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概述临床路径的起源、发展和国内外应用情况,总结我国实施临床路径过程中遇到的问题,如临床路径实施过程中存在临床路径文本适用范围窄、医务人员积极性不高、现行医保支付制度不配套、临床路径文本修订不及时、缺乏有效的评价方法和信息系统建设滞后等问题,提出了重视临床路径文本制定和修改、加快推进医保付费制度改革、建立健全绩效考核体系和激励机制、制定科学的临床路径评价方法、加快信息化建设与标准制定工作等对策,以期不断扩大临床路径的覆盖面,推动临床路径的发展。
Summarize the origin, development and clinical application of clinical pathways in China, summarize the problems encountered in the implementation of clinical pathways in our country, such as the narrow scope of application of clinical pathways in clinic, the low enthusiasm of medical workers, the lack of current medical insurance payment system Lack of effective evaluation methods and lag in the construction of information systems, put forward the formulation and revision of texts focusing on clinical pathways, accelerated the reform of medical insurance payment system, set up and perfected performance appraisal system and incentive mechanism, and formulated scientific Clinical path assessment methods to speed up information technology and standard setting work and other measures in order to continue to expand the coverage of clinical pathways to promote the development of clinical pathways.