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[目的]引入病例分型管理,扩大临床路径适用范围,探索合理调配医疗资源、控制医疗费用及提升医疗服务品质的有效管理办法。[方法]应用“病例分型”软件,选择医院的多发病、常见病,借鉴临床路径研究开发方法,制定并推广实施以病例分型为依据的临床路径。[结果]通过新的路径管理模式,将有更多的患者进入路径,并且平均住院日、人均医疗费等医疗指标明显降低,管理效果显著。[结论]以“病例分型”为基础的临床路径管理能够丰富原有路径,更合理的调配医疗资源,控制医疗费用。
[Objective] To introduce case classification management, expand the scope of application of clinical pathology, and explore effective management methods to rationally allocate medical resources, control medical expenses and improve the quality of medical services. [Methods] With the software of “case classification”, select the frequently-occurring and common diseases of the hospital and learn the clinical path research and development methods to formulate and popularize the clinical path based on the case type. [Result] Through the new path management mode, more patients will enter the path, meanwhile, the medical indexes such as average length of stay, per capita medical expenses and so on are obviously reduced, and the management effect is remarkable. [Conclusion] The clinical path management based on “case classification ” can enrich the original path, rationally allocate medical resources and control medical expenses.