CAJ | 학술논문

目的：研究深圳市福田区看守所在押人员疾病收治现状及对策，使之有效地满足患病在押人员医疗诉求。方法自行设计三套问卷先后采集两组病例，回顾性分析2008－12～2011－11间我院内外科传统路径收治的244份病例。提出相应对策。监测2013－05～2014－05间在外科组实施临床路径管理模式收治的41例在押人员运作过程以及满意度调查和效果评分等。结果根据反馈资料按四方面评分。单病种临床路经标准化医嘱执行合格完成率为87．8％，出入院诊断依据符合率为90．2％，辅助检查阳性显现率达97．6％，根据医疗文件的结果评价患者的差异，41病例中临床路经规范化合格完成率达85．4％，因变异淘汰失败病例为6例，占比14．6％。结论采用临床路径管理可有效的提高在押人员疾病收治服务质量。
목적：연구심수시복전구간수소재압인원질병수치현상급대책，사지유효지만족환병재압인원의료소구。방법자행설계삼투문권선후채집량조병례，회고성분석2008－12～2011－11간아원내외과전통로경수치적244빈병례。제출상응대책。감측2013－05～2014－05간재외과조실시림상로경관리모식수치적41례재압인원운작과정이급만의도조사화효과평분등。결과근거반궤자료안사방면평분。단병충림상로경표준화의촉집행합격완성솔위87．8％，출입원진단의거부합솔위90．2％，보조검사양성현현솔체97．6％，근거의료문건적결과평개환자적차이，41병례중림상로경규범화합격완성솔체85．4％，인변이도태실패병례위6례，점비14．6％。결론채용림상로경관리가유효적제고재압인원질병수치복무질량。
Objective To explore the current situation of the detainees′disease treatment and countermeasures to satisfy medical de-mands of detainees in detention effectively.Methods Three sets of questionnaire survey designed by ourselves were used.244 detainees cases treated with the traditional pathway in the department of medicine and surgery were analyzed.After countermeasures suggested, the process of 41 detainees cases treated with Clinical Pathway from May, 2013 to May, 2014 in the surgical department were monitored.At the same time, satisfaction survey and the score results were performed.Results Assessment was marked from four aspects according to the feedback information:(1) Up to standard rate of doctors′advice in single disease with Clinical Pathway was 87.8%.(2) The coincidence rate of diagnosis on Admission/Discharge hospital was 90.2%.(3) The positive rate of auxiliary examination was 97.6%.(4) Qualified rate of 41 cases on Clinical Pathway was 85.4%according to the variation results of medical records.The elimination rate for 6 failure cases was 14.6%.Conclusion Clinical Pathway management can improve the service of detainees′disease treatment effectively.