Analysis on factors influencing the number of clinical pathways implemented at public hospitals

VernacularTitle:公立医院临床路径实施病种数影响因素分析
Author: Fei BAI ; Jie BAI ; Huiqin TANG ; Yongcong CHEN ; Yingyao CHEN ; Di XUE
Keywords: Clinical pathway; Implementation; Number of diseases or conditions; Public hospitals; Influencing factors
From: Chinese Journal of Hospital Administration 2017;33(1):27-29
CountryChina
Language:Chinese
Abstract: Objective To analyze the key factors influencing the number of diseases or conditions in which clinical pathways ( CPs) were implemented at public hospitals of China. Methods Based on the questionnaire survey of 51 public hospitals that had implemented CPs in Shanghai, Hubei province, and Gansu province, a multivariate logistic model was used to analyze the factors that influenced the number of CPs implemented in hospitals. Results In terms of the 14 issues and difficulties found in CPs′implementation, the overall acceptance rate was 38. 8% on average among surveyed hospitals, yet with a great variation(from 7. 1% to 100. 0%). A multivariate logistic model showed that the recognition of public hospitals on the issues and difficulties in CPs′implementation did not affect the number of implemented CPs, and tertiary public hospitals had significantly higher number of CPs implemented than secondary hospitals. Conclusions The resources and management capabilities of public hospitals in China are the determinants of CPs′promotion.