临床路径管理与医院的可持续性发展  

The relationship between clinical pathway management and sustainable development of hospital

作　　者：席林青[1] 席家宁[2] 李甲辰[1] 杜继臣[1] 李成义[1] 

机构地区：[1]航天中心医院医务部,北京100049 [2]航天中心医院科教处,北京100049

出　　处：《北京医学》2011年第11期919-921,共3页Beijing Medical Journal

基　　金：首都医学发展科研基金(2007-3117)

摘　　要：目的探讨临床路径管理对医院可持续性发展的作用。方法将老年性白内障超声乳化摘除及晶体置放术(单眼或双眼)、急性ST段抬高心肌梗死介入(支架)治疗符合入组标准且实施临床路径管理的病例分别设为观察组,以既往2年内符合入组标准且随访到的常规管理的患者为相应的对照组。比较观察组与各自对照组患者平均住院日等医疗指标。结果观察组平均住院日、术前住院时间、住院药费及药占比显著降低,满意度评分显著增高;心肌梗死组平均住院总费用、并发症发生率降低。结论对病种实施临床路径管理,可使医疗资源得到合理使用,提高医疗质量,实现合理收费,促进医患沟通,为医院的可持续性发展提供有力的保障。Objective To investigate the effect of clinical pathway management on the sustainable development of hospital. Methods Senile cataract phacoemulsification and foldable intraocular lens implantation, and acute ST-elevation myocardial infarction PCI （Stent） were the chosen diseases for clinical pathway management. Patients who were included into clinical pathway management were classified as the observation group, while whose managed with routine schedule served as the control group. The differences of medical indicators, such as the average length of hospital stay were compared. Results The average length of hospital stay, the time waiting for surgery, medication costs and drug income ratio were decreased and patient satisfaction scores increased significantly in all patients in the clinical pathway management group. The hospital costs and complication ratio of acute ST-elevation myocardial infarction PCI （Stent） were decreased. Conclusions Adopting clinical pathway management enables rational use of medical resources and enhance health care efficiency and diagnosis-treatment quality, rational medical cost, promote communication between doctor and patient. So it can enhance the sustainable development of hospital.

关 键 词：临床路径管理 医疗指标 可持续性发展 

分 类 号：R197.3[医药卫生—卫生事业管理]