南京地区医疗机构2016年至2018年临床路径运行情况分析  

Analysis of clinical pathway operation of medical institutions in Nanjing from 2016 to 2018

作　　者：龚伟伟[1] 业海燕[1] Gong Weiwei;Ye Haiyan(Department of Medical Affairs,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)医务处,210006

出　　处：《中华医院管理杂志》2020年第2期140-142,共3页Chinese Journal of Hospital Administration

基　　金：江苏省高等教育教改研究立项课题(2019JSJG639);江苏省医院协会医院管理创新研究课题(JSYGY-3-2019-30);南京市科技发展计划(201809051);南京市卫生计生委(南京市医学科技发展项目)(YKK16121);南京医科大学"十三五"第一批教育研究课题(YB2017100)。

摘　　要：目的调查2016年至2018年南京地区医疗机构临床路径运行情况。方法调查南京市33家医疗机构(15家三级医院、18家二级医院)临床路径运行情况,统计3年间开展临床路径的专业数、病种数、应入径例数、入径例数、完成例数、变异例数等相关数据。结果2016年至2018年,南京市临床路径的入径率和完成率较为平稳,维持在80%与90%左右;变异率、临床路径管理比例逐年升高,分别由7.06%升至16.50%,由25.18%升至39.90%。结论南京地区医疗机构临床路径专业数和病种数仍有提升空间;应从制度设计、路径细化、技术融合等方面扩大临床路径的覆盖面,提升路径的管理比率和运行效率。Objective To investigate the clinical pathway operation of medical institutions in Nanjing from 2016 to 2018.Methods Thirty-three medical institutions(15 tertiary hospitals and 18 secondary hospitals)in Nanjing were investigated for their clinical pathway operation.The relevant data such as the number of specialties,types of diseases,number of cases to be admitted,number of cases admitted,number of cases completed and number of cases of variation were counted.Results From 2016 to 2018,the entry rate and completion rate of clinical pathway in Nanjing were relatively stable,maintaining at about 80%and 90%.The variation rate increased year by year from 7.06%to 16.50%,and the clinical pathway management ratio increased from 25.18%to 39.90%.Conclusions The number of clinical pathway specialties and diseases in Nanjing medical institutions still need to be improved.The coverage of clinical pathway should be expanded from system design,path refinement,technology integration and other aspects,and improve the management ratio and operation efficiency of the pathway.

关 键 词：临床路径 管理现状 运行分析 南京 

分 类 号：R197[医药卫生—卫生事业管理]