福建省卫生健康科技计划项目资助（2022RKA 003）
目的：探究某省三甲医院实行精细化管理后会诊取得的成效，为进一步完善会诊制度提供科学依据。方法：通过医院信息系统收集2019年至2022年的会诊数据，运用回顾性方法分析加强会诊管理前后的院内会诊现状及效率提升状况。结果：2019-2022年，院内会诊年平均执行时长分别为50.03 h、48.26 h、24.67 h、15.76 h，呈显著下降趋势（P < 0.001）；普通会诊及时完成率由2019年的42.32%提升到2022年的95.74%，取得明显成效（P < 0.001）。结论：医院对院内会诊采取精细化管理后，会诊效率取得显著提升，在提升医疗质量与运营效率方面发挥了重要作用。但仍存在急会诊不及时、部分会诊申请不合理等问题，需要医院管理者在今后的医疗管理中继续实施针对性的管控措施，从而全面提升全院各科室会诊效率与质量。
Objective：To explore the results of consultation after the implementation of refined operation management in a certain provincial grade A tertiary hospital，so as to provide a scientific basis for further improving the consultation system. Methods：The consultation data of the hospital from 2019 to 2022 were collected through the hospital’s HIS system，and retrospective methods were used to analyze the current situation of consultation and the improvement of efficiency after strengthening consultation management. Results：From 2019 to 2022，the average annual duration of in-hospital consultation was 50.03 h，48.26 h，24.67 h and 15.76 h，showing a significant downward trend（P < 0.001）. The timely completion rate of general consultation increased significantly from 42.32% in 2019 to 95.74% in 2022（P < 0.001）. Conclusion：After the hospital adopted refined management of in-hospital consultation，the efficiency of consultation has been significantly improved，and it has played an important role in improving the quality of medical care. However，there are still some problems，such as the timely rate of emergency consultation is not satisfactory，and some consultation applications are unreasonable. Hospital managers need to continue to implement targeted control measures in future medical management，so as to comprehensively improve the whole hospital. Efficiency and quality of consultation in each department.