Construction and application of clinical pathway quality evaluation system
10.3760/cma.j.issn.1000-6672.2017.07.009
- VernacularTitle:临床路径质量评价体系构建及应用研究
- Author:
Xue YANG
;
Ping LI
;
Shensheng TAN
- Keywords:
Clinical pathway;
Quality;
Comprehensive evaluation;
Model;
Decision impact
- From:
Chinese Journal of Hospital Administration
2017;33(7):509-512
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish a comprehensive evaluation system for clinical pathway quality for evaluation and verification.Methods Literature retrieval, clustering mergers and experts consultation method were used to determine indicators for clinical pathway quality evaluation, while gray correlation method was employed to calculate indicators weight coefficient and to evaluate indicators scoring,and sum indicators weighted scoring, so as to establish a clinical pathway quality comprehensive evaluation model.Indicator data of Shanghai′s 18 tertiary hospitals were used for verification.Results A total of 12 evaluation indicators, such as entry rate, mutation rate, completion rate and average length of stay were selected.After the weight calculation and grade scoring, the mathematical model of clinical pathway quality comprehensive evaluation was constructed.Data of these hospitals were put into the evaluation system for assigning ratings calculation, harvesting the overall score and ranking of each hospital.These data can help find out key management and key hospital intervention indicators in the next stage.Conclusions Different hospitals will be put on the same platform for comparison in this clinical pathway evaluation system, and the results can be quantified.The authors suggest that the next stage of health administration focus on the management of the hospitals and the key management of the sectors, making possible the prospective management of clinical pathways.
