4个病种住院医疗服务临床路径遵循状况研究  被引量:5

Study on the Compliance of Four Diseases with Clinical Pathways in Inpatient Medical Care

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作  者:王澎 朱莉萍 沈峻 叶振中 鲁威 李文秀 薛迪[2] WANG Peng;ZHU Li-ping;SHEN Jun(Pudong District Health Commission,Shanghai,200125,China)

机构地区:[1]上海市浦东新区卫生健康委员会,上海200125 [2]复旦大学公共卫生学院·国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海200032 [3]上海市普陀区卫生健康委员会,上海200333

出  处:《中国医院管理》2019年第12期31-33,共3页Chinese Hospital Management

摘  要:目的分析2014和2017年上海市3所公立医院4个病种的住院医疗服务临床路径遵循状况。方法对随机抽取的2014年和2017年社区获得性肺炎、急性心肌梗死、计划性剖宫产和胆囊结石合并急性胆囊炎的714份住院病例进行病案评阅,分析各病种的临床路径遵循率。结果 4个病种临床路径总体遵循率为65.18%~80.41%;与2014年相比,2017年急性心肌梗死、急性胆囊炎和计划性剖宫产的遵循率有所下降;此外,4个病种的总体临床路径遵循率在3所公立医院间差异显著。结论临床路径实施管理应坚持不懈,应进一步促进临床医师对临床路径的依从性。Objective To analyze the compliance of 4 diseases with Clinical Pathway in inpatient medical care in 3 public hospitals of Shanghai City in 2014 and 2017. Methods The compliance rates were calculated according to the data that were obtained by auditing 714 medical records of community-acquired pneumonia(pneumonia),acute myocardial infarction(AMI),planned caesarean section(C-section)and gallstones associated with acute cholecystitis and undergoing cholecystectomy(cholecystectomy)in 2014 and 2018. Results The compliance rates for 4 diseases above were from65.18% to 80.41%. Compared those in 2014,the compliance rates for AMI,cholecystectomy and C-section were reduced in 2017. In addition,the compliance rates of 4 diseases among 3 public hospitals were significantly different. Conclusion The implementation management of Clinical Pathways should be unremitting and the physician compliance with Clinical Pathway should be further facilitated.

关 键 词:公立医院 住院病人 临床路径 遵循 过程质量 

分 类 号:R197.3[医药卫生—卫生事业管理]

 

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