中国医院
中國醫院
중국의원
CHINESE HOSPITALS
2015年
1期
56-57
,共2页
陈善豪%郑乐乐%曹卫军%徐鑫%范理宏
陳善豪%鄭樂樂%曹衛軍%徐鑫%範理宏
진선호%정악악%조위군%서흠%범리굉
全病种路径%临床路径%医疗绩效
全病種路徑%臨床路徑%醫療績效
전병충로경%림상로경%의료적효
all-disease grouped in clinical pathway%clinical pathway%medical service performance
目的：为解决医疗卫生资源与医疗服务需求间的矛盾，破译世界性医疗供需瓶颈难题，进一步提高医院医疗绩效与内涵质量，上海市肺科医院在临床路径建设方面进行了初步探索与实践。方法：定量比较全病种路径医院建立前后各医疗相关指标变化，并从解决临床具体问题角度分析临床路径的建立所带来的变化。结果：平均住院日由7.81天降低到6.71天，平均住院费用由14101元降低到13782元，全院病例组合指数（CMI）由2012年0.94提高至2013年1.04。结论：全病种路径医院建成后，医院医疗绩效、质量、病种难度和安全指标均有明显改善和提高。
目的：為解決醫療衛生資源與醫療服務需求間的矛盾，破譯世界性醫療供需瓶頸難題，進一步提高醫院醫療績效與內涵質量，上海市肺科醫院在臨床路徑建設方麵進行瞭初步探索與實踐。方法：定量比較全病種路徑醫院建立前後各醫療相關指標變化，併從解決臨床具體問題角度分析臨床路徑的建立所帶來的變化。結果：平均住院日由7.81天降低到6.71天，平均住院費用由14101元降低到13782元，全院病例組閤指數（CMI）由2012年0.94提高至2013年1.04。結論：全病種路徑醫院建成後，醫院醫療績效、質量、病種難度和安全指標均有明顯改善和提高。
목적：위해결의료위생자원여의료복무수구간적모순，파역세계성의료공수병경난제，진일보제고의원의료적효여내함질량，상해시폐과의원재림상로경건설방면진행료초보탐색여실천。방법：정량비교전병충로경의원건립전후각의료상관지표변화，병종해결림상구체문제각도분석림상로경적건립소대래적변화。결과：평균주원일유7.81천강저도6.71천，평균주원비용유14101원강저도13782원，전원병례조합지수（CMI）유2012년0.94제고지2013년1.04。결론：전병충로경의원건성후，의원의료적효、질량、병충난도화안전지표균유명현개선화제고。
Objectives: To solve the world-wide difficulty of the contradiction between limited health resource and never-ending healthcare demand and further promotion hospital medical service performance and quality, Shanghai Pulmonary Hospital initiated clinical pathway. Method: Medical related indicators before and after implementing all-disease grouped in clinical pathway were quantitatively compared. The changes on implementing clinical pathway were analyzed in view of clinical practice. Results: The average length of stay decreased from 7.81 to 6.71 days, and the average hospitalization cost decreased from 14101 Yuan to 13782 Yuan. And the score of CMI increased from 0.94 to 1.04. Conclusions: After implementing all-disease grouped in clinical pathway, the performance, medical quality, CMI and patient safety in hospital all improved.
