临床路径管理对改进医疗质量的作用分析  

Clinical Path Management in Health Care Quality Improvement

作　　者：顾亚明[1] 季宝轶[1] 张连丰[1] 

机构地区：[1]南京医科大学附属南京儿童医院,江苏南京210008

出　　处：《中国卫生质量管理》2012年第3期33-34,共2页Chinese Health Quality Management

摘　　要：目的分析临床路径管理对医疗质量的影响。方法将595例实施临床路径管理的7个病种病例作为路径组,将2009年入院采用传统方法治疗的7个病种1 284例作为对照组,对两组进行比较。结果 7个病种实施临床路径管理后,组平均住院日、平均术前住院日缩短,外科围手术期抗生素使用天数和内科抗生素费用比显著降低,其中6个病种的药占比降低,平均住院费用有下降趋势,患者满意度提高。结论临床路径管理能缩短平均住院日,提高床位周转率,规范抗生素使用,控制医疗费用的增长,提高医疗质量水平。Objective To analyze the influence of clinical path management on quality of medical care. Method Total 595 eases of seven clinical path management diseases were taken as path group, and 284 cases of inpatients of seven diseases with the traditional methods of treatment in 2009 were taken as control group for comparisons. Result After the implementation of clinical pathway in seven disease, the clinical pathway group had shorter average hospitalization day and mean preoperative length of stay, a significant reduction in numher of days and medical costs of surgical operative an- tibiotics, and also in pharmacy--total cost ratio in six diseases, the downward trend in average hospital cost and improve- ment of patient satisfaction. Conclusion The clinical path management can shorten the average length of stay, increased bed rotation rate, standardize the use of antibiotics, control the growth of medical costs, improve quality of medical care.

关 键 词：临床路径 管理 医疗质量 影响 

分 类 号：R197.323[医药卫生—卫生事业管理]