| 摘要: |
| 目的：尝试利用信息系统平台解决推行和实施临床路径管理中存在的困难。方法：无锡市第四人民医院从2016年6月起依托信息系统开展临床路径管理，比较临床路径信息系统实施后计划性剖宫产（产科）、乳腺癌根治术（乳腺外科）、乳腺癌术后化疗（肿瘤内科）、社区获得性肺炎（呼吸内科）4个病种住院患者的住院天数、术前住院日、医疗费用、治愈好转率、患者满意度等指标的变化情况。结果：院临床路径的实施显著降低了平均住院日、术前住院日以及医疗费用（P<0.05），患者满意度显著提高。结论：院临床路径信息系统对于规范医疗行为，提高病人满意度，构建和谐医患关系具有一定意义。 |
| 关键词: 临床路径 信息系统 医疗服务 效果评价 |
| DOI： |
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| 基金项目: |
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| the Effect Evaluation and Analysis of the Implementation of Information System during the Clinic Pathway |
| Ding sheng |
| (he Medical Department of Wuxi No.4 People’s Hospital) |
| Abstract: |
| To solve the problems of pursuing and implementation clinic patheway management by information platform. Methords:From june 2010,clinical pathway management was carried out based on the information system in Wuxi No.4 People’s Hospital. Comparing the datas of hospital-stay time,average days of hospitalization before operation,medical costs,cure and improvement rate and patient satisfaction in the four diseases of planned cesarean delivery(obstetrics),radical mastectomy(breast surgery),breast cancer adjuvant chemotherapy after surgery(medical oncology),community-acquired pneumonia(respiratory medicine). Results:The datas showed that,the implementation of the clinical pathway significantly reduced the average hospital-stay time,days of hospitalization before operation,medical costs,(P < 0.05),and the patient satisfaction improved significantly. Conclusion:It has some significance that the clinic pathway could be meaningful in standard medical behavior, patients’ satisfaction improving and harmonious doctor-patient relation. |
| Key words: Clinic Pathway Information System Medical Service Effect Evaluation |
