结肠癌临床路径导入精细化目标管理模式探讨

Discussion on the Mode of Meticulous Target Management in Clinical Pathway for Colon Cancer

[目的]探讨在现有结肠癌临床路径基础上导入精细化管理的效果。[方法]在国家卫生计生委推荐的结肠癌临床路径管理基础上,重新细化路径表单,从住院时间、次均费用等4个方面进行优化,构建结肠癌信息管理模型,确定5大类36项指标作为日常监控指标。[结果]经过5个月的临床实践,平均住院日缩短了2.76天,次均费用下降了15.71%,抗菌药物平均费用、使用天数逐月下降。[结论]临床路径导入精细化管理目标的模式更具有适宜性、针对性、可控性、开放性,有助于将临床路径管理引向深入,为管理效果带来增益。

[Purposel To investigate the efficacy of introducing meticulous target management on the basis of current clinical pathway for colon cancer. [Methodsl Based on the clinical pathway for colon cancer recommended by the National Committee of Health and Family Planning Commis- sion,the pathway tables were refined in 4 aspects including hospitalization days and average cost et al to make them more optimized. Information management for colon carcinoma to identify 5 major categories and 36 indices as a daily monitoring index was designed and build up. [Results] Through clinical practice for 5 months,the average hospitalization days reduced by 2.76 days,the average hospitalization costs decreased by 15.71% ,the average costs of antimicrobial drugs and number of days of usage decreased gradually. [Conclusion] The introduction of meticulous target management in clinical pathway contributes to deepening the clinical path ma.agement,and im- proving the efficiency of management due to its better suitability,pertinence,controllability and openness.