外伤性截瘫患者康复期保健管理的成本效果分析  

Cost-effect analysis of healthcare management of traumatic paraplegia patients

作　　者：邹西峰[1] 程爱国[1] 袁聚祥[2] 韩向午[2] 徐应军 王翔洲 

机构地区：[1]华北煤炭医学院附属医院神经外科,河北省唐山市063000 [2]华北煤炭医学院预防医学系流行病学教研室 [3]原煤炭部办公厅卫生处

出　　处：《中华医院管理杂志》2000年第6期360-362,共3页Chinese Journal of Hospital Administration

摘　　要：目的　评价煤矿截瘫患者康复期两种管理模式的效率。方法　横断面抽样调查 ,应用成本效果分析方法评价两种管理模式的效率。结果　集中管理的病人泌尿系感染和褥疮的年累加时间均大于分散式管理的病人。分散式管理的病人的生活质量高于集中式管理的患者。集中式管理的直接经济负担比分散式管理多 2倍。分散式管理的费用主要是病人的工资和护理费 ,共占 49 92 %。分散式管理的效率是集中式管理的 2 5 2倍 ,家人护理的效率分别是混合护理和非家人护理的 1 97倍和 1 5 0倍。结论　工伤截瘫患者康复期分散式管理是一种节约。Objective To evaluate the efficiency of two ways of healthcare management of paraplegia patients injured in coal mines. Methods A costeffect analysis was made with the crosssection sampling survey method to evaluate the efficiency of two ways of healthcare management. Results The annual accumulated time of both urinary affection and bedsore for patients receiving centralized management (CM) was greater than that for patients receiving decentralized management (DM) and the life quality of patients receiving DM was better than that of patients receiving CM. The direct financial burden for patients receiving CM was over 3 times as much as that of patients receiving DM. The costs of DM included chiefly patients salaries and nursing expenses, which altogether accounted for 4992%. The efficiency of DM was 252 times as high as that of CM and the efficiency of home care was respectively 197 and 150 times as high as that of mixed and nonhome care. Conclusion DM is an economical and efficient way of healthcare management of paraplegia patients injured at work.

关 键 词：外伤性截瘫 成本效果 失能调整生命年 康复期 

分 类 号：R197.32[医药卫生—卫生事业管理]