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规范医疗服务流程 推动临床路径管理 总被引:1,自引:0,他引:1
随着社会不断发展,人们对医疗服务的要求越来越高,而医疗技术是一个医院赖以生存的根本,医疗技术就是通过优质服务来实现的。汕尾逸挥基金医院儿童医疗中心通过引入临床路径理论,着力改善服务态度、改进服务环节,为病人提供优质服务,在规范医疗服务流程,推动临床路径管理的方面进行了尝试,积累了一些经验。本文对儿童医疗中心在规范服务流程结合临床路径管理方面进行探讨。 相似文献
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[目的]评价膝关节镜手术患者实施临床路径后的满意度情况。[方法]采用问卷调查法对实施临床路径管理的患者进行问卷调查;整理资料,对比分析实施临床路径前后两组患者的满意度评分。[结果]临床路径治疗组的总体满意程度显著高于对照组;临床路径治疗组与满意度对照组除入院过程、医疗环境设施外,医疗/护理/辅助科室服务、医疗费用、诊疗结果和知情同意满意度得分均显著提高。[结论]临床路径在膝关节镜手术中是一种有效的管理工具,临床路径的实施可以提高患者对医院所提供医疗服务的满意程度。 相似文献
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临床路径实施与循证医学调查 总被引:3,自引:1,他引:3
闫进 《中国卫生质量管理》2006,13(6):36-37
实施临床路径,可以优化临床医疗服务流程,确保医疗质量,缩短疗程,降低医疗资源消耗.使病人获得最佳医疗照顾.循证医学调查是实施临床路径的关键步骤之一。 相似文献
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实施临床路径必须加强临床药学管理 总被引:4,自引:1,他引:4
1临床药学是临床路径的重要组成部分 临床路径是指临床专家、护理专家、药学专家、心理专家、营养师、检验人员以及行政管理人员等联合为服务对象进行某一特定的诊断、处置而制订的一套最佳的、标准的服务与管理模式[1],是医院为使服务对象(病人及家属)减少花费和有效地保证高质量服务而实施的一种科学的服务与管理方法[2].通过结合本地区的医疗水平、医疗条件,将为病人医疗负责的多学科、多专业的成员组织起来,共同参与规范诊疗的过程和行为;在用药中,积极参与临床路径的调整意见,对病人进行药学知识教育[3].所以,临床药学是实施临床路径不可替代的重要组成部分. 相似文献
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临床路径实施对医疗卫生管理水平的影响 总被引:1,自引:0,他引:1
康颖 《中国城乡企业卫生》2005,(4):5-6
临床路径(clinicalpathways,CP)是美国临床医疗服务中控制医疗费用和保证医疗质量的一种成功手段。因此,许多国家推崇仿效。近几年,我国已有部分医院开展了临床路径这一全新医疗服务模式,并在提高医疗管理水平(医疗质量水平、服务质量水平、病案管理水平等)和降低医疗费用等方面取得了显著成效。实践证明它符合我国的市场经济要求,并与当前医疗卫生改 相似文献
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目的探讨临床路径对提升子宫平滑肌瘤子宫切除术医疗服务品质的效用。方法将实施临床路径的子宫平滑肌瘤手术患者138例设为路径组,未实施临床路径的136例患者作为对照组,两组均行子宫全切除术或子宫次全切除术。比较分析两组患者的住院天数、术前住院天数、住院总费用、药品费用、检查费用、术后并发症发生率及满意度等。结果路径组住院天数、术前住院天数缩短;用药规范性增强,住院费用结构发生改变,药品费用减少;患者满意度明显提高。在术后并发症发生率方面,两组患者相比无统计学差异。结论临床路径的实施,规范了医疗服务行为,提高了医疗服务效率,提升了医疗服务品质。 相似文献
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临床路径的特点与应用 总被引:43,自引:0,他引:43
基于文献回顾认为国外临床路径研究与应用处于成熟阶段。临床路径作为新的管理模式主要特点为:(1)医疗模式转变。由现行的多个部门面向病人的部门性医疗服务模式向由多个部门共同面向病人的整体医疗服务模式转变。(2)采取具有医疗、护理、药师、医技、营养以及管理专业等人员的团队的个案管理与个案管理人方式。(3)突出诊疗标准的实施性。(4)实现病案记录的整体化、规范化和信息共享化。(5)引入病人参与机制。并就应用临床路径的基本条件、实施步骤等进行了讨论。 相似文献
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基层医院药师,主要通过保障医院合理用药,与医生一起为患者制定合理用药方案的途径为患者服务。临床药师在我国的基层医院逐渐开始普及,很多县级的医院都开始将临床药师作为发展的重点。随着近几年医学模式的不断改善,医院更加追求人性化的服务,关心患者的心理变化、行为变化、环境变化、生活变化以及社会生活的变化,已经成为提供药学服务必不可少的环节。在此种背景下,在基层医院开展中药临床药学服务工作中,还存在着多样的问题。该文针对临床药师在基层医院的现状与未来发展展开分析和探究。 相似文献
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Gallagher RM Gallagher HC 《Advances in health sciences education : theory and practice》2012,17(2):247-257
Despite their common history, there are many cultural, attitudinal and practical differences between the professions of medicine
and pharmacy that ultimately influence patient care and health outcomes. While poor communication between doctors and pharmacists
is a major cause of medical errors, it is clear that effective, deliberate doctor-pharmacist collaboration within certain
clinical settings significantly improves patient care. This may be particularly true for those patients with chronic illnesses
