皇家第一医院临床路径实施分析

Yessica Putri H, Ermi Girsang, Maya Sari Mutia
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引用次数: 0

摘要

临床路径是实现医院临床良治的重要文件和工具。在印度尼西亚,该文件也是KARS版本的医院认证标准必须满足的要求之一。然而,这一临床路径的实施过程本身也存在着各种问题。可能阻碍这一临床路径实施的因素可能来自于工作人员和医院成员自己,因为他们还没有适应这一临床路径。本研究旨在分析临床路径在棉兰皇家第一医院的实施情况。本研究采用定量设计和横断面方法。研究样本是棉兰皇家Prima医院的医生、护士、营养学家、药剂师,他们填写了多达83人的临床路径。Fisher’s Exact检验结果显示,规制性(p=0.000)、依从性(p=0.004)、支持因素(p=0.025)和抑制因素(p=0.002)之间存在显著影响。采用显著性水平为0.05的t检验,结果表明调节是影响棉兰皇家第一医院临床路径实施的主要变量(Sig.0.001)。向医院提出的建议有望加强有关实施临床路径的政策,以改善医院的卫生服务。护理人员应继续遵守临床途径的实施,以改善医院的保健服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation Analysis Of Clinical Pathway At Royal Prima Hospital
Clinical pathways are an important part of documents and tools in realizing good clinical governance in hospitals. In Indonesia, this document is also one of the requirements that must be met in the KARS version of the Hospital Accreditation Standard. However, the process of implementing this Clinical Pathway itself also has various problems. Things that might hinder the implementation of this clinical pathway could come from the staff and hospital members themselves because they have not adapted to this Clinical Pathway. This study aims to analyze the implementation of the Clinical Pathway at the Royal Prima Hospital in Medan. This study uses a quantitative design with a cross sectional approach. The research sample was all doctors, nurses, nutritionists, pharmacists at the Royal Prima Hospital Medan who filled the Clinical Pathway as many as 83 people. The results of the Fisher's Exact test showed that there was a significant effect between regulation (p=0.000), compliance (p=0.004), supporting factors (p=0.025), and inhibiting factors (p=0.002). By using the t-test at a significance level of 0.05, the results obtained that regulation is the variable that has the main influence on the implementation of the Clinical Pathway at Royal Prima Hospital Medan (Sig.0.001). Suggestions to hospitals are expected to strengthen policies regarding the implementation of Clinical Pathway to improve health services in hospitals. Caregivers are expected to maintain compliance with the implementation of the Clinical Pathway to improve health services in hospitals.
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