论临床路径实施中的持续质量改进

临床路径的实施在一些地方取得了不错的经验,如整合医疗资源、提高医疗机构和医务人员的工作效率、降低医疗成本;通过提高病种的医疗护理质量,提高了病人满意度。但国内医院目前的管理和技术水平良莠不齐,在推行临床路径的过程中也遇到了不少困难,比如在临床路径设计和流程标准制定上缺乏循证支持,准备不足,医疗机构内部的资源动员有限,缺乏科学有效的实施效果评价和完善机制等等。需要从完善临床路径制度的设计、改善临床路径的基础条件、把握临床路径关键环节的控制等多角度进行持续改进。

Continuous Quality Improvement by Using Clinical Pathways in Hospitals

The implementation of clinical pathway in some places has made a lot of good experiences, i. e. ： integration of medical resources, medical institutions and medical staff to improve work efficiency ; reduce medical costs ; improving the quality of medical care, increased patient satisfaction and etc. But currently domestic hospital management and technical level of the in China vary remarkably, in the process of implementation of the clinical pathway also encountered many difficulties, such as the design of clinical pathways and the lack of evidence - based standards development process support, inadequate preparation with limited resource mobilization , lack of effective implementation of the results of scientific evaluation and improvement of coping mechanisms. Need to improve the clinical pathway system design to achieve good clinical pathways to improve the basic condi- tions, to grasp the critical aspects of clinical pathways and other multi - angle control for continuous improvement.