Analysis of Implementation and Management Situation and Influencing Factors of Clinical Pathways in Public General Hospitals in Anhui Province from 2018 to 2021
- VernacularTitle:2018—2021年安徽省公立综合医院临床路径管理现状及影响因素分析
- Author:
Pan ZHANG
1
;
Qin ZHOU
;
Liangrui SHA
;
Jiajia FENG
;
Yu ZHANG
;
Yong HAN
;
Yinghui JIN
;
Likai LIN
Author Information
1. 武汉大学医院管理研究所 湖北 武汉 430071
- Publication Type:Journal Article
- Keywords:
public general hospital;
clinical pathways;
medical insurance payment method;
Anhui
- From:
Chinese Hospital Management
2024;44(12):50-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analysis the current situation of clinical pathway implementation and management of 53 public general hospitals in 16 cities in Anhui Province from 2018 to 2021,so as to provide a basis for further strengthening the management of clinical pathways in Anhui Province.Methods From December 2022 to March 2023,questionnaire stars were used to conduct a questionnaire survey on the implementation status of clinical pathway management.Results In 2021,53 public general hospitals implemented an average of 23.56 clinical pathways,228.75 diseases,88.58％ of the average admission rate,69.08％ of the average coverage rate,and 92.85％ of the average completion rate,meeting the national requirements. However,the number of departments,coverage and completion rate showed a small increase over the past four years.The hospital level,the time of information system implementation,the position of the clinical pathway leader,whether it is linked to departmental and individual bonuses,and the integration of clinical pathways with DRG/DIP payment methods all have statistically significant effects on the implementation effectiveness of clinical pathways(P<0.05).Conclusion Since the establishment of the Clinical Pathway Management Center in 2015,Anhui Province has promoted the implementation of clinical pathway management in the province's second-level and above public hospitals every year,but it has entered management after 2018.It is suggested that Anhui Province should strengthen the attention of hospital leaders,information management and the integration of clinical paths and medical insurance payment methods in the future,so as to achieve a balance between cost control and reasonable diagnosis and treatment.
