临床路径管理应用在提升医院医疗管理水平中的价值分析  

Analysis of the value of clinical pathway management in the improvement of level of hospital medical management

作　　者：杨志勇 YANG Zhiyong(Department of Orthopedics,The Fifth People's Hospital of Bengbu,Bengbu,Anhui,233000,China)

机构地区：[1]蚌埠市第五人民医院骨外科,安徽蚌埠233000

出　　处：《当代医学》2025年第1期99-103,共5页Contemporary Medicine

基　　金：安徽省蚌埠市卫健委的基金课题项目(BBWK2023A209)。

摘　　要：目的分析临床路径管理在医院医疗管理中的应用价值。方法选取2020年2月至2022年2月于蚌埠市第五人民医院就诊的100例患者作为研究对象,根据医院医疗管理方法不同分为临床路径管理组与常规医疗管理组,每组50例。常规医疗管理组给予常规医疗管理,临床路径管理组给予临床路径管理,比较两组健康知识知晓情况、医疗质量、临床用药不良事件发生情况、医嘱修改及住院情况、院内感染、甲级病案、出入院诊断符合率、焦虑程度[焦虑自评量表(self-rating anxiety scale,SAS)]、生命质量[健康调查量表36(36-item short form health survey,SF-36)]、诊疗满意度。结果临床路径管理组健康知识知晓率高于常规医疗管理组,差异有统计学意义(P<0.05);临床路径管理组消毒隔离、环境管理、人文关怀、护理安全评分均高于常规医疗管理组,差异有统计学意义(P<0.05);临床路径管理组临床用药不良事件发生率低于常规医疗管理组,差异有统计学意义(P<0.05);临床路径管理组次均开具医嘱时间、住院时间均短于常规医疗管理组,次均医嘱修改次数、住院费用均少于常规医疗管理组,差异有统计学意义(P<0.05);临床路径管理组院内感染率低于常规医疗管理组,甲级病案率高于常规医疗管理组,差异有统计学意义(P<0.05),两组出入院诊断符合率比较差异无统计学意义;管理后,两组SAS评分均低于管理前,SF-36评分均高于管理前,且临床路径管理组SAS评分低于常规医疗管理组,SF-36评分高于常规医疗管理组,差异有统计学意义(P<0.05);临床路径管理组诊疗满意度高于常规医疗管理组,差异有统计学意义(P<0.05)。结论临床路径管理在循证医学指导下的标准化诊疗流程、动态成本监控与信息化支撑,构建闭环管理体系,在显著提升医疗质量、优化资源配置及降低医疗风险方面效果显著,可为应对人口老龄化背景下Objective To analyze the value of clinical pathway management in hospital medical management.Methods 100 patients who visited the Fifth People's Hospital of Bengbu from February 2020 to February 2022 were selected as the research subjects,they were divided into the clinical pathway management group and the routine medical management group according to the hospital medical management methods,with 50 cases in each group.The routine medical management group was given routine medical management,and the clinical pathway management group was given clinical pathway management,the health knowledge awareness,medical quality,clinical medication adverse events,doctor's advice modification and hospitalization,nosocomial infection,grade A rnedical records,diagnositc coincidence rate,anxiety level(self-rating anxiety scale[SAS]),quality of life(36-item short form health survey[SF-36])and diagnosis and treatment satisfaction were compared between the two groups.Results The rate of health knowledge awareness in the clinical pathway management group was higher than that in the routine medical management group,and the difference was statistically significant(P<0.05).The scores of disinfection and isolation,environmental management,humanistic care and nursing safety in the clinical pathway management group were higher than those in the routine medical management group,and the differences were statistically significant(P<0.05).The incidence of clinical medication adverse events in the clinical pathway management group was lower than that in the routine medical management group,and the difference was statistically significant(P<0.05).The time of issuing doctor's advice and hospitalization time in the clinical pathway management group were shorter than those in the routine medical management group,the number of doctor's advice revisions per time and hospitalization cost were less than those in the routine medical management group,and the differences were statistically significant(P<0.05).The rate of nosocomial infection in the clinica

关 键 词：常规医疗管理 临床路径管理 医疗质量 临床用药不良事件 

分 类 号：R197.3[医药卫生—卫生事业管理]