2型糖尿病酮症酸中毒专科诊疗路径应用的评价研究  

Evaluation on the Application of Clinical Pathway for Type 2 Diabetic Ketoacidosis

作　　者：曹红霞[1] 陈琦[1] 梁万年[1] 路孝琴[1] 彭小霞[1] 刘民[2] 杜雪平[3] 庄晓明[3] 王海燕[3] 李亚玉[3] 李燕娜[3] 戴秋颖[3] 方洁如[3] 吴松涛[3] 乌正赉[4] 

机构地区：[1]首都医科大学,北京市100054 [2]北京大学医学部 [3]首都医科大学附属复兴医院 [4]中国协和医科大学基础医学院

出　　处：《中国全科医学》2005年第5期350-352,共3页Chinese General Practice

摘　　要：目的　评价所建立的适用于我国城市医院患者的 2型糖尿病专科诊疗路径的效果、效益、可行性和可推广性。方法　采用历史对照方法和个人深入访谈, 对所建立的专科诊疗路径进行评价。结果　实施 2型糖尿病酮症酸中毒专科诊疗路径能减少患者的住院天数、降低医疗费用, 同时提高了患者对医疗服务的满意度。结论　2型糖尿病酮症酸中毒专科诊疗路径作为一个疾病管理模式具有一定的成本效益。Objective The aim of this study was to evaluate the effectiveness, benefit, feasibility and extrapolability of the clinical pathway developed in urban hospital for the patients with type 2 diabetic ketoacidosis.Methods The clinical pathway developed in urban hospital was evaluated by before-after trial and individual depth interview.Results The clinical pathway for type 2 diabetic ketoacidosis shortened the LOS (length of hospital stay), decreased the medical cost and increased the satisfaction of patients in experimental group.Conclusion The clinical pathway developed in urban hospital for patients with type 2 diabetic ketoacidosis may be a cost-effectiveness model for disease management.

关 键 词：2型糖尿病 酮症酸中毒 患者 诊疗 评价研究 住院天数 深入访谈 专科 结论 历史 

分 类 号：R587.1[医药卫生—内分泌] R197[医药卫生—内科学]