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Five years after the introduction of critical paths to medical practice in Japan, they are extending beyond the hospital setting and now utilized in the connections between hospitals, clinics, and medical supplies information service. From now on, it is expected to include paths into computerized medical records. It will be necessary to standardize terms and, coding schemes used for paths. In order to address this need, we extracted paths from the literature and made experimental standardized care categories. On average, a path was composed of 13.3 care categories. Care categories, used well in paths are "examination, " "meal, " "excretion, " "cleanness, " "nutrition, " "activity and rest, " "treatment, " "guidance, " and"rehabilitation" in order of the frequency of use. The medical information system development center in japan and academies proceed with the standardization in these parts. Standardization, however, seems to be late for the following types of terms: those that cross some territories, have low relevance to health insurance, or relate to daily life support. We suggest 10 categories as a tentative plan to standardize critical paths: (1) outcome, (2) examination, (3) nutrition, (4) cleanness, (5) excretion, (6) activity and rest, (7) treatment, (8) guidance, (9) rehabilitation, (10) drugs.
特定非営利活動法人日本医療マネジメント学会の論文