冠心病社区照顾路径应用的评价研究  

Application and Evaluation of Clinical Pathway for Coronary Heart Disease in Community

作　　者：梁万年[1] 路孝琴[1] 曹红霞[1] 陈琦[1] 刘民[2] 杜雪平[3] 周海虹[3] 侯武姿[3] 武琳[3] 李雅媛[3] 李燕娜[3] 方洁如[3] 丁静[3] 乌正赉[4] 

机构地区：[1]首都医科大学,北京市100054 [2]北京大学医学部 [3]首都医科大学附属复兴医院 [4]中国协和医科大学基础医学院

出　　处：《中国全科医学》2005年第7期532-534,共3页Chinese General Practice

摘　　要：　目的　评价所建立的适合我国城市社区人群的冠心病社区照顾路径的效果、效益、可行性和可推广性。方法　采用同期非随机对照试验和个人深入访谈法, 对所建立的社区照顾路径进行评价。结果　实施冠心病社区照顾路径有利于改善患者的功能状态、改善医疗服务质量, 使患者感到满意。结论　冠心病社区照顾路径规范了医疗服务, 提高了服务质量, 是适合我国医疗实践的一种综合性的医疗管理照顾方法。Objective The aim of this study was to evaluate the effectiveness, benefit, feasibility and popularity of the clinical pathway developed in urban community for the patients with coronary heart disease.Methods The clinical pathway developed in urban community was evaluated by non-random concurrent controlled trial and individual depth interview.Results The clinical pathway developed in urban community for coronary heart disease improved the patients′ functional status, improved the quality of medical care service and the satisfaction of patients in experimental group.Conclusion The clinical pathway developed in urban community for patients with coronary heart disease is necessary to standardize the medical care service and enhance the medical quality. It may be a comprehensive method for disease management in our country.

关 键 词：社区照顾 冠心病 路径 非随机对照试验 医疗服务质量 深入访谈法 社区人群 功能状态 医疗管理 医疗实践 患者 

分 类 号：R1[医药卫生—公共卫生与预防医学] R541.4