摘要
目的分析国内外价值流图在改善医疗服务方面的应用现状和存在问题,为国内外医院应用价值流图改善医疗服务提供决策证据。方法以"value stream mapping""价值流"为检索词,检索PubMed、Embase、中国知网、维普中文期刊全文数据库、万方数据库(2009年—2019年),收集国内外应用价值流图改善医疗服务的相关文献,按照纳入标准确定文献后进行文献计量分析,并对价值流图应用的规范性进行评价。结果共检索到299篇文献,最终纳入13篇文献。文献发表时间分布在2013年—2019年。纳入的8篇国外文献中第一作者所属单位所在地区为美国的4篇,爱尔兰、挪威、黎巴嫩、印度尼西亚各1篇。纳入的5篇国内文献中第一作者所属单位所在地区为浙江省和上海市的各2篇,广东省1篇;国外文献中有5篇没有在文中清晰表述绘制价值流图时现场观察的样本量,5篇文献价值流图绘制要素不完整,3篇未展示价值流图;国内文献中2篇没有在文中清晰表述绘制价值流图时现场观察的样本量,3篇价值流图绘制要素不完整,1篇未展示价值流图。结论价值流图在高收入及中上等收入国家应用相对较多;价值流图被应用的医疗服务改善问题较单一;国内外文献的价值流图应用规范性总体有待提升。
Objective To analyze the application status and existing problems of value stream mapping(VSM)in improving medical services at home and abroad,so as to provide decision evidence for hospitals to apply VSM to improve medical services.Methods Using"value stream mapping"and"value stream"as search terms,we searched PubMed,Embase,China National Knowledge Infrastructure,CQVIP Journal Database and Wanfang Database(2009-2019),and collected relevant literature on the application of VSM to improve medical services at home and abroad.We conducted bibliometric analysis after confirming the literature according to the inclusion criteria.The standardization of application of VSM was also evaluated.Results Of the 299 articles retrieved,13 studies fulfilled the inclusion criteria.The publication time of the literature was distributed between 2013 and 2019.Of the 8 foreign articles included,the regions to which the first author belonged were 4 in the United States,1 in Ireland,Norway,Lebanon and Indonesia respectively.Of the 5 included domestic articles,the regions to which the first author belonged were 2 in Zhejiang and Shanghai respectively,and 1 in Guangdong.Of the foreign literature,5 articles did not clearly state the sample size observed when drawing VSM,5 articles incomplete drawing elements of VSM,and 3 articles did not show VSM.Of the domestic literature,2 articles did not clearly state the sample size observed when drawing VSM,3 articles had incomplete drawing elements of VSM,and 1 article did not show VSM.Conclusions VSM is relatively more used in high-income and upper-middle income countries.The medical service improvement issues for which VSM is applied are relatively single.The standardization of the application of VSM in domestic and foreign literature needs to be improved overall.
作者
卢彦熹
翟理祥
夏萍
LU Yanxi;ZHAI Lixiang;XIA Ping(School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 51006,P.R.China;The Second Affiliated Hospital of GuangzhouUniversity of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou,Guangdong 510120,P.R.China;Patient Service Centre,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou,Guangdong 510120,P.R.China;Department of Hospital Management,School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,P.R.China)
出处
《华西医学》
CAS
2020年第12期1456-1461,共6页
West China Medical Journal
基金
国家自然科学基金(72074057)
广东省卫生经济学会科研项目(2019-WJZD-23)
广州中医药大学首批人文社科跨学科创新团队项目(GZY2018KXK02)。
关键词
价值流图
精益医疗
医疗服务
Value stream mapping
Lean healthcare
Health care service
