A Feasibility Research Based On The Planned Cesarean Section Clinical Pathway For Disease Quality Control

Objective:Through the applying "disease quality control standard" mentioned by the Ministry of health, analyse the sample hospital planned cesarean section clinical pathway implementation effect, and observe whether clinical pathway can control nonstandard clinical diagnosis and treatment behavior in the existing management pattern. And this essay explore the feasibility and method of clinical pathway management mode organicly combinated with the single disease quality control. Methods:The information of clinical pathway from literature research method and sample hospital implementation, realizes the status quo and difficulties of the implementation of the planned cesarean section clinical path and the medical quality control; This research divides the implementation of the control (observation group) and without (control group) with systematic random sampling,. The changes of indexes related to the planned cesarean section clinical path:treatment of hospitalized patients, rationality of treatment, medical expenses, patient satisfactionand so on, evaluate the implementation effect of the clinical pathway control of medical quality, and improve the clinical pathway further. Packet processing data with statistical software SPSS13.0, comparison between the two groups using t test, chi square test with count data; the classification of various types of data the collected input is calculated in the Excel database, using SPSS13.0analysis software to the medical quality indicators of descriptive statistical analysis. Results:The implementation of the planned cesarean section clinical pathway significantly shorten the days of maternal inpatients and postoperative patients hospital stay, improve patient satisfaction, reduce expenses for medicine, improve medical quality and reduce the social factors operation syndrome of cesarean section. The difference between the observation group and the control group was statistically significant (P<0.05). There is no obvious changes in the total hospital charges, the rate of neonastal asphyxia, operation incision healing, postpartum hemorrhage between two groups, and no statistical significance between group A and group B (P>0.05).Conclusion: The implementation of planned cesarean section clinical pathway reduced the length of hospital stay and postoperative hospital stay, increased the efficiency of medical service, improved patient satisfaction, improved the doctor-patient relationship to a certain extent, reduced the drug significantly, controled the irrational use of drugs especially the abuse of antibiotics; the reduce of patient and family demanding cesarean section controled the cesarean section rate to a certain extent, improved the quality of obstetrical department. A clinical pathway management mode to which has had the standard of diagnosis and treatment behavior can supervise and control continousely.Medical quality control also need to notice many details of the clinical path management mode. There are many places to be corrected, such as the effective use of information system, establishment of a convenient operation and execution, are suitable for the disease characteristics and the actual hospital clinical path, the scientific implementation, evaluation and management system, then it will truly achieve the medical quality control and management.