设计和实施临床路径应注意的问题_杨天桂.pdfVIP

HINESE 论述 DISCUSSION C HOSPITALS 设计和实施临床路径应注意的问题 ① ① ① ■ 杨天桂 石应康 莫春梅 【关键词】 临床路径 病种 【摘 要】 阐述了目前国内在设计和实施临床路径应注意的参加临床路径设计成员的广泛性和多专业性、确定的病种要符合临床路径 病种选择原则、CP时间设计的合理性、CP内容要符合我国有关医院管理规定和要求、开展临床路径的基本条件准备、做好实施临床 路径前的宣传动员和培训教育、解决实施临床路径的难点和问题等七个问题，并提出了解决问题的见解，为卫生行政部门以及医院管 理者在推行和实施临床路径提供参考。 Key points on clinical pathway design and implementation / YANG Tiangui, SHI Yingkang, MO Chunmei // Chinese Hospitals.-2009,13(12):32-34 【Key words】 clinical pathway, diseases group 【Abstract】 Seven key points needed to be attended when designing and implementing clinical pathway. Firstly, multi-disciplinary professionals should be included as a team to participate clinical pathway design. Secondly, disease group should agree with the principle of clinical pathway selection. Thirdly, rational time should be considered. Fourthly, the contents of clinical pathway should compliance with the law and regulation in China. Fifthly, basic conditions should be possessed in clinical pathway implementation. Sixthly, Mobilization and training should be highlighted. Seventhly, difficulties and problems of implementing clinical pathway should be solved on time. Recommendations were discussed to give some reference for health administrators and hospital manager. Author’s address：Huaxi Hospital, Sichuan University, No.37, Nan Guo Xue Xiang, Chengdu, 610041, Sichuan Province, PRC 近10多年来，自临床路径（Clinical 的是通过科学合理的规范化诊疗方案 和需住院治疗的病种为宜[3]。 pathway，CP）概念引入我国 来提高医疗品质、控制医疗成本和促 一般来说，外科疾病由于主要以 后，国内部分医院管理者便逐渐接受 进医疗质量持续改进 [2]。故临床路径 手术治疗为主，治疗方法相对单一， 并把