试点医院实施临床路径管理的动力分析

Motivation Analysis of Clinical Pathway Management Implementation of Pilot Hospitals

目的:运用理性预期理论分析试点医院实施临床路径管理的动力来源。方法:利用干预研究法和现场调研法对试点医院积极实施临床路径管理的动力进行全面剖析。结果:重庆市黔江中心医院的案例提示,其实施临床路径管理的动力来自于医院和医务人员对改革的期盼,合理的补偿机制以及透明的改革方案。结论:让医院和医务人员对临床路径实施所涉及的社会、患者、医院以及医务人员自身经济利益等方面产生理性预期,可以积极促进临床路径管理工作的开展。

Objective： To analyze the motivation of clinical pathway management implementation of pilot hospital using rational expectation theory. Methods： Employing the method of intervention research and site investigation to do a fully analysis regarding the motivation of clinical pathway management implementation of pilot hospital. Results： According tO the clue to the case of Chongqing Qianjiang Central Hospital, it is said that the motivation comes from the reform expectation of hospital and medical staffs, reasonable compensation mechanism and transparent reform plan. Conclusion： The hospital and medical staffs are encouraged to get involved further by the rational expectation in accordance with society, patients, and economic self-interest of hospital and medical staffs during clinical pathwaythe implementation, such kinds of expectation can prompt the development of clinical pathway management in hospital positively.