实施临床路径管理 构建和谐医患关系

医患和谐是医患双方的共同需要，通过时单病种乳腺癌改良根治术等10个单病种临床路径与成本控制绩效分析，评价患者的满意效果。收集整理2006年7月至2007年12月10个单病种的统计信息，以其手术并发症发生率、平均住院天数、平均住院费用、患者满意率等作为评价指标，将实验组（应用临床路径和成本控制组）和对照组（未应用临床路径和成本控制组）进行对比分析。结果显示，应用临床路径和成本控制的患者与未应用这一方式的患者之间在手术并发症发生率、平均住院时间、平均住院费用、患者满意率方面有统计学显著差异。提示单病种临床路径和成本控制模式应用于临床管理，可以明显促进CQI（Continuous Quality Improvement持续性质量改进），缩短平均住院时间，降低住院费用，提高患者满意率，并从根本上改善医患关系。

Implementation of Clinical Pathway Management for Constructing Harmonious Doctor-Patient Relationship

The harmony of doctor-patient relationship is the common demand of both doctors and patients. We may evaluate patient satisfaction through the implementation effect of clinical pathway {CP} and cost control （CC） of 10 single-disease entity. After consulting the information of the hospitalized patients after the surgical therapies from October 2005 to March 2007, we analyzed the effect of CP and CC using the average length of stay and the hospital charges for the patients as the evaluating indexes. There was significant difference in CQI, the average length of stay, the hospital charges for the patients, and patient satisfaction between the CP--CC groups and the traditional groups. The method of clinical pathway and cost control can markedly improve medical quality and patient satisfaction, decrease the average length of stay and the hosoital chartres, and fundamentally improve the doctor-oatient relationship.