对临床路径管理试点工作中存在问题的建议和思考

摘要

]目的:对临床路径管理试点工作中存在的问题进行总结分析,为临床路径管理试点工作开展过程中相关问题的解决提供参考,为有关政策的制定提供依据.方法:本文针对督导过程中试点医院存在的一部分共性问题进行归纳分析.提出建议.结果:试点医院存在对临床路径工作开展的目的和意义理解不清、对进入临场路径患者变异和退出的情况掌握不到位、对临床路径文本本地化的问题不明确等一系列问题.结论:临床路径管理试点工作是公立医院改革的核心内容之一,各试点省市及试点医院应该明确思想,统一认识,促进临床路径管理工作有序开展.%Objectives: To summarize problems in clinical pathway management pilot work and give recommendations and to give evidence for policy making. Methods: Induction method was used to summarize common problems in pilot hospitals and suggestions were given. Results:unclear understanding of objectives and meaning of developing clinical pathway management, unclear of patient variation and withdrawal and fail of localization were common problems in pilot work. Conclusions: Clinical pathway management is the core content of public hospital reform. Pilot hospitals in all pilot provinces should unified recognition to promote pilot work effective development.