Analysis of clinical pathway operation of medical institutions in Nanjing from 2016 to 2018 / 中华医院管理杂志

ABSTRACT

Objective:To investigate the clinical pathway operation of medical institutions in Nanjing from 2016 to 2018.Methods:Thirty-three medical institutions(15 tertiary hospitals and 18 secondary hospitals)in Nanjing were investigated for their clinical pathway operation. The relevant data such as the number of specialties, types of diseases, number of cases to be admitted, number of cases admitted, number of cases completed and number of cases of variation were counted.Results:From 2016 to 2018, the entry rate and completion rate of clinical pathway in Nanjing were relatively stable, maintaining at about 80% and 90%. The variation rate increased year by year from 7.06% to 16.50%, and the clinical pathway management ratio increased from 25.18% to 39.90%.Conclusions:The number of clinical pathway specialties and diseases in Nanjing medical institutions still need to be improved. The coverage of clinical pathway should be expanded from system design, path refinement, technology integration and other aspects, and improve the management ratio and operation efficiency of the pathway.