医院临床路径单病种管理评价体系的建立

Establishment of single disease management evaluation system of hospital clinical path

目的 建立一套科学、合理、可操作、独立的的临床路径单病种管理评价体系,评估、完善临床路径,最终使之在临床实践中达到科学、合理和实用的目标方法 举例通过SPSS13.0统计软件确定影响小儿支气管肺炎患者住院总费用的主要相关因素,将这些主要因素按影响力由大到小排序打分,将影响各个病种的重要因素给予量化控制,使之成为制定临床路径单病种管理评价体系项目指标权重的依据,完成上述相关步骤后使用综合评价法建立临床路径单病种管理评价体系结果 建立了小儿支气管肺炎单病种的临床路径单病种管理评价体系,以2009年1- 4月的小儿支气管肺炎出院患者的实际数据与制定的临床路径单病种管理评价体系的各项指标进行对比评价,综合打分,从而对小儿支气管肺炎单病种的临床路径运行管理进行有效评估结论 可将单病种临床路径管理评价系统模型推广应用到其他科室病种中,科室性质和病种会决定影响疾病疗效的主导因素大同小异,科学、实用、合理的评价体系对临床路径实施结果可以做出直观、量化、权威的评估,制定临床路径单病种管理评价体系对临床路径具有监督、反馈和完善的作用,同时对医院管理、同级医院同种疾病治疗的横、纵向的对比和科室的绩效考核都具有现实意义.

Objective To establish a scientific, reasonable, operable, independent clinical pathway of single disease management and evaluation system to assess and improve the clinical path, we could eventually achieve the scientific, reasonable and practical goals in clinical practice. ＇Methods Using SPSS13.0 statistical software to make sure the main relevant factors of the total hospitalization expenditure of ehildren with bronchial pneumonia and we will prioritize these factors and scores by descending order, which would quantize important factors in various diseases, so that they will provide the basis of setting down single disease clinical pathways project management evaluation system based on index weights, after the steps above, we can use the comprehensive evaluation methods to establish single disease management of hospital clinical pathways. Results we established single disease management evaluation system of the clinical pathways, by comparing and evaluating the actual data of pediatric patients with bronchial pneumonia from January to April in 2009 and statistics data of the clinical path of single disease manage- ment evaluation system, and thus we can effectively assess operation and management of clinical pathway of pediatric patients with bronchial pneumonia. Conclusion We can extend the single disease model of clinical path management evaluation system to the other diseases, the nature and diseases of the department determined that the dominant factors affecting the efficacy of similar diseases have much in common, scientific, practical, rational evaluation system for clinical pathway results can make the intuitive, quantitative and authoritative assessment of the development of clinical pathways for single disease management evaluation system, which has the role of supervision, feedback and improvement of the clinical pathway, while it is of practical significance for the hospital management , contrast and vertical comparison of same diseases in same level hospitals and the performance feedback of department.