication; it should be combined with information technology. Construction should enrich the function connotation of information sharing and inquiry; we should try to develop the function of Electronic Commerce on the website. We should use the website to strengthen the communication between doctors and patients on the Internet, make the hospital website become an important form of hospital service, and become a bridge to strengthen the understanding between doctors and patients.
The Department of health administration should pay attention to the development level of local hospitals and the needs of the patients, formulate specific indicators for the examination of different levels of hospital websites, urge the hospital administrators to attach importance to the construction of hospital websites, and constantly improve the level of hospital website construction.
【學位授予單位】：南京醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R197.3

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