在当今快节奏的社会中，就医体验往往被繁琐的流程、漫长的等待所笼罩，患者与医生之间似乎隔着一道难以逾越的鸿沟。然而，随着医疗服务模式的不断创新，“四不两直”就医新模式的出现，正悄然改变这一现状，让医疗服务回归本质，直击医疗核心，同时也为患者带来了一场前所未有的就医体验革命。这里的“四不两直”，我们不妨将其定义为：不预约挂号、不排队等候、不听冗长介绍、不用专人陪同，直奔诊室、直面医生。
一、不预约挂号：灵活就医，即时关怀
传统就医模式下，预约挂号成为了患者就医的第一步，也是最为耗时的一步。患者往往需要提前数天甚至数周，在线上或线下进行预约，这不仅增加了时间成本，也可能因号源紧张而错失最佳就诊时机。“四不两直”模式下，医院通过设置灵活就医窗口，为急需就医的患者提供即时的就医机会。无需预约，患者可根据自身情况，直接前往医院，通过智能导诊系统快速匹配最适合的医生，实现即时就医，即时关怀。
二、不排队等候：高效流转，时间尊重
排队等候，是就医过程中最让人头疼的问题之一。长长的队伍、焦急的等待，不仅消耗着患者的体力与耐心，也加剧了医疗资源的紧张。“四不两直”就医模式，通过优化就医流程，引入智能化排队管理系统，实现患者信息的快速识别与分流。患者到达医院后，只需通过自助服务终端或手机APP完成简单登记，系统即可根据病情紧急程度、医生专长等因素，智能安排就诊顺序，大大缩短等待时间，让每一分钟都得到尊重。
三、不听冗长介绍：精简沟通，直击要害
在以往的就诊过程中，医生往往会花费大量时间进行病情介绍、医院服务说明等，这不仅占用了宝贵的诊疗时间，也可能让患者感到信息过载，难以抓住重点。“四不两直”就医模式强调精简沟通，医生在初步了解患者病情后，直接切入主题，用通俗易懂的语言解释病情、治疗方案及可能的风险，确保患者能够迅速理解并做出决策。同时，医院通过官方网站、微信公众号等渠道，提前发布常见病、多发病的科普知识，减少就诊时的重复讲解，提高诊疗效率。
四、不用专人陪同：自主导航，便捷就医
在传统就医流程中，专人陪同往往被视为提升就医体验的重要手段，但这也增加了患者家属的时间与精力负担。“四不两直”就医模式，充分利用现代科技手段，如医院内部导航系统、智能语音助手等，为患者提供全方位、自助式的就医引导。从入口到诊室，从检查到缴费，每一步都有清晰的指示和便捷的自助服务，让患者在没有专人陪同的情况下，也能轻松完成整个就医流程，享受便捷就医的乐趣。
五、直奔诊室、直面医生：深度交流，重塑信任
“四不两直”就医模式的核心，在于直奔诊室、直面医生。通过减少中间环节，患者与医生之间建立起更为直接、深入的沟通桥梁。医生有更多的时间和精力专注于患者的个体差异，提供个性化的诊疗方案。患者也能在更加私密、舒适的环境中，充分表达自己的担忧与需求，从而建立起更深层次的医患信任关系。这种深度交流，不仅有助于疾病的准确诊断与治疗，更是医疗人文关怀的体现，让就医过程充满温度。
结语
“四不两直”就医模式的出现，是对传统就医流程的一次大胆革新，它不仅仅是一种效率的提升，更是一种理念的转变——从以医院为中心，转向以患者为中心，让医疗服务更加人性化、便捷化。在这场就医体验的革命中，我们看到了科技的力量，更感受到了医疗的温度。未来，随着“四不两直”就医模式的不断完善与推广，我们有理由相信，就医将不再是一件令人头疼的事情，而将成为一次温馨、高效、充满希望的旅程。
作者简介：梁世杰 中医高年资主治医师，本科学历，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹入选《当代科学家》杂志、《中华英才》杂志。
"Four not two straight" - An innovative medical experience: hitting the heart of medicine and restoring patient-doctor affection
In today's fast-paced society, the medical experience is often shrouded by cumbersome processes and long waits, and there seems to be an insurmountable gap between patients and doctors. However, with the continuous innovation of medical service models, the emergence of a new model of "four not two straight" medical care is quietly changing this status quo, bringing medical care back to its essence and hitting the core of medical care, while also bringing an unprecedented revolution in medical care experience for patients. Here, we can define the "four not two straight" as: not making an appointment, not waiting in line, not listening to lengthy presentations, not being accompanied by a person, going straight to the clinic and meeting the doctor.
