医院需求报告及业务流程.docx

1、医院需求报告及业务流程医院需求报告及业务流程内容/CONTENTS1 医院的组织管理/ Organization in hospital1.1 医院的部门构成/ Department structure in hospital1.1.1 按工作性质和任务划分医院部门（中国）/ Departments of Chinese hospitals are divided by their nature and mission.诊疗部门（病房和门诊各临床科室业务部门）也称临床科室Diagnosis &Treatment section (D&T section or clinical section

2、)急诊科*Acute dept.内科Internal medicine儿科Children dept.外科Surgery dept.预防保健科*Protection妇产科Maternity 行政后勤部门（对医院人、财、物进行管理的职能部门）Logistics (depts. Incharge of administrative issues)辅助诊疗部门（为临床提供技术和设备支持的辅助性专业科室）也称医技科室Assistant section to diagnosis & treatement (aslo referred as medical technology section)药剂科Ph

3、armacy物理诊断科Physical diagnosis消毒器材供应室Sterilization tools放射科Radiation功能检查及内窥镜室Lab手术室Operation临床检验科Exam理疗体疗科physical therapy病理科Pathology营养科*亦后勤Nutrition& logistics医院部门（中国）Dept. in Chinese hospital护理部门(独立完成专业工作内容系统，人员分布在诊疗和辅助诊疗部。通过各专科护士长和护理部两级管理体系完成任务)Nurse section (specilized in caring independently, n

4、urses are working in both diagonsis& treatment and assistant section to D&T. this section is managed by head nurse and Nurse administrative department )门诊部Outpatient Admin医疗护理管理Medical&Nurse Admin.护理部Nurse Admin医务科Medical Admin 人事科H.R.财务科Finance院长办公室Dean office保卫科Security总务科General affairs科教科Educati

5、on医院整体管理的职能部门Administrative depts.膳食科Nutrition供应科Supplies设备科Equipment图书室Library统计室Statistics病案室Medical Case辅助性科室Assistance to Amin.计算机中心Computer center住院处Inpatient admin1.1.2 现代医院组织部门划分（理论上）/The classification of modern hospitals (theoretically)中心检查部门Central Exam药剂部门Pharmacy诊疗部门D&T 社会医疗服务部门Social se

6、rvice护理部门Nurse营养部门Nutrition事务部门（人事、财务、供应、文书等）Affairs (H.R. Finance, Supplies, Documentation)病史资料部门Medical Case医院部门（学术上）Theoretical department环境整备部门（内外环境、污染处理、被服供应等）Environmental (environment, pollution, uniforms)设备服务部门（水电、供热、通讯等）Equipment (water, electricity, heating, communication)门诊部Outpatient1.2

7、我国综合医院一般组织结构图1.3 中国医院人员职类和职称/ duties and titles of technical posts in Chinese hospital医疗预防人员（中医、西医、卫生防疫、寄生虫病防治、地方病防治、职业病防治、妇幼保健、卫生宣教等医预防专业人员）Doctor: (Chinese medical doctor, western medical doctor, epidemic prevention staff, parasite prevention staff, regional disease prevention staff, occupational

8、disease prevention staff, maternity health care, sanitation public education & prevention staff)职称：主任医师、副主任医师、主治（主管）医师、医师、医士、卫生防疫员）Titles: Head doctor, vice head doctor, duty doctor, doctor, practice doctor, sanitation trainer卫生技术人员Medical technician药剂人员（中药、西药、药检等方面的人员）Chemist: (staff specialized in

9、 Chinese, western medicine and medicine examination)职称：主任药师、副主任药师、主管药师、药剂师、药剂员）Title: Head chemist, vice head chemist, duty chemist, chemist, practice chemist护理人员/Nurse职称：主任护师、副主任护师、主管护师、护师、护士、护理员）Title: Head nurse, vice head nurse, duty nurse, nurse, practice nurse, maid其它医技人员（检验、病理、口腔、放射、同位素、营养、生物

10、制品生产等领域专业人员）Medical technicians: staff specialized in lab, pathology, oral disease, radiation, isotope, nutrition, biological products职称：主任技师、副主技医师、主管技师、技师、技士）Title: Head technician, vice technician, duty technician, technician, practice technician职称：高级工程师、工程师、助理工程师、技术员）Title: senior engineer, engin

