实施临床路径面临的困境及对策

Difficulties and Countermeasures in Implementation of Clinical Pathway

借助某三级甲等医院实施临床路径的经验,分析当前实施临床路径过程中可能遇到的普遍性问题及解决方法,探索现阶段应对问题的可行性对策。认为:成熟的临床路径管理系统将有助于临床路径的推广;通过临床路径规范诊疗行为需要一个过程;医院应结合自身情况进行临床路径的效益、效果评价等。

With implementation experience of clinical pathway in a three - level - first - class hospital, the paper analyzed the universality problems and solutions which might be met in the process of clinical pathway implementation, and explored the feasibility approaches for the problems. The mature clinical pathway management system will contribute to the promotion of clini- cal pathway ; it needs a process to regulate medical behavior through clinical pathway ; the hospital should combine their own situa- tion to evaluate the benefit and effect of the clinical pathway.