关键词: 信息系统, 门诊管理, 眼科专科检查

Abstract: Objective To construct the information management system of ophthalmic outpatient specialist examination, and establish an information management platform that connects three terminals for examination, physician, and data management, and  explore the application and efficiency of picture archiving and communication systems (PACS) during ophthalmology outpatient specialized examination. Design One-group pretest-posttest design. Participants The PACS and a total of 500 patients applied the system from the ophthalmic outpatient clinic in Jiangsu Provincial People's Hospital. Method A project team consisting of ophthalmology, hospital information center and R&D company, developed a PACS ophthalmic image management and analysis system, which will be integrated with the existing Haitai electronic medical record system. This system was applied to ophthalmic clinics. The total patients' visit time from check-in to the end of the visit, as well as the duration of the patient communicating with the doctor in the consulting room were recorded. Patients and doctors were surveyed on their satisfaction using self-made questionnaire. Main Outcome Measures Average waiting time, average consulting time, satisfaction of the patients and doctors. Results After application of PACS system, the average waiting time was decreased from (0.92±0.46) h to (0.72±0.42) h (t=7.096, P<0.001), the average consulting time was decreased from (0.54±0.35) h to (0.43±0.19) h (t=6.283, P<0.001), and the patient satisfaction increased from 80.6% to 95.2% (?字2=50.104, P<0.001), the doctors' satisfaction increased from 83.33% to 95.83% (?字2=4.019, P=0.045). Conclusions PACS system improved the real-time and dynamic feedback of the ophthalmic specialist examination results, improved the work efficiency of doctor, shortened the patients’ visiting time, and improved the satisfaction rates of both doctors and patients significantly. (Ophthalmol CHN, 2024, 33: 452-456)

Key words: information system, outpatient management, ophthalmic specialist examination