The Evaliution of Outpatient Health Service in Achtan-elite Clinical Hospital / Монголын Анагаах Ухаан

ABSTRACT

Introduction: Outpatients health care service or ambulatory care is can support the most (80-85% of all) health services except the admission and emergency and intensive care of severe patients. WHO is offering the health care services provided to patients on an ambulatory basis, rather by admission to a hospital or other health care facility in developing countries. The outpatient health services quality may be diminished in my country since 1990 and also outpatient health care services did not expanded because of too much concerning about hospital admission. Goal of study To evaluate the Achtan Elite Clinical Hospitals outpatient- policlinic health service in 2006-2007 years and to improve the outpatient- inpatient services correlation and management. Objectives: 1. To make analyses outpatient-policlinic health service result. 2. To find out outpatient areas workloads. Methodology of study We prepared special questionnaire and tried to evaluate a daily normal workloads. We used Statistical SPSS-12 program is used for statistical analyses. Results of study Achtan Clinical hospital served 3899-4364 inpatients for admition in hospital, 38327-39675 outpatients in 2006-2007 years. The most 30308- 35959 outpatients were for diagnostic visit for doctors and rest people visited for preventive care. If compare our workloads with state clinical hospitals, we provide 11.9%-14.3% health service of state hospitals workloads. Gastroenterology, cardiology and neurology cabinets workloads are always higher than other cabinets in 108% -124%. In contrast traditional medicine, pediatric, neurosurgery and psychiatrist cabinets did not perform (55-75%) their normal workloads. Discussion: According to ambulatory-outpatient health, services study shows that necessity of opening the family doctor centered local outpatient care in big cities like Ulaanbaatar. There will need 10-15 family doctors and 8-10 specialized doctors to serve 20000-25000 residencies or 4000-5000 families. Laboratory, rehabilitations, dispensary, health education department of preventing most infectious diseases including tuberculosis, psychiatric and traumatic disorders preventing programs will be able to maintain. When we change the policy of administration and management of outpatient health services than community, based prevention will be able to follow. Conclusion: 1. There is a necessity of expanding and management of renewing out and inpatient clinic. Which provide 80-85% of all the medical help and service. 2. The relationship of out and inpatient clinic and their activity risk and resource are need to determine. All these mentioned fi nding show that health administrative has to perform well-targeted study. 3. To fi nd out normal working load is main problem of health management. In our predictive study-shows in internal and neurological cabinets load can be 25 people per day, 15-20 for surgical and ophthalmological, 10-15 for urology and gynecology cabinets.