公立医院临床医师临床路径应用状况分析  

Analysis of the Implementation of Clinical Pathways Among Physicians in Public Hospitals

作　　者：白飞 李敏奇[2] 陈英耀[2] 夏景林[3] 白洁[2] 薛迪[2] 

机构地区：[1]国家卫生计生委医疗管理服务指导中心,上海201100 [2]复旦大学公共卫生学院.卫生部卫生技术评估重点实验室,上海200032 [3]复旦大学附属闵行医院

出　　处：《中国医院管理》2017年第7期1-4,共4页Chinese Hospital Management

基　　金：国家自然科学基金资助项目(71473047)

摘　　要：目的分析我国公立医院临床医师临床路径应用现状。方法对我国东、中、西3省(直辖市)1 638名临床医师进行问卷调查。结果在被调查的临床医师中,66.38%参加过临床路径相关培训,72.44%执行过临床路径,分别有40.19%和35.84%的临床医师认为临床路径质量和实施效果好或非常好。结论我国公立医院临床医师临床路径实施率和培训率不高,临床路径质量和实施效果值得关注。我国公立医院临床路径应用和实施效果的影响因素需深入研究。Objective To evaluate the implementation and effects of Clinical Pathways by physicians in public hospi- tals of China. Methods Questionnaire survey of 1 638 physicians in public hospitals in 3 provinces （or municipality） located in the eastern, central and western areas of China was conducted. Results The overall mean scores of the implementa- tion and effects of Clinical Pathways evaluated by physicians in public hospitals were 3.t6 and 3.41, respectively. In adition, there were differences in the evaluation among physicians in different regions and among physicians at different levels of hospital. Conclusion While physicians don＇t highly acknowledge the implementation of Clinical Path- ways, and those physicians work in the western area or in secondary public hospitals are more in favor of imple- menting Clinical Pathways. Physicians have higher perception that the implementation of Clinical Pathways can im- prove medical process quality.

关 键 词：临床路径 实施 效果 认知 公立医院 临床医师 

分 类 号：R197.323[医药卫生—卫生事业管理]