健康发展与政策研究2026，Vol.29Issue(2)：202-208,7.DOI:10.12458/HDPR.202509042
精益管理和平台赋能改善消化内镜中心的运营效果评估:基于中断时间序列分析
Evaluation of lean management and platform empowerment in improving the operational performance of a digestive endoscopy center:an interrupted time series analysis
摘要
Abstract
Objective This study attempts to evaluate the implementation effectiveness of Lean Six Sigma management and an integrated appointment platform in improving the operational performance of a digestive endoscopy center under a multi-campus model,and to provide empirical evidence for enhancing overall operational efficiency and patient satisfaction.Methods In April 2023,the hospital's digestive endoscopy center implemented management reforms using the Lean Six Sigma model and an integrated appointment platform.Core indicators were collected from July 2022 to July 2025,including appointment waiting days,number of appointments,number of completed procedures,cancellation rate,and average daily completions per procedure room.The effects of these reforms were analyzed using an interrupted time series(ITS)model.Results Following the implementation of the management reforms,the appointment waiting days were immediately and significantly reduced by 4.86 days(β2=-4.86,P=0.006),with an additional monthly reduction of 0.44 days(β3=-0.44,P＜0.001).The trend in the number of completed procedures showed a significant positive shift(β3=263.15,P＜0.001).The average daily number of completions per procedure room increased significantly by 1.58 immediately post-intervention(β2=1.58,P=0.015),with upward trends observed both before and after the reform(β1=0.64,P＜0.010;β3=0.18,P＜0.001).After the intervention,both the number of cancellations(β3=-15.27,P=0.004)and the cancellation rate(β3=-0.01,P＜0.001)showed decreasing trends in slope,and the trend in completion rate improved(β3=0.62,P=0.016).Conclusion The application of Lean Six Sigma management and an integrated appointment platform in a multi-campus digestive endoscopy center can substantially improve resource utilization,system throughput,and patient experience.This approach facilitates resource balance and efficiency enhancement across multiple campuses,providing empirical evidence for the homogenized and efficient operation of large multi-campus hospitals.关键词
一院多区/消化内镜/精益六西格玛/一体化预约平台/中断时间序列分析Key words
multi-campus hospital model/digestive endoscopy/Lean Six Sigma management/integrated appointment platform/interrupted time series analysis分类
医药卫生引用本文复制引用
陈金祥,祁宝琦,宋燕,邵维君,陈漪,庄旭..精益管理和平台赋能改善消化内镜中心的运营效果评估:基于中断时间序列分析[J].健康发展与政策研究,2026,29(2):202-208,7.基金项目
国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(YLZLXZ23K008) （循证）
