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Analysis of Appropriate Outpatient Consultation Time for Clinical Departments

진료과별 적정 외래 진료시간에 관한 연구

  • Lee, Chan Hee (Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Lim, Hyunsun (Clinical Research Management Team, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Youngnam (Customer Satisfaction Center, National Health Insurance Service Ilsan Hospital) ;
  • Park, Ai Hee (Department of Nursing, National Health Insurance Service Ilsan Hospital) ;
  • Park, Eun-Cheol (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kang, Jung-Gu (Department of Surgery, National Health Insurance Service Ilsan Hospital)
  • 이찬희 (국민건강보험 일산병원 내과) ;
  • 임현선 (국민건강보험 일산병원 임상연구관리팀) ;
  • 김영남 (국민건강보험 일산병원 고객만족센터) ;
  • 박애희 (국민건강보험 일산병원 간호부) ;
  • 박은철 (연세대학교 의과대학 예방의학교실) ;
  • 강중구 (국민건강보험 일산병원 외과)
  • Received : 2014.09.03
  • Accepted : 2014.09.19
  • Published : 2014.09.30

Abstract

Background: The purpose of this study is to assume appropriate outpatient consultation time for each clinical department on the basis of measured outpatient consultation time and satisfaction of outpatient. Methods: We surveyed the feeling and satisfactory outpatient consultation time, satisfaction, revisiting intention and recommendation to others to 1,105 patients of single general hospital in Gyeonggi-do and measured their real outpatient consultation time from October 28 to November 27 in 2013. On the basis of satisfaction, we estimated appropriate outpatient consultation time through area under the receiver operating characteristic curve in logistic regression model. Results: Feeling outpatient consultation time was 5.1 minutess, satisfactory outpatient consultation time which was suggested by patient was 6.3 minutes, and real outpatient consultation time was 4.2 minutes. Department which had longest real outpatient consultation time was infection (7 minutes) and department which had longest satisfactory outpatient consultation time was neurology (9.4 minutes). From the univariate and the multiple linear regression analysis, real outpatient consultation time was longer in pulmonology patient, new patient and afternoon patient, satisfactory outpatient consultation time was longer in infection, neurology, neuropsychiatry, neurosurgery, and rehabilitation patient. Appropriate real outpatient consultation time was suggested as 5.6 minutes which differentiated high and low satisfied patient group. However, we could not assume appropriate outpatient consultation time for each clinical department because the number of patient who had bad satisfaction was too low. Conclusion: To improve patient's satisfaction, we hope outpatient reservation system is operated as each patient's outpatient consultation time is at least 5.6 minutes.

Keywords

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