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目的探讨实行临床路径指标考核与实施临床路径之间的关系。方法选择2014年1月-12月实施临床路径管理的13个病种作为对照组,2015年1月—12月实施临床路径考核后同样病种作为观察组,对入径率、完成率、临床路径完成人数占出院人数的百分比、平均住院日变化等4项指标的数据进行考核前后指标比较。结果入径率、完成率、覆盖率等指标较考核前明显增加,差异有统计学意义(P<0.05),平均住院日明显下降。结论实行临床路径指标考核与实施临床路径间可相互促进,有利于医院管理水平的提升。
Objective To explore the relationship between the implementation of clinical path index assessment and the implementation of clinical pathways. Methods Thirteen pathologies of clinical pathway management from January 2014 to December 2014 were selected as the control group. From January to December 2015, the same pathology was used as the observation group after the clinical pathological assessment. The rate of entry, completion rate, clinical The number of completed pathways, the percentage of discharged persons, the average length of stay, and other four indicators were compared before and after assessment. Results The indexes such as the rate of entry, the completion rate and the coverage rate increased significantly compared with those before the examination. The difference was statistically significant (P <0.05), and the average length of stay was significantly decreased. Conclusion The implementation of clinical path indicators between the assessment and implementation of clinical pathways can promote each other, is conducive to the improvement of hospital management.