Exploration on an integrated care mode of rehabilitation by both clinicians and physiatrists at a rehabilitation hospital
10.3760/cma.j.issn.1000-6672.2019.01.018
- VernacularTitle:康复医院临床医师与康复医师共管患者探索
- Author:
Rubing JIA
1
;
Tiejun LIU
;
Jianing XI
;
Shuyan QIE
;
Tingting LIU
Author Information
1. 首都医科大学附属北京康复医院医务部 100144
- Keywords:
Hospitals,public;
Physiatrists;
Clinicians;
Integrated care mode
- From:
Chinese Journal of Hospital Administration
2019;35(1):77-79
- CountryChina
- Language:Chinese
-
Abstract:
Tertiary rehabilitation hospitals should not only serve patients with systemic and specialized rehabilitations but also have capabilities in diagnosis/treatment,and even emergency responses.This paper introduced an integrated care mode at a rehabilitation hospital,in practicing in-depth and phased integration of clinical service and rehabilitation.Phase 1 (March 2015-March 2016) witnessed the "two-way" model,with coexisting rehabilitation pathway and clinical pathway.The second phase,from April 2016 to September 2017,witnessed the integrated care mode in which clinicians and physiatrists jointly took care of patients.A comparison between the same period of 2016 with data of 2015,and that of 2017 with data of 2016,found average length of stay was shortened by 0.5 day and 3.6 days respectively,the drug ratio fell by 4.63％ and 8.47％ respectively;the rehabilitation effective percentage was increased from 95.2％ to 98.0％.The percentage of cure or improvement for primary diseases was over 97％.The integrated care mode by both clinicians and physiatrists can shorten the length of stay,lower the drug ratio,raise medical efficiency,and encourage a more reasonable ratio of medical expenses.
