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目的评价两个病种在实施临床路径前后的效果,积累有代表性的回顾性分析数据,为临床路径管理工作提供依据,研讨进一步开展临床路径工作的有效措施。方法从HIS系统检索腹股沟斜疝和慢性阻塞性肺病患者在实施临床路径前后相关信息,分为对照组和路径组,采用Excel建立数据库,用SPSS统计软件进行数据分析。结果路径组较对照组在平均住院日、人均医疗费用、术前平均住院日均有所下降,差别显著,有统计学意义;药费占总费用构成比变化不大,差别不显著。结论两个病种患者实施临床路径后可以降低医疗费用,缩短平均住院日,是一种可行的医疗护理新模式。
Objective To evaluate the effect of two kinds of diseases before and after the implementation of clinical pathology, and to accumulate representative retrospective analysis data to provide basis for clinical path management and to discuss effective measures to further carry out clinical path work. Methods The information of patients with inguinal hernia and chronic obstructive pulmonary disease before and after implementation of clinical pathway was retrieved from HIS system. The data were divided into control group and path group. Excel was used to establish the database and SPSS statistical software was used to analyze the data. The results of path group than the control group in the average length of stay, per capita medical expenses, preoperative average length of stay decreased, with significant differences, statistically significant; the proportion of total cost of drug costs did not change much, the difference was not significant. Conclusion It is a feasible new mode of medical care to reduce the medical expenses and shorten the average length of stay after the implementation of clinical pathology in two kinds of patients.