循证医学在神经内科的应用  

Application of evidence-based medicine in the department of neurology

作　　者：徐嘉玲[1] 周东[2] 文黎敏[1] 王军[1] 张捷[1] 刘鸣[2] 张勤[3] 

机构地区：[1]华西医科大学附属第一医院财务处,成都610041 [2]华西医科大学附属第一医院神经内科,成都610041 [3]华西医科大学附属第一医院计算机中心,成都610041

出　　处：《中华医院管理杂志》2001年第7期411-412,共2页Chinese Journal of Hospital Administration

摘　　要：目的　为了探讨提高神经内科诊疗水平 ,降低病人经济负担的办法。方法　以脑梗塞为切入点 ,采用循证医学的方法收集相关资料进行治疗方案的优化。结果　平均住院日、治疗有效率、单病种费用 ,在循证前的结果分别为 :17 83± 13 44、89 91%、45 5 0 70元 ;在循证后的结果分别为 :15 38±11 37、94 16 %、3942 88元。结论　循证管理是一种科学管理手段 ,在神经内科应用中取得明显成效 。Objective To explore ways of enhancing the therapeutic level of the neurology department and reducing the economic burdens of patients. Methods Relevant materials were collected by means of evidence based medicine to optimize therapeutic schedules, with cerebral infarction being the pitching in point. Results Prior to the adoption of evidence based medicine, the average length of stay, the effective rate of treatment and the expenses for single entity diseases were respectively 17.83±13.44, 89.91% and 4 550.70 yuan, whereas after the adoption of evidence based medicine, they were respectively 15.38±11.37, 94.16% and 3 942.88 yuan. Conclusion Evidence based management is a means of scientific management. Its application in the department of neurology has produced a marked effect and it is worthy to be spread.

关 键 词：循证医学 循证管理 神经内科 临床治疗 

分 类 号：R-0[医药卫生]