Wilson D E, Noseworthy T W, Grace M G
Royal Alexandra Hospitals, University of Alberta, Edmonton, Canada.
J Am Coll Surg. 1995 Jul;181(1):49-55.
Caremap management refers to the management of defined patient groups using multidisciplinary clinical guidelines developed through literature review and expert opinion.
Using a prospective preintervention and postintervention comparison model, this controlled study compared caremap management and traditional treatment in patients undergoing inguinal herniorrhaphy. Preintervention (n = 141) and postintervention (n = 110) groups were compared for hospital length of stay, resource consumption, and outcomes.
Patients cared for by caremap management compared with traditional treatment showed a significant reduction in average length of stay (0.6 compared to 1.6 days, p < 0.01). Laboratory testing decreased by 60 percent in the caremap management group relative to traditional treatment (p < 0.01) and standardization of medication profiles was achieved. There were no significant differences in readmission rate, reutilization of health care services, or complications. Patients in the caremap management group indicated a preference for additional length of stay.
Caremap management offers the potential for achieving effective patient care while using resources efficiently. Further evidence is required to demonstrate that caremap management can fulfill the promise of improving health status outcomes in varied types of patients.
护理地图管理是指利用通过文献综述和专家意见制定的多学科临床指南对特定患者群体进行管理。
本对照研究采用前瞻性干预前和干预后比较模型，比较了护理地图管理与传统治疗方法在接受腹股沟疝修补术患者中的应用。对干预前组（n = 141）和干预后组（n = 110）的住院时间、资源消耗和治疗结果进行了比较。
与传统治疗相比，接受护理地图管理的患者平均住院时间显著缩短（分别为0.6天和1.6天，p < 0.01）。护理地图管理组的实验室检查相对于传统治疗减少了60%（p < 0.01），并实现了用药方案的标准化。再入院率、医疗服务再利用或并发症方面无显著差异。护理地图管理组的患者表示更倾向于延长住院时间。
护理地图管理在有效利用资源的同时，具有实现有效患者护理的潜力。需要进一步的证据来证明护理地图管理能够兑现改善各类患者健康状况的承诺。