11、eer, assistant engineer, technician建筑工程人员Construction worker生物医学工程技术人员biomedicine engineer工程技术人员Engineers医疗设备工程人员Medical instrument engineer电子计算机技术人员IT医院人员（中国）Hospital staff in China核医学技术人员nuclear-medicine staff水暖制冷及空调技术人员Air-conditional engineer激光医学技术人员Radiation staff供电供水技术人员Plumber, electronic sta

12、ff净化处理技术人员Purification staff机械工程人员Mechnical engineer政工人员（党委、总支、支部、党委机关专职人员）职称：高级政工师、政工师党政管理人员Administrative staff行政管理人员（院长、副院长、职能科室主任、副主任、科长、副科长）Administrator (Dean, vice dean, directors, vice director, chief, vice chief)信息管理人员及经济管理人员Info staff统计人员Statistics staff档案管理人员File keeper图书管理及情报人员Librarian

13、病案管理人员Medical case keeper医院卫生员，杂工等Cleaner, repairman 工勤人员Worker1.4 临床科室和医技科室构成及药剂科组织结构内科Internal medicine普外科，心胸外科，泌尿外科，骨科，整形外科。烧伤科，神经外科，儿外科，麻醉科。/general surgery, chest surgery, urology, orthopedics, burn, neurosurgery surgery, children surgery, anesthetic心血管内科，呼吸内科，消化内科，肾病科，内分泌科, 血液科，神经内科。/cardiovas

14、cular medicine, respiration, assimilation, nephropathy, incretion, blood, neurology外科Surgery妇科，产科，女性计划生育科，妇女保健科。/gynecology, produce, family planning, maternity health care妇产科Maternity新生儿科，儿内科，儿外科，小儿骨科。/ Infant, children internal medicine, children surgery, children orthopedics儿科Children眼内科，眼外科，屈光科，

15、眼肌科，劳动眼科，神经眼科。/ Eye internal, eye surgery, eye muscle, occupational eye disease, eye neurology眼科Eye鼻科，咽科，喉科，耳科。Nose, pharynx, throat, ear, 耳鼻喉科ENT口腔内科，口腔外科，口腔矫形科。Oral cavity internal, surgery, orthopedics口腔科Mouth皮肤科Skin临床科室Clinical department传染科Infectious 精神科Psychopathology肿瘤科Tumor麻醉科Anesthetics中医科C

16、hinese medicine中西医科Chinese-west medicine康复理疗科Physical therapy营养科Nutrition实验诊断中心，血液体液科，生化科，病毒细菌科，免疫室，骨髓室，特种项目检验室Exam diagnosis center, blood exam, biochemistry, virusbacilli exam, immunology, marrow exam etc. 见药剂科组织管理图Refer to the organization chart of pharmacy药剂科Pharmacy检验科Lab诊断组，技术组，医辅组Diagnosis te

17、am, technical team, assistance team.放射科Radiation 诊断组，技术组，医辅组Diagnosis team, technical team, assistance team.病理科Pathology心电图科，超声检查，内窥镜室，脑电图室，Cardio electronic, Ultrasound, Endoscopies, Electroencephalogram 功能检验科Exam医技科室核医学科Nuclear 手术室Operation供应室Supplies输血科Blood transferring放射治疗科Radiation therapy药剂科组

18、织结构/Pharmacy organization chart院长Dean药事管理委员会Pharmacy committee药剂科Pharmacy department经济信息统计Statistics质检部门Quality control药库Pharmacy临床药学Clinical medicine制剂部门Preparation调剂部门unpack/delivery门诊西药Outpatient-west门诊西药Outpatient west化学分析Chemistry analysis西药库West pharmacy普通制剂Common drug门诊中药Outp-Chinese治疗药物检测室dr

19、ug therapy test仪器分析Instrument analysis中药库Chinese pharmacy灭菌制剂Bacilli kill drug住院药房Inpatient情报资料Information动物实验Animal test危险品库dangerous drug中草药Chinese herb中药熬药Chinese drug boil 急诊药房Acute pharmacy实验室Lab卫生学检验Sanitation exam冷藏库cold store输液配伍Transfusion2 医院业务流程/ Workflow in hospital就诊病人Outpatient药品Drug医院

