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目的探讨临床路径在医院急诊抢救中的应用价值。方法回顾近年来国内外实施临床路径效果的文献,重点介绍临床路径的基本概念、起源与背景、制定过程、实施特点、最终结果等,并加以分析和总结。结果国内外文献表明,临床路径可减少由于医护人员不同所造成的医疗护理差异;规范检查及治疗费用;缩短住院天数;控制医疗成本;提升患者的满意度;促进医疗资源的有效利用。结论临床路径的实施符合当前卫生改革要求,是完善公立医院运行体制的重要举措,对医院急诊抢救有较好的运用价值,应通过推广应用,使其不断优化。
Objective To explore the clinical value of clinical path in the emergency treatment of hospital. Methods To review the literatures about the effect of clinical pathways at home and abroad in recent years, and mainly introduce the basic concepts, origin and background, the process of development, the implementation characteristics and the final results of clinical pathways, and analyze and summarize them. Results The domestic and international literatures showed that the clinical pathway could reduce the difference of medical care due to the difference of medical staff; to standardize the examination and treatment costs; to shorten the length of hospital stay; to control the medical cost; to improve the patient’s satisfaction; and to promote the effective utilization of medical resources. Conclusion The implementation of clinical pathway is in line with the current health reform requirements. It is an important measure to improve the operation system of public hospitals. It has a good value for emergency treatment in hospitals and should be optimized and popularized.