临床医师临床路径应用和实施效果评价影响因素分析  

Factors Associated with the Implementation of Clinical Pathways and the Evaluation of its Effects Among Physicians

作　　者：李敏奇[1] 白洁[1] 夏景林[2] 陈英耀[1] 薛迪[1] 

机构地区：[1]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 [2]复旦大学附属闵行医院,上海201100

出　　处：《中国医院管理》2017年第7期8-11,共4页Chinese Hospital Management

基　　金：国家自然科学基金资助项目(71473047)

摘　　要：目的探索我国公立医院临床医师临床路径应用和实施效果评价的影响因素。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;对54所公立医院进行机构问卷调查。结果甘肃省医院和二级医院临床医师临床路径执行率较高,但临床路径实施病种数较少医院的临床医师临床路径执行率较低。临床路径相关培训可促进临床医师临床路径应用和提高实施效果的正向评价。结论医院所处地区和级别对临床医师临床路径执行率影响大,医院临床路径实施推广和培训能推动临床医师临床路径应用和正向效果评价。Objective To explore the factors associated with the implementation of Clinical Pathways（CPs） and the evaluation of its effects among physicians. Methods Questionnaire surveys of 1 638 physicians and 54 hospitals in 3 provinces （or municipality） located in eastern, central, western areas in China were conducted. Results The implemen- tation rates of physicians worked in Gansu and secondary hospitals were higher, but it was lower among those worked in hospitals with less implementation of CPs. CPs＇ training could increase the implementation of CPs and positive evaluation on the effects of CPs. Conclusion The implementation of CPs among physicians is highly influenced by their hospital locations and levels. CPs extension and training in the hospitals facilitate their physicians to imple- ment CPs and increase the positive evaluation on CPs＇ effects.

关 键 词：临床路径 应用 实施效果 影响因素 临床医师 

分 类 号：R197.323[医药卫生—卫生事业管理]