20、业务流程分类workflow classification物资Material财务financingn筹资；融通资金financingfai5nAnsiNn.金融业务, 筹资; 提供资金acceptance-type financing承兑型的资金融通account receivable financing应收筹资帐款backdoor financing后门融通资金black market financing黑市筹资capital financing提供资本commercial financing提供商业资 金conditional financing附条件融资domestic shipmen

21、t financing国内运输 中货物融资export financing出口资金融通external financing外部筹资inventory financing存货资金融通joint financing联合共同投资loan financing贷款筹措long-term financing长期资金融通permanent financing永久性筹资project financing项目资金筹措real estate financing购置不动产借款stock financing发行股票以融通资金supplementary financing补充资金financingn.筹措资金, 理财,

22、 筹集资金, 融资, 财务, 资金门诊业务Outpatient急诊业务Acute就诊病人Patient住院业务Inpatient药库Drug stock药品Drug药房Pharmacy卫生材料Sanitation material易耗品Daily use stuff物资Material设备与固定资产Insrument& fixed asset设施Establishment预算管理Budget managment其他收支Other income-expenditure医疗收支Medical service income-expenditure药品收支Medicine income-expendi

23、ture财政专项支出Finance fixed-project expenditure财务结余及分配Balance and distribution财务清算Finance liquidation财务报告及分析Finance report& analysis2.1 就诊病人工作流程/ workflow of patient 2.1.1 门诊业务/ Outpatient概述/In general： 门诊特点/ Features：1， 病人集中多/ Outpatient pool in hospital by large number within a short time2， 诊疗环节多/ Too

24、 many taches in diagnosis3， 人群多，病种多/ Too many different kinds of diseases4， 应急变化多/ All variations in diseases and emergencies5， 医生变换多/ No stability in doctors6， 诊疗时间短/ Very short diagnosis门诊类型/ Sorts of outpatient：1， 按医院科室设置划分的门诊/ Classified by the departments of hospital2， 按医院分级管理划分的门诊/ Classified

25、by the level of hospital医院分成一，二，三级医院/ Hospitals are classified into three categories.一级医院是为社区提供综合性医疗卫生服务的医疗机构/ Level one hospital is community clinical organization to offer sanitation service to the community.二级医院是为多个社区提供医疗，预防，保健，康复服务的医疗机构/ Level two hospital is health care organization offering me

26、dical, prevention, health protection etc. services. 三级医院是为多个地区即相当于市或省级医院（含高等医学院附属医院）提供服务的医疗机构。/ Level three hospitals are the district or city hospital offering comprehensive medical service. 3， 按门诊病人的需求情况划分门诊/ Classified by the requirement of patients一般门诊/ common outpatient急诊/ acute 保健门诊/ Health ca

27、re 门诊规模/ The scale of outpatient 医院的规模/ Scale of hospital 国内一般情况下：门诊人次/病床=3:1 医院Hospital日门诊量Patient*time/ day病床数Beds大规模/ Big3000-4000800-1000中等规模/ Middle1000-2000300-600小规模/ Small500150 门诊就诊流程/ Workflow of outpatient分诊，挂号，候诊，就诊，医技科室检查治疗，取药，离院留院观察入院或转院。/ Department guide, registration, waiting, recei

28、ving diagnosis, exam, drug picking up, staying for observation, leave, admission to inpatient or transferring to other hospital. 门诊管理制度/ Outpatient management system 门诊病历制度/ Outpatient medical history system 预约诊疗制度/ Reservation to diagnosis & treatment system 诊前准备制度/ Pre-diagnosis system 检诊制度/ Diagn

29、osis& treatment check system 会诊转诊制度/ Diagnosis meeting & transferring system 疑难病历讨论制度 / Discussion about difficult disease system 消毒隔离制度/ sterilization & isolation system 门诊处方制度/ Outpatient prescription system 门诊收费制度/ Outpatient billing system 门诊登记统计制度/ Outpatient registration statistics system2.1.2 急诊业务/Acute 概述/ In general： 急诊特点/ Features1， 时间性强/ Tight in time2， 随机性大/ Big casualty 3， 病种面广/ All possibility of diseases4， 任务大，责任大/ Heavy work and big responsibility急诊管理体制/ Management system of acute二级以上医