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临床路径是近年来发展起来一种规范医疗服务的单病种质量管理现代新模式。中国医科大学附属第一医院血管甲状腺外科目前已尝试应用医护版临床路径表和病人版临床路径告知单以及临床路径流程图等工具对拟行甲状腺疾病手术治疗的病人进行管理。临床路径的实施能较好地规范医疗行为,在一定程度上缩短了平均住院日,降低了医疗费用,提高了病人满意度,有利于促进医护间的相互协作,实现了医疗质量持续改进。临床路径的构建应与最佳诊疗方案相结合,需通过不断改进使其逐渐优化。
Clinical pathway is developed in recent years, a standard medical services, a single disease quality management of new models. The First Affiliated Hospital of China Medical University, Department of Vascular Thyroid Surgery has been trying to use the clinical version of the clinical path and patient version of the clinical pathways and clinical trails such as flow charts and other tools for the management of patients with thyroidectomy surgery. The implementation of clinical pathway can regulate the medical behavior well, shorten the average length of stay to a certain extent, reduce the medical expenses, improve the patient satisfaction, promote the mutual cooperation between the medical and nursing services, and achieve the continuous improvement of the medical quality. The construction of the clinical path should be combined with the best treatment plan, which needs to be gradually optimized through continuous improvement.