乳腺良性肿物超声引导下麦默通(mammotome)切除临床路径的回顾性分析

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1、万方数据大连医科大学硕士学位论文合我国国情的需要，具有重要的现实意义。临床路径是一种科学有效的医疗管理模式，具有可行性、推广性。关键词：乳腺良性肿物麦默通(Mammotome)临床路径万方数据大连医科大学硕士学位论文ARetrospectiveStudyofClinicalPathwayintheExcisionofBenignBreastMassesbyUltrasound—guidedMammotomeMasterDegreeCandidate：YanZhangSupervisor：ProfessoerJinLiAbstractBackground：Itis

2、wellknownthatexpensivemedicaltreatmentisthehotspotofhealthcare．InJanuary201l，theNationalHealthMinisterzhuChensaiditwasnecessarytocontroltheexcessivegrowthofmedicalcostsasanimportanttaskofpublichospitalreformtask．Therefore，fromtheperspectiveofthehospitaleconomicmanagementmodeltoanalyz

3、ethecausesofrisingmedicalcosts，andtoexploreeffectivemanagementmodetoreducetheoperatingcostsandcontrolmedicalcosts，SOwecanreducetheeconomicburdenofpatients．Thereischeapcostbehindthehigh—qualityservice，itcanimprovepatients’satisfaction，attendancerateswillincrease，ithaspracticalsignific

4、ancetothehospital【¨．Intheearly1980’S，forthesameproblem，theUnitedStatestooktheleadintheimplementationofdiagnosisrelatedgroupinglegislationforpaymentbasedonafixedprepaymentsystem(DiagnosisRelatedGroups—ProspectivePaymentSystem，DRGs‘PPS)toimprovetheutilizationofhealthresources，inhibitco

5、nstantrisinghealthcarecosts．Onthisbasis，Boston，Massachusetts，NewEnglandMedicalCenterfirstlyputclinicalpathway(ClinicalPathway,CP)toclinicalmanagement，andproveditcanshortthelengthofstayandcostsavings【2】【31．anddidn’taffectthetreatmenteffect．ThedefinitionofclinicalpathwaysofMinistryofHe

6、althofChinaisdoctors，nursesandotherprofessionalsforcertaindiseasesorsurgery,onthebasisofevidence‘basedmedicinebasis，inordertoimprovethemedicalquality,controlthemedicalriskandimprovetheutilizationefficiencyofhealthresources．Forthepurposeofmakingastrictworkorderandprecisetimerequiremen

7、tsofproceduralandstandardizeddiagnosisandtreatmentplan，tostandardizethemedicalservice，lesswasteofresources，SOthatpatientsreceive4万方数据大连医科大学硕士学位论文appropriatemedicalcareservices．Year2010，China’Sministryofhealthfordiseasetodeveloptheclinicalpathforms，andhavestartedtopilotclinicalpathway

8、managemenLco