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临床路径是应用循证医学,综合多学科、多专业主要临床干预措施所形成的疾病诊疗服务计划标准。具体包括疾病的诊断、治疗、护理、康复、收费等流程的规范化和标准化,符合提倡高效率、高品质、低费用医疗服务需求。实施临床路径管理,搭建医疗服务标准化管理平台,是规范医疗服务行为,持续改进医疗服务质量的重要手段。笔者以所在的海南省农垦总医院为例,分析临床路径管理特点及其对医疗质量与费用控制的作用,以及尚需完善的地方。
Clinical pathway is the application of evidence-based medicine, comprehensive multidisciplinary, multi-disciplinary major clinical interventions formed by the disease diagnosis and treatment service plan standards. Including the diagnosis of disease, treatment, care, rehabilitation, fees and other processes of standardization and standardization, in line with the promotion of high efficiency, high quality, low cost medical services needs. Implementing clinical path management and setting up a standardized management platform for medical services is an important means of standardizing medical service behaviors and continuously improving the quality of medical services. Taking Hainan Provincial Land Reclamation General Hospital as an example, the author analyzes the characteristics of clinical path management and its effect on the control of medical quality and cost, as well as the areas that need improvement.