[风湿科住院治疗中的临床路径——结构化流程管理]

[Clinical pathways in rheumatological inpatient treatment - a structured process management].

作者信息

Lakomek H-J, Hülsemann J L, Küttner T, Buscham K, Roeder N

机构信息

Klinik für Rheumatologie und Physikalische Medizin mit Schwerpunkt Endokrinologie und Diabetologie, Klinikum Minden, Friedrichstr. 17, 32427 Minden.

出版信息

Z Rheumatol. 2007 May;66(3):247-54. doi: 10.1007/s00393-007-0162-8.

DOI:10.1007/s00393-007-0162-8

PMID:17380340

Abstract

Clinical pathways for three rheumatological indications have been successfully developed in the rheumatological departments of two hospitals. These diseases were selected because of the number of inpatients seen and/or the costs for diagnostics and therapy. Three quota-concepts, the coordination of treatment processes (quota-concept I), the sequence of implementing services (quota-concept II), and the economical utilization of available resources as well as the transparent definition of therapies (quota-concept III) have been established. These concepts have been tested individually as well as in complex situations.

摘要

两家医院的风湿科已成功制定了三种风湿病适应症的临床路径。选择这些疾病是基于住院患者数量和/或诊断及治疗费用。已确立了三个定额概念，即治疗流程的协调（定额概念I）、服务实施顺序（定额概念II）、可用资源的经济利用以及治疗方法的明确界定（定额概念III）。这些概念已分别进行测试，也在复杂情况下进行了测试。