Objective To study the
compliance of
medical care with corresponding national
clinical pathways for
inpatients of
cholecystectomy for
cholecystolithiasis with
acute cholecystitis at
public hospitals of
China.
Methods Thirty
medical records of the
inpatients with
cholecystectomy admitted in 2014 were randomly sampled from 18
public hospitals in Shanghai, Hubei province and Gansu province, for assessment on their
compliance with corresponding national
clinical pathways. Results The average
compliance rate of
inpatient care of
cholecystectomy at
public hospitals was 67. 7%. The study found low
compliance rates in both severity assessment and timely examinations/
diagnosis within two days after admission ( 5. 8% and 35. 3%, respectively) . Conclusions
Public hospitals in
China should strengthen their
supervision over the
medical care process for
inpatients of
cholecystectomy with
acute cholecystitis, and the
clinical pathways in question should be updated and improved in
time.