摘要
目的探索单病种临床路径质量管理的具体做法及效果。方法对计划性剖宫产、胃十二指肠溃疡、乳腺癌、子宫平滑肌瘤四个病种,按照病例对照的方法对平均住院天数、治疗有效率、平均住院费用、平均药品费用等评价指标进行对比、分析。结果单病种质量管理实施后,平均住院日下降,床位周转加快,控制了医疗费用,提高了患者满意度。结论单病种临床路径质量管理既有利于医疗护理质量的提高,又促进医患沟通,提高患者满意度,减少医患纠纷。
Objective To explore the measures and effects to apply the single-disease clinical path.Methods Four diseases as planed cesarean section,gastroduodenal ulcer,pneumonia in children,myoma of uterus were chose to apply the clinical pathway management.Cases of each disease were divided into two groups,namely the control group and observation group.Then the evaluation indexes were analyzed as the ALOS,mean hospitalization cost,therapeutic response rate.Results After the implementation of single disease management,the ALOS was decreased,bed turnover speeded,medical costs controlled,patient satisfaction improved.Conclusion The application of clinical pathway management in the hospital can improve medical and nursing quality,patient satisfaction,strengthen the communication between doctors and patients,and reduce the dissension.
出处
《解放军医院管理杂志》
2012年第12期1118-1120,共3页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
单病种临床路径
质量
管理
single-disease clinical path
quality
management
