某县医院临床路径管理入径率影响因素分析

Influencing Factors Analysis of Clinical Pathway Management Admittance Rate in County-Level Hospitals

目的:通过对影响临床路径管理入径率主要因素的分析,探讨完善实施临床路径管理的卫生政策环境和医院管理要素。方法:应用整群抽样、定性访谈和统计描述的方法分析试点病种的入径病例分布。结果:医保政策和信息系统是否完善是影响临床路径管理入径率的主要因素。结论:提高临床路径管理实施质量必须高度关注并采取相应的措施:协调卫生政策、具有激励性因素的补偿机制、现代化的信息系统以及医院的管理状态。

Objective： To research necessary health policy environment and hospital management elements through analyzing the main influencing factors on clinical pathway management admittance. Methods： Demonstrating the pilot patients＇clinical pathway admittance by cluster sampling, qualitative interviews and statistical description. Results： it comes that the medical insurance policy and clinical pathway information system are the main factors on clinical pathway admittance. Conclusion： in order to improve the clinical pathway implementation quality, high attention must be paid to relative measures, such as health policy coordination, compensation mechanism with incentive factors, modernized hospital management and information system, etc.