Hosp Case Manag. 1998 Feb;6(2):21-4.
Although getting physician buy-in for clinical pathway initiatives remains a challenge at many hospitals, there are things you can do to stack the odds in your favor, experts say. The first step is to lay the groundwork for physician support by winning over key physicians early. Target the chief of staff, a respected physician in a relevant field, or the physician you expect to be most resistant to pathway efforts. To maintain physicians' goodwill, you must manage to keep physicians involved in the pathway effort without making excessive demands on their time. Experts suggest incorporating pathway discussions into already-scheduled meetings, and shifting the burden of paperwork away from physicians. A third crucial component of buy-in is supplying physicians with valid, reliable data in a clear and concise manner. Build in a feedback loop, and let them know the data you collect won't be used against them.
专家表示，尽管在许多医院，让医生支持临床路径倡议仍然是一项挑战，但你可以采取一些措施来增加成功的几率。第一步是通过尽早赢得关键医生的支持，为获得医生的支持奠定基础。目标是找医务主任、相关领域受尊敬的医生，或者你认为对路径工作最抵触的医生。为了维护医生的善意，你必须设法让医生参与路径工作，同时又不过分占用他们的时间。专家建议将路径讨论纳入已安排好的会议，并将文书工作的负担从医生身上转移开。获得支持的第三个关键因素是以清晰简洁的方式向医生提供有效、可靠的数据。建立一个反馈循环，让他们知道你收集的数据不会被用来对付他们。
