The study on outpatient-clinic practice by shift system at a hospital in Taegu

Song, Jung Hup; Kim, Jing Kyun; Ha, Young Ae; Yeh, Min Hae

Journal of Korean Society Quality Assurance Health Care 1994;1(2): 44.
Published online December 30, 1994.

대구지역 한 중소병원의 교대제 근무에 의한 외래진료에 관한 연구

송정흡¹, 김징균², 하영애¹, 예민해¹

¹경북대학교 의과대학 예방의학교실
²세강병원

The study on outpatient-clinic practice by shift system at a hospital in Taegu

Jung Hup Song¹, Jing Kyun Kim², Young Ae Ha¹, Min Hae Yeh¹

¹Department of Preventive Medicine & Public Health, College of Medicine, KNU
²Sekang Hospital

Abstract

Medical consumers(patients) want evening-clinic because of busy work. For patient's convenience and improving service, hospital should accept it. Considering payment system and patient's demand, personnel expenses, hospital can not accept. The practice of shift system to accept patient's demand and hospital's economic aspect was made. To analysis the effect of the system and probability to alternative to evening clinic this study was done. This study was composed of basal study, intervention, evaluation of effect. The basal study were composed of studying demand on evening clinic, the number of beds, doctors employee, the time table of practice and work, and the number of patients at arrival time. The intervention composed of changing of practice time, changing of working time by the number of patients at arrival time, increasing of employee. The evaluation of effect were composed of evaluating the number of patient at time, the effect of shift system, the comparison of the number of in and out patients and questionnairing the practice of shift system. In the practice time at 2 shift system First team works 7-15 hours and Second team 12-20 hours. there are no lunch and supper time. At 18-20 hours the number of patients were 25-30. The number of patient a depart were 6-7. The number of out-patient increase in 13% and inpatient increase in 10% before the system. Doctors(100%), employee(94.6%), and patients(86.4%) approved this system. The advantage of this system were utilization of surplus time, lengthen the practice time, even distribution of patients and shortening of waiting time, rapid treatment of emergent patients. The disadvantage of this system were shortage of manpower, not all depart practice, continuity of practice, no lunch and supper time, irregular rounding. At present because of small Demanding on evening clinic, this shift system was economical. To succeed this study more effectively all depart in hospital participate. But because of economical reason it is impossible for hospital to do it. If the government assist the economic loss that all depart participate in this system it is very helpful for hospital to succeed in implementing this system more early.

Key words evening clinic;shift system;