临床路径中药物治疗方案的优化探索——以南京鼓楼医院帕金森病药物治疗路径为例

Exploration on optimization of drug treatment scheme in clinical pathway:A case study of drug treatment pathway for Parkinson's disease in Nanjing Drum Tower Hospital

药物治疗路径是对临床路径在用药方案方面的完善和补充,对于减轻患者经济负担,促进医院药事管理高质量发展,适应医保支付改革新趋势,实现卫生资源的优化配置等方面具有积极的意义。现行临床路径中的药物治疗方案往往描述得不够详尽,从而影响临床路径的实施。以帕金森病为例,从南京鼓楼医院现有药品的实际情况出发,制定药物治疗路径。通过对帕金森病药物治疗路径的重新整理,明确了各个药物的选择优先级别及治疗地位,从而避免不必要的治疗方案调整,也减少了帕金森病的单病种治疗费用。

The drug treatment pathway is the improvement and supplement to the clinical pathway in the medication regimen,which has positive significance for reducing the economic burden of patients,promoting the high-quality development of hospital pharmaceutical affairs management,adapting to the new trend of medical insurance payment reform,and realizing the optimal allocation of health resources.Drug treatment regimens in current clinical pathways are often not sufficiently detailed,which affect the implementation of clinical pathways.Taking Parkinson's disease as an example,a drug treatment pathway was formulated based on the actual situation of Nanjing Drum Tower Hospital.By rearranging the treatment pathway of Parkinson's disease,the department clarified the priority level and treatment status of each drug,to avoid unnecessary adjustment of treatment regimen and reduce the cost of single disease treatment for Parkinson's disease.