The tertiary hospital of Beijing pushes away " The menu type " Make a diagnosis Defend excessive medical treatment

The tertiary hospital of Beijing pushes away " The menu type " Make a diagnosis Defend excessive medical treatment
Make which check, use what apparatus and medicines, postoperative what medicine does it spend in hospital in the skill in front of the skill In the future, all tertiary hospitals in this city are in hospital a patient will enjoy the very clear " menu type " Make a diagnosis and serve, transparent consumption. Yesterday, the reporter learnt, before the end of this year from clinical route training class of surgery of Ministry of Public Health, Ministry of Public Health will issue the clinical routes of 100 pieces of number, and push the clinical route open in the tertiary hospital, conditional second hospital should pursue too. The standardization to the clinical route of 100 number execution will be therapeutic too in 51 tertiary hospitals in this city.
The clinical route is for every number, make a set of modes of making a diagnosis which specialists in general cases must follow. Treat the route through the clinic in the computer, inspection after admitted to hospital to the patienting, test, hold a consultation, treatment, the intersection of surgery and preparation, surgery, resume, make a diagnosis course, time of making a diagnosis and make a diagnosis expense go on the standardization, standardization control behind the surgery, thus reduce different doctor's medical differences to different patients of the same number. These 100 pieces of number involve digesting department, department of nerve internal medicine, respiratory medicine, oncology department,etc., such as include gastroduodenal ulcer, bronchiectasis, liver cirrhosis ascites,etc..
11 hospitals participate in the clinical route pilot project in this city at present, up to August 31, 2010, 19 specialized 80 pieces of number and 4664 cases in all have been finished managing in the clinical route. The assessment result that Beijing Municipal Health Bureau offers reveals, the management of clinical route helps to use the basic medicine preferably even more, strengthen use for antibiotic and management at the same time, is especially chosen, able to bear respects such as nature monitoring,etc. in antibiotic.
The relevant person in charge of the People's Hospital of Peking University one of the clinical route pilot projects of this city says, such as acute appendicitis, according to patient's age, gender and disease, will make different schemes of making a diagnosis in each kind of disease, stipulate how much the scheme needs to make a diagnosis each one meanwhile. When the patient goes to a doctor, doctors can follow the patient's ages and diseases, contrasting the route employs the guide to make a diagnosis, in this way the patient can see too what kind of treatment oneself will go on in detail, including what kind check, odd day operation,etc. does it do several day.
Dialogue surgical Deputy Director of teaching and research room Jiang KeWei of the People's Hospital
Patient's condition changes and adjusts the route at any time
Reporter: If in the course of treating, the patient's condition is changed, whether will still continue carrying out the clinical route?
Jiang KeWei: No. If the patient's condition is changed, is not suitable for the original clinical route, will adjust at any time too then, even withdraw from this route. Meanwhile, if some in the route is checked and already done in the clinic, we will not check again by force either.
Reporter: Can the doctor change or adjust the route without authorization?
Jiang KeWei: The doctor must select the doctor's order to choose by force while carrying out some route; Must select the doctor's order if selected, need to fill in the reason of making a variation by force; As it choice can select or newly-increased doctor's order, should fill in the reason of making a variation, if operation postpone and time postpone, take, fill in reason of making a variation too. When the route is finished, verify and must select finally. Will check the implementation of the route regularly in the medical matters place.
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