More than 70 hospitals of Shenyang implement " The clinical route " The expenses lower ten percent at least

More than 70 hospitals of Shenyang implement " The clinical route " The expenses lower ten percent at least
More than 70 hospitals of Shenyang implement " The clinical route " The expenses lower ten percent at least
Read the registration word: The clinical route is for a certain disease to set up a set of standardization to treat the mode and treat the procedure, can reduce single number, in hospital day and hospitalization cost equally, also can reach standard of making a diagnosis to it is expected the therapeutic effect. It is the medical tool which a lot of developed countries generally use at present. From August, Shenyang will be in more than 70 above- second -class medical organizations including private medical organization, implement the clinical route managements of 279 pieces of number that Ministry of Public Health makes in an all-round way. Can it bring material benefit to common people on earth to implement the clinical route? How much have the expenses been reduced? On August 3, reporters interviewed this. 10 kinds of diseases must be carried out the standard relevant person in charge of Municipal Health Bureau of the route and introduced, appraise as the example with the clinical route implementing effect of the operation patient, including type, day, expenses, medicines expenses, medical consumptive material expenses, patient's satisfaction in hospital in hospital,etc. when the preventative antibacterial medicine employs. Such as the operation of the uterus smooth muscle tumour patient, " clinical route " What medicine can be detailed the regulation spend on the first day, what medicine is spent the second day. And to one operation of notch, may the detailed regulation only permits to spend a kind of antibiotic medicines. On nursing, from admitted to hospital, skill, postoperative, there is a concrete requirement in the clinical route to infusion, nutrition, blood pressure, pulse. Reporter know the intersection of Shenyang and Municipal Health Bureau make 10 editions of clinical route carry out in unison in the whole city second and the above medical organization basically, and it is basically one edition of clinical route modes to require every hospital to consult the whole city, combine the reality of our unit, make 269 kinds of other clinical route forms and procedure and organize the implementation. The Western medicine departments of general hospital, all kinds of section hospitals and Chinese medicine, western chinese hospital, should manage in the clinical route where the catalogue launches all number of corresponding speciality according to making a diagnosis. The reporter knows, these 10 kinds of basic number of clinical route are as follows, acquired character pneumonia of community, too high myocardium infarction of odd-shaped section ST, the transient brain is ischemic to break out, acute simple appendicitis, femur neck fracture, spontaneous pneumothorax, chronic hard meninx make hematoma, uterus smooth muscle tumour, planning and cut open palace producing, inguinal hernia. What medicine is prescribed to prescribe how much " The standard of the route " Having the final say once confirm a certain disease, accord with the clinical route, start the clinical route behind the income courtyard automatically. Absolutely controllable at not checking and using medicine. Take nodular goiter as examples, operation aseptic operation, succeed, used to it already with antibiotic while being postoperative, but after starting the route, antibiotic can't be reused. In addition, even it need at it use by antibiotic,in what that types, in how long, spend many a large amount of, there is a clear requirement in the route. If four kinds of administration methods according to the stipulations of the trying the quick result of the patient in using medicine of appendicitis operation, the doctor not merely can't make the great prescription, even use medicine specifically matching is limited, have controlled the unreasonable using medicine, unreasonable inspection effectively. Average in hospital days will be shortened Implement " clinical route " And then, the single number patient is in hospital equally days will be shortened to some extent, look at present, the patient treats the expenses to reduce by about ten percent at least. Patient aunt Liu is a diabetic, on August 1, after aunt Liu lives in Red Cross, Shenyang hospital, the next day, the nurse showed her the list in hospital. According to " clinical route " ,Aunt Liu clear oneself until how about treat promptly go to a doctor, roughly in hospital for a few days, which check the project do, what medicines are all used, even can roughly calculate the total expenditure in hospital. The school says, really enter the clinical route treatment, it is absolutely controllable to use medicine, check, can really shorten patient average in hospital day, control the medical cost. A kind of disease and an assembly line is cured, can the result be guaranteed? Red Cross, Shenyang hospital medical matters subject Deputy Director Liu WeiDong claims, are standardizing the treatment, the treatment can not be problematic. Certainly, each patient's situation can not be all the same, the doctor can not quote out of context, read according to the copy and treat either. Relevant to chain gt; gt; gt; A patient's standard is in hospital the procedure patient: Mr. Wang, because acute and getting simple appendicitis, in hospital, the appendectomy of doing of next day in August 1. Treat the procedure: Register Going to a doctor, the surgeon inquires the medical history, physical examination The blood screening test lab, further diagnose clearly Surgery, confirm whether to accord with and start the clinical route Explain the condition to relatives, fill in the clinical route form, start the clinical route In hospital for the first, 2 days, must use medicine and check according to the route Observe the condition, reach the standard of leaving hospital, must handle and leave hospital. According to shine on the intersection of bed and the intersection of route and requirement, standard sun less than or equal to 7 days in hospital, Mr. Wang will leave hospital within 5 days. Reporter Shang ZhiWen


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