2017年泰安市某医院临床路径实施效果评价分析  

Evaluation and analysis of implementation effect of clinical pathway in a hospital of Tai'an in 2017

作　　者：曹丙艳 刘钢[1] Cao Bingyan;Liu Gang(Affiliated Hospital of Taishan Medical University,Tai′an 271000,China)

机构地区：[1]泰山医学院附属医院,泰安271000

出　　处：《中国医院统计》2018年第5期370-372,共3页Chinese Journal of Hospital Statistics

摘　　要：目的探讨实施临床路径的管理实施效果,为医院管理提供参考依据。方法采用回顾性方法分析支气管肺炎、脑梗死、不稳定性心绞痛、老年性白内障和结节性甲状腺肿的临床路径组与非临床路径组住院患者平均住院日、住院总费用、护理费、药费、耗材费的差异。结果通过Mann-Whitney检验,临床路径组和非临床路径组住院总费用、护理费、药费、耗材费、住院患者平均住院日差异有统计学意义(P<0.05)。结论实施临床路径管理能规范诊疗服务行为,控制医疗费用,降低平均住院日。Objective To explore the management implementation effect of clinical pathway for providing hospitals with reference in their management.Methods The retrospective method was adopted in this paper to analyze the differences of the average length of stay(ALOS),total hospitalization expenses,nursing costs,charges for medicine and cost of consumables of the patients in the clinical pathway group and the non clinical pathway group,who suffered bronchopneumonia,cerebral infarction,unstable angina pectoris,senile cataract or thyroidnodules.Results The Mann-Whitney test showed that there was a statistically significant difference between the two groups in the total hospitalization expenses,nursing costs,charges for medicine,cost of consumables and the average length of stay(P<0.05).Conclusion The implementation of clinical pathway management is helpful for standardizing the diagnosis and treatment services,controlling medical expenses and reducing the average length of stay.

关 键 词：临床路径 医疗费用 平均住院日 支气管肺炎 脑梗死 

分 类 号：R197.1[医药卫生—卫生事业管理]