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目的对江西省基本诊疗路径管理情况进行调查分析,为全面、更好地开展基本诊疗路径提供意见和建议。方法分层抽样,随机抽取江西省11个设区市的22个县(市、区)的44家乡镇卫生院进行现场调查,结合各地区上报数据进行统计分析。结果全省共纳入路径病例23 821例,变异数1 442例,完成路径率93.95%,达到“路径变异率控制在20%以内”的预期目标。基本诊疗路径的组织和实施情况良好,但存在病例纳入单一、路径实施不规范、缺乏激励机制和专业指导等问题。结论需进一步完善基本诊疗路径,正确引导;制定路径范本,推进信息化建设;加强宣传,强化培训;给予财政支持,建立激励机制等。
Objective To investigate and analyze the basic medical treatment path management in Jiangxi Province and provide suggestions and suggestions for comprehensively and better carrying out basic medical diagnosis and treatment pathways. Methods By stratified sampling, 44 township hospitals in 22 counties (cities and districts) of 11 districts and cities in Jiangxi Province were randomly selected to carry out on-site investigation. Statistical analysis was made based on the reported data in all regions. Results A total of 23 821 pathological cases were included in the province, with a total of 1 442 mutations, achieving a target rate of 93.95% and achieving the goal of “controlling the path mutation rate within 20%.” The organization and implementation of basic medical treatment pathways are good, but there are such problems as the single case incorporation, the non-standardization of path, the lack of incentive mechanism and professional guidance. Conclusion It is necessary to further improve the basic diagnosis and treatment path and guide it properly; formulate a model of path to promote information construction; strengthen publicity and training; give financial support and establish an incentive mechanism.