主要住院指标考核与临床路径的关系探讨

Discussion on the Relationship between Major Hospitalization Indicators Assessment and Clinical Pathway

目的探讨实行主要住院指标考核与实施临床路径之间的关系。方法收集2010年、2011年临床科室平均住院日等三项指标的数据,列表进行考核前后指标比较;将内、外科系统平均住院日环比下降速度排名前3位的科室作为重点科室,采集2010年、2012年的临床路径入径病例、完成病例数绘制直方图。结果平均住院日和次均住院费用较上年同期下降明显的重点科室,其临床路径入径、完成病例数较前明显增加,差异有统计学意义(P<0.01)。结论实行主要住院指标考核与实施临床路径间可相互促进,有利于医院管理水平的提升。

Objectives To discuss the relationship between the major hospital indexes examination and clinical pathway. Methods We collected the data of average length of stay （ALOS） and other three indicators of clinical departments from 2010 to 201 l, compare indicators before and after assessment by the list. The top three departments which the rate of ALOS link relative ratio declining significantly are the key departments. We collected the number of enter and completed clinical pathway cases between 2010 and 2012 by histograms method, Results The focus departments which ALOS and average hospitalization expense declined clearly overall compared with the same period last year, the numbers of clinical pathway into diameter and completed cases was obviously increased and the difference was statistically significance（ P〈 0.01 ）. Conclusions The major hospitalization indicators of assessment and implementation of clinical pathway can promote each other and help to enhance hospital management.