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首页> 外文期刊>International Journal of Services Technology and Management >Understanding the effects of service redesign on patient-time in an emergency department
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Understanding the effects of service redesign on patient-time in an emergency department

机译：了解急诊部门重新设计服务对患者时间的影响

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摘要

Considerable effort has been expended in improving the health service in the UK through a focus on quantifiable targets. This paper examines the specific experience of the introduction of a new staff rota designed to help reduce the time patients spend in the emergency department at one hospital. A simple comparison of the mean times suggested a significant improvement in the service. However, there had been substantial changes in the environment and an analysis of covariance, incorporating the volume of activity and the doctors' experience, suggested that the new staff rota had differential benefits for different categories of patients: some had a reduction of 16 minutes in their mean time though others were unaffected. This example illustrates the challenges of measuring the impact of service redesign in healthcare even when a well defined innovation is considered and the impact is restricted to a readily quantified measure.
机译：通过集中于可量化的目标，在改善英国的医疗服务方面已经花费了大量的精力。本文考察了引入新的员工轮换的具体经验，该轮换旨在帮助减少患者在一家医院的急诊室花费的时间。对平均时间的简单比较表明，服务质量有了显着改善。但是，环境发生了重大变化，对协方差的分析结合了活动量和医生的经验，表明新员工轮换对不同类别的患者有不同的好处：有些减少了16分钟。他们的平均时间，尽管其他人不受影响。此示例说明了即使考虑到定义明确的创新并且其影响仅限于易于量化的措施，也无法衡量衡量服务重新设计在医疗保健方面的影响所面临的挑战。

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