Hakamada Kenichi, Sasaki Mutsuo
Dept of Surgery II, Hirosaki University School of Medicine.
Gan To Kagaku Ryoho. 2004 Aug;31(8):1179-85.
Implementation of the critical path in the healthcare system facilitates standardization of medical practices, which improves both quality and safety management, shortens the length of hospital stays, and economizes on medical resources. In a new payment system introduced to university hospitals in Japan, hospital fees are charged by the day according to the diagnosis-procedure combination (DPC). To prepare for DPC, standardization of medical care, shortening the average length of stay within all hospitals, cost reduction, establishment of hospital networks, and an increase in new patients are critical issues. Cost management can be achived effectively by using the critical path.
在医疗系统中实施关键路径有助于医疗实践的标准化,这既能改善质量和安全管理,缩短住院时间,又能节省医疗资源。在日本引入大学医院的新支付系统中,住院费用根据诊断-治疗组合(DPC)按天收取。为准备DPC,医疗标准化、缩短所有医院的平均住院时间、降低成本、建立医院网络以及增加新患者是关键问题。通过使用关键路径可以有效地实现成本管理。