结直肠癌重点专病项目建设研究 基于临床路径管理的门诊和住院中医结构化病历的实现 西苑医院肿瘤科课件.ppt

电子化临床路径表单打印预览 电子化临床路径表单打印预览 基本信息不全 病史记录不完整 前后主诉不一致 与疗效评价无关的无效数据记录既浪费了时间又无价值 结直肠癌中医综合治疗效果无法提供科学数据，无法科学评价疗效 学术价值 科研价值不高 中医门诊结构化病历模板 病历录入的结构化 病历录入的标准化 病历内容的集成化 临床科研一体化 点选内容 展 望 试点应用 形成科学高效的医院质量管理模式 展 望 展 望 作为示范推广至全国中医单位 * ? 2007 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION. * * ? 2007 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION. * 杨宇飞 中国中医科学院西苑医院肿瘤科 2013年5月 背 景 2007 组织全国26家协作单位对中西医结合诊疗方案进行梳理 2008 结直肠癌中医院绩效特征及影响费用因素研究 中医药治疗晚期结直肠癌系统评价 2011 晚期结直肠癌中医综合治疗临床路径成本绩效分析 2010 纸质版临床路径投入临床应用 2009 研制4种结直肠癌纸质版临床路径 2009年基于系统评价及绩效分析制定了结直肠癌中西医结合临床路径 1.1 12.31 1.1 12.31 2010 2009 临床路径医护管理 常规医护管理 住院日、医疗费用有下降趋势，其中总费用、日均费用、药品费用、中成药费用、药占比表现出了显著性的降低 结直肠癌 住院患者 费用