深圳市某三级综合医院临床路径实施效果评价  

Effect Evaluation of Clinical Pathway in A tertiary General Hospital in Shenzhen

作　　者：乐新[1] 周汝云[1] 陈天文[1] 蒲春涛[1] 伍宇萍[1] 

机构地区：[1]广东医学院附属南山医院,深圳市518052

出　　处：《中国病案》2014年第8期20-21,共2页Chinese Medical Record

基　　金：深圳市科创委资助项目;项目编号JCYJ20130402151227186:单病种临床路径管理的医疗质量绩效评价研究

摘　　要：目的评价临床路径管理模式的临床效果。方法选取该医院2010年5月-2013年5月5个实施临床路径管理病种的患者5268例(临床路径组)和同期的非临床路径管理患者5895例(传统组),对次均住院费用、平均住院日、术前平均住院日及患者满意度等指标进行综合评价。结果临床路径组与传统组比较:结节性甲状腺肿的次均住院费用、次均药费差异无统计学意义,P>0.05,但辅助检查费用显著下降,P<0.001;单纯性阑尾炎次均辅助检查费用差异无统计学意义,P=0.749;其余病种次均住院费用、平均住院日、术前平均住院日和患者满意度比较,P值均<0.05,差异有统计学意义。结论临床路径管理可以有效控制医疗费用的过快增长,缩短患者住院时间和术前等待时间,提高患者满意度。Objective To evaluate the clinical effects of clinical pathway management mode. Methods Comparing and evaluating indexes of hospital charge, hospital stays, pre-operative hospital stays and the ratio of patient satisfaction in two groups. One included 5268 cases of clinical pathway management （clinical-pathway group） and the other group included 5895 cases of non-clinical pathway management （traditional group）. Results The differences of hospital charge, hospital stays, pre-operative hospital stays and the ratio of patient satisfaction were all statistically significant （P〈0. 05） between the two groups except the average hospitalization expense and medicine expense in nodular goiter（p 〉 0.05） and the average assistant examination expense in acute simple appendicitis （p=0. 749）, meanwhile, the assistant examination expense was significantly decreased in the clinical pathway management group in nodular goiter（p〈0. 001）. Conclusion Clinical pathway can control inpatient expense growth, shorten inpatient time and pre-operative hospital stays and improve patient satisfaction effectively.

关 键 词：临床路径 医院管理 效果评价 

分 类 号：R197.3[医药卫生—卫生事业管理]