Objective To investigate whether emergency rooms in major general public hospitals are reasonably designed and convenient for patients. Methods 78 major public hospitals were selected from all over China, except Hong Kong, Macau and Taiwan, for emergency room convenience analysis. The standards in use were the "Standards of Hospitals" of Joint commission International Accreditation. Results The investigation found in such hospitals the following: poor road conditions outside the clinic and insufficient guides in the clinic; long-than-expected distance (normally over 50 meters) from ER to imaging departments (such as X-ray and CT scan service); ERs in provincial capital cities are significantly more convenient than those in non-capital cities; distance from ERs to CT service is significantly shorter in hospitals in eastern China than those middle and western China. Conclusions Parameters on ER's service quality from "Standards of Hospitals" could serve as a guideline to emergency medicine in China. ERs in China need to improve with conspicuous ER signs, unblocked passageways, and convenient access to inspection departments.%目的 了解我国大型综合性医院急诊科是否设计合理、方便快捷.方法 选取全国除港、澳、台地区的各省、自治区和直辖市的共78所大型综合性公立医院急诊科,根据世界联合委员会评定的<医院评审标准>,对急诊科便捷性进行分析.结果 全国范围内,医院急诊科门外道路状况欠佳,导医数量不足;急诊科到影像科室(含X线室和CT室)距离较远,平均距离在50米以上.省会医院急诊科便捷性明显优于非省会院;东部医院急诊科到CT室的距离小于中西部医院急诊科,差异有统计学意义.结论 <医院评审标准>中对于急诊科便捷性的规定,可为我国急诊工作提供借鉴作用.醒目的急诊标识、畅通的通道、能方便快捷地到达检查科室,是医院急诊科建设应重视的问题.
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