Booth R E
Department of Orthopedic Surgery, Thomas Jefferson University, Pa., USA.
Orthopedics. 1995 Jul;18 Suppl:6-9.
Critical Care Pathways are outlines of each day's expected interventions and treatments for a particular process. They are part of a larger concept of case management, as an extramural, multidisciplinary approach to a patient's problems, with details suitable to their personality and case. This constitutes the overall concept of managed care. Rather than DVT, this presentation focuses on thromboembolism. I think you'll see why I chose to emphasize this complication instead. Modern medicine has been turned upside down; the rules are different, expectations are different. I would suggest to physicians who are resisting the CCP concept that it may be your salvation as much as it is a paperwork torment. It's clearly a way to provide better care for your patients.
重症监护路径是针对特定病程每天预期的干预措施和治疗方法的概述。它们是病例管理这一更大概念的一部分，病例管理是一种针对患者问题的院外多学科方法，其细节适合患者的个性和病例情况。这构成了管理式医疗的整体概念。本报告关注的不是深静脉血栓形成，而是血栓栓塞。我想你会明白我为什么选择强调这种并发症。现代医学已经天翻地覆；规则不同了，期望也不同了。我想对那些抵制重症监护路径概念的医生说，这对你来说可能既是一种文书工作的折磨，也是一种救赎。这显然是为你的患者提供更好护理的一种方式。
