骨科实施临床路径的调查分析  

Investigation and Analysis of the Clinical Pathway Implementation in Department of Orthopedics

作　　者：梁晚福[1] 

机构地区：[1]广东省中山市中医院,中山市528400

出　　处：《中国病案》2013年第9期34-35,共2页Chinese Medical Record

摘　　要：目的调查分析骨科临床路径实施的现状,评价临床路径的实施效果。方法采用回顾性调查病历的方法,抽取临床路径实施前后股骨头坏死、腰椎间盘突出症、锁骨骨折的住院病案,采用t检验、秩和检验等统计方法对比。结果临床路径实施前后,股骨头坏死的住院天数和住院总费用没有显著性差异;腰椎间盘突出症的人均住院天数缩短2天,住院总费用减少824元,差异具有统计学意义;锁骨骨折的人均住院天数缩短3天,住院总费用减少1089元,差异具有统计学意义。结论临床路径的实施有助于减少无效、低效住院日,控制住院天数,降低住院费用。Objective To analyze the status of orthopedic clinical pathway, to evaluate its implement effects. Methods Using medical record review survey, selecting avascular necrosis, lumbar disc herniation, clavicular fracture which were taken before and after the clinical pathway implementation, and analyzing results by t-test and rank sum test. Results The hospitalization days and total hospitalization expenses of avascular necrosis were no significant differences after the clinical pathway implementation. The average per hospitalization day of lumbar disc herniation shortened two days, the total hospitalization expenses decreased 824yuan, and the differences had statistical significance. The hospitalization days and total hospitalization expenses of clavicular fracture shortened three days, the total hospitalization expenses decreased 1089yuan, and the differences had statistical significance. Conclusion The implementation of clinical pathway contributes to reducing ineffective and inefficient hospitalization days, controlling the length of hospitalization days, and reducing the hospitalization costs.

关 键 词：临床路径 骨科 调查分析 

分 类 号：R197.3[医药卫生—卫生事业管理]