I. Don't book appointments: Flexible access to doctors, instant care
Under the traditional medical treatment model, signing up for an appointment has become the first step for patients to seek medical treatment, and it is also the most time-consuming step. Patients often need to make appointments, online or offline, days or even weeks in advance, which not only adds to time costs, but may also miss the best time to see a doctor due to a tight call base. Under the "four not two straight" model, the hospital provides immediate access to medical care for patients in urgent need of medical care by setting up flexible medical care windows. Without having to make an appointment, patients can go directly to the hospital according to their own conditions and quickly match the most suitable doctor through the intelligent guidance system, enabling instant medical treatment and instant care.
No waiting in line: efficient movement and respect for time
Waiting in line is one of the most painful problems during medical treatment. Long lines and anxious waits not only consume the physical strength and patience of patients, but also increase the strain on medical resources. The "four not two straight" medical treatment model allows for the rapid identification and diversion of patient information by optimizing the medical treatment process and introducing an intelligent queue management system. After the patient arrives at the hospital, he needs to complete a simple registration through the self-service terminal or mobile phone app, and the system can intelligently arrange the order of visits according to the urgency of the condition, doctors' expertise and other factors, greatly reducing the wait time, and making every minute respected.
3. Don't listen to lengthy presentations: Streamline communication and hit the bottom line
During previous visits, doctors often spent a lot of time on medical presentations, hospital service descriptions, etc. This not only took up valuable medical time, but also may leave patients feeling overloaded with information and difficult to grasp the focus. The "four not two straight" approach emphasizes streamlined communication. After initially learning about a patient's condition, the doctor goes straight into the subject, explaining the condition, treatment options and possible risks in plain language, ensuring that the patient can quickly understand and make decisions. At the same time, the hospital through the official website, WeChat Official Account message template and other channels, published in advance the common disease, frequently-occurring disease science knowledge, reduce the repeated explanation, improve the efficiency of diagnosis and treatment.
4. No need to be accompanied by a person: autonomous navigation, easy access to medical care
In the traditional medical procedure, personal escort is often seen as an important means to enhance the medical experience, but it also increases the time and energy burden of the patient's family. The "four not two straight" medical care model takes full advantage of modern technological means, such as hospital internal navigation systems and intelligent voice assistants, to provide patients with a comprehensive and self-help guide to medical care. From the entrance to the clinic, from the examination to the payment of a fee, there are clear instructions and convenient self-service at every step, allowing patients to easily complete the entire medical procedure without a dedicated person to enjoy the fun of convenient medical treatment.
V. Go to the clinic and face the doctor: deep communication and restore trust
The core of the "four not two straight" medical treatment model is to go straight to the clinic and face the doctor. By reducing intermediaries, a more direct and in-depth communication bridge is established between the patient and the doctor. Doctors have more time and energy to focus on the individual differences of their patients and offer personalized treatment plans. Patients can also fully express their concerns and needs in a more private and comfortable environment, thereby establishing a deeper trust relationship between doctor and patient. This deep communication not only helps the accurate diagnosis and treatment of diseases, but also reflects medical human care, making the medical treatment process filled with warmth.
epilogue
The emergence of the "four not two straight" medical care model is a bold innovation of the traditional medical care process. It is not only an improvement of efficiency, but also a shift in philosophy - from a hospital-centered to a patient-centered approach to make medical care more humane and convenient. In this revolution in the medical care experience, we have seen the power of technology and felt the warmth of medical care even more. In the future, with the continuous refinement and promotion of the "four not two straight" medical treatment model, we have reason to believe that medical treatment will no longer be a headache, but will become a warm, efficient and hopeful journey.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