and/or requiring regular medication reviews. Moreover, in hospitals, clinical and antibiotic pharmacists are successfully
influencing prescribing and infection control policy. Under the new Irish Pharmacy Act (2007), pharmacists are legally obliged
to provide pharmaceutical care to their patients, thus fulfilling a more patient-centred role than their traditional ‘dispensing’
one. However, meeting this obligation relies on the existence of good doctor-pharmacist working relationships, such that inter-disciplinary
teamwork in monitoring patients becomes the norm in all healthcare settings. As discussed here, efforts to improve these relationships
must focus on the strategic introduction of agreed changes in working practices between the two professions and on educational
aspects of pharmaceutical care. For example, standardized education of doctors/medical students such that they learn to prescribe
in an optimal manner and ongoing inter-professional education of doctors and pharmacists in therapeutics, are likely to be
of paramount importance. Here, insights into the types of factors that help or hinder the improvement of these working relationships
and the importance of education and agreed working practices in defining the separate but inter-dependent professions of pharmacy
and medicine are reviewed and discussed. 相似文献
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Medicines management services provided by community pharmacists have been proposed as one means to ensure that patients receive all the medicines they may benefit from in the English National Health Service. These services may also offer ways of addressing the historic under-utilization of community pharmacists' clinical skills and expertise. Medicines management services differ significantly from the dispensing and medicines sales roles traditionally associated with community pharmacy, particularly in relation to the provision for pharmacists to make recommendations to both patients and doctors about pharmacological treatment and lifestyle management. This paper describes patients' experiences of a medicines management service provided by community pharmacists for people with coronary heart disease, delivered in England. It draws on findings from semistructured, face-to-face interviews with 49 patients recruited from pilot sites delivering the service. Findings suggest that although patients cautiously welcomed the opportunity to consult with a pharmacist about their medicines, they had reservations about them making recommendations about treatment, and many still regarded the doctor as the health professional 'in charge' of their medicines. The implications of these findings are discussed in light of the developing sociological literature on pharmacy and medicines usage. 相似文献
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临床路径医疗管理模式的应用研究 总被引:8,自引:1,他引:7
对临床路径管理的现实需求、实施途径、问题与挑战等方面进行了论述。通过采用套餐的方式进行部署,以信息化平台作为实现手段是最为可行有效的办法。临床路径管理系统是多系统的集成平台,将会大大减少临床开医嘱时间;提高医务工作人员的工作效率;系统的预警功能将降低医疗差错的风险,确保医疗质量。在我国医药卫生体制改革和医疗保险制度逐步完善的背景下,临床路径具有巨大的实现价值和发展潜力。 相似文献