| 引用本文：郭淑岩, 韩刚, 董四平.基于文献计量方法的我国临床路径政策问题论证[J].中国卫生政策研究,2018,11(5):74-78 |
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| 基于文献计量方法的我国临床路径政策问题论证 |
| 投稿时间：2017-11-25 修订日期：2018-02-10 PDF全文浏览 HTML全文浏览 |
| 郭淑岩1, 韩刚2, 董四平1 |
1. 国家卫生计生委医院管理研究所 北京 100191;
2. 国家卫生计生委人才交流服务中心 北京 100044 |
| 摘要:目的：分析我国临床路径不同发展阶段及特点，论证现阶段我国临床路径面临的主要问题并提出对策建议。方法：采用文献计量方法分析国内临床路径文献总体趋势，采用内容分析法分析我国临床路径政策及阶段特点，采用关键词共现法分析现阶段我国临床路径面临的主要问题。结果：我国临床路径发展可划分为理论探索、试点探索和综合发展3个阶段。临床路径已进入常态化管理，但尚面临管理水平、标准化、信息化和医保支付等多方面问题。结论：在政策推动下，临床路径已成为医院科学化管理的重要工具，但仍需通过提升临床路径管理水平、规范临床路径实施流程、完善医保支付方式、加强信息化建设等方式，促进我国临床路径的发展。 |
| 关键词:临床路径 文献计量分析 标准化 DRGs |
| 基金项目:国家自然科学基金项目（71573061） |
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| The policy analysis and problems-seeking for clinical pathway in China based on bibliometric methods |
| GUO Shu-yan1, HAN Gang2, DONG Si-ping1 |
1. National Institute of Hospital Administration, NHFPC, Beijing 100191, China;
2. Health Human Resources Development Centre, NHFPC, Beijing 100044, China |
| Abstract:Objective:To analyze different stages of development and characteristics of clinical pathway (CP), and identify the problems of CP in China at the present stage aimed at putting forward counter-measures and suggestions. Methods:The bibliomentric analysis was used to describe the general trend of domestic CP literature. The content analysis method was employed to analyze the development stages and characteristics of CP in China. The method of Keywords Co-occurrence was adopted to identify the problems of CP at the present stage. Results:The development of CP in China can be divided into three stages:theoretical exploration stage, pilot exploration stage and comprehensive development stage, respectively. As it has entered the normal management, the CP was identified to be increasingly practiced in China. However, it still faces the problems with management level, standardization, informatization, medicare (health insurance) payments and other aspects. Conclusions:With the promotion of policies, the CP has rapidly developed and has become an important tool for the scientific management of hospitals in China. It is necessary to improve the CP effect by improving the hospital's management level, standardizing implementation process, improving the medicare payments system and strengthening the information system. |
| Key words:Clinical Pathway Bibliomentric analysis Standardization DRGs |
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