CAJ | 학술논문

目的：实现临床路径的信息化，解决传统纸媒介的临床路径管理模式存在的诸多弊端。方法基于现代软件工程理念，采用Cache、CSP、Extjs等技术，建立以患者诊疗计划为主线，具有循证功能并支持HL7标准的临床路径管理系统。结果该系统的应用实现了临床路径的信息化管理，使病人平均住院时间和手术等待时间得到了明显改善，例均住院总费用和例均药品费用绝大部分下降或持平。结论规范了医疗行为，降低了医疗成本，提高了医疗质量。
목적：실현림상로경적신식화，해결전통지매개적림상로경관리모식존재적제다폐단。방법기우현대연건공정이념，채용Cache、CSP、Extjs등기술，건립이환자진료계화위주선，구유순증공능병지지HL7표준적림상로경관리계통。결과해계통적응용실현료림상로경적신식화관리，사병인평균주원시간화수술등대시간득도료명현개선，례균주원총비용화례균약품비용절대부분하강혹지평。결론규범료의료행위，강저료의료성본，제고료의료질량。
Objective To implement the informatization of clinical pathway to solve various problems exsit in traditional clinical pathway which regards paper as its medium. Methods Based on the the theory of modern software engineering, advanced technologies including Cache, CSP and Extjs are adopted to establish the clinical pathway management system with evidence-based function which supports HL7 standard and regards diagnosis and treatment plan of patients as its principal line. Results The informatization management of clinical pathway is achieved by applying the system, which has reduced the average hospital stays and operation waiting time for patients. The average hospitalization costs and medicine costs of patients are mostly decreased or flatted. Conclusion Medical behaviors have been standardized by applying the system, which has decreased the medical costs and optimized the medical quality.