江西省乡镇卫生院开展基本诊疗路径管理情况的调查与分析  

Investigation and analysis on the management of basic clinical pathway in township hospitals in Jiangxi Province

作　　者：王力[1] 余苏珍 刘霞[1] 郑先平[1] 江乐盛[1] 王素珍[1] 

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西应用科技学院,江西南昌330004

出　　处：《现代预防医学》2015年第19期3521-3524,共4页Modern Preventive Medicine

基　　金：江西省高校人文社科项目:江西省农村基本药物可及性问题的研究(GL1230);江西省社会科学重点项目:基于基本药物制度视角的基本诊疗路径管理机制研究(12GL02)

摘　　要：目的对江西省基本诊疗路径管理情况进行调查分析,为全面、更好地开展基本诊疗路径提供意见和建议。方法分层抽样,随机抽取江西省11个设区市的22个县(市、区)的44家乡镇卫生院进行现场调查,结合各地区上报数据进行统计分析。结果全省共纳入路径病例23 821例,变异数1 442例,完成路径率93.95%,达到"路径变异率控制在20%以内"的预期目标。基本诊疗路径的组织和实施情况良好,但存在病例纳入单一、路径实施不规范、缺乏激励机制和专业指导等问题。结论需进一步完善基本诊疗路径,正确引导;制定路径范本,推进信息化建设;加强宣传,强化培训;给予财政支持,建立激励机制等。Objective To investigate and analyze the status of management of basic clinical pathway in Jiangxi Province, so as to provide suggestions for carrying out basic clinical pathway. Methods We investigated 44 township hospitals selected from 22 counties of 11 cities in Jiangxi Province by the method of stratified stage sampling, and conducted statistical analysis based on the data reported by corresponding districts. Results The province accepted 23821 cases of the pathway, among them there were 1442 cases of variation, and the completion rate of pathway was 93. 95%. Conclusion We need further improving the basic clinical pathway, inducting directly, setting pathway model, promoting the construction of information, strengthening the propaganda and training, giving financial support and establishing incentive measures.

关 键 词：基本诊疗路径 乡镇卫生院 病种 调查 变异 

分 类 号：R194[医药卫生—卫生事业管理]