基于单病种管理的临床路径绩效评价指标体系研究  

Research on clinical pathway performance evaluation indicator system based on single disease management

作　　者：胡龙军 李丹[1] 宋花花 张戟[1] 杨佳芳[1] 秦环龙[1] 侯冷晨[1] HU Longjun;LI Dan;SONG Huahua;ZHANG Ji;YANG Jiafang;QIN Huanlong;HOU Lengchen

机构地区：[1]同济大学附属第十人民医院

出　　处：《中国医院》2019年第9期34-36,共3页Chinese Hospitals

基　　金：上海市医院协会医院管理研究基金（201701035）

摘　　要：目的:构建单病种临床路径的绩效评价指标体系。方法:以关键绩效指标法为理论指导,通过文献分析收集考核指标,通过专家咨询与论证确定指标体系和考核标准。结果:确定“规范医疗行为”“提高医疗质量”“控制医疗成本”“降低住院时间”“导向疑难危重”共5项一级指标,二级指标及考核标准依病种不同而有所差异。结论:本研究临床路径绩效评价指标体系科学合理,可有效促进临床路径管理,但考核实施需信息技术方面提供强有力支撑。Objective:To construct a performance evaluation indicator system for the single disease clinical pathway.Methods:Guided by the method of key performance indicators,the evaluation indicators are collected through literature analysis,and the index system and evaluation criteria are determined through expert consultation and demonstration.Results:Five first-level indicators were identified as"standardizing medical behavior","improving medical quality","controlling medical cost","reducing hospitalization time"and"guiding difficult and critical problems".The second-level indicators and assessment criteria varied according to different diseases.Conclusions:The clinical pathway performance evaluation indicator system is scientific and reasonable,and it can improve clinical pathway management.But its implementation requires strong support from information technology.

关 键 词：单病种 临床路径 绩效评价 指标体系 

分 类 号：R197[医药卫生—卫生事业管理]