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单病种临床路径管理经济效果分析
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  • 英文篇名:The Effect of Single Disease Clinical Pathway Management
  • 作者:杨明常
  • 英文作者:YANG Ming-chang;Section of Health Care,Department of Medical Affairs,Guangzhou General Hospital,Guangzhou Military Region;
  • 关键词:单病种临床路径管理 ; 应用 ; 效果
  • 英文关键词:single disease clinical pathway management;;application;;effect
  • 中文刊名:JFYG
  • 英文刊名:Hospital Administration Journal of Chinese People's Liberation Army
  • 机构:广州军区广州总医院医务部保健科;
  • 出版日期:2015-04-30
  • 出版单位:解放军医院管理杂志
  • 年:2015
  • 期:v.22;No.168
  • 语种:中文;
  • 页:JFYG201504022
  • 页数:3
  • CN:04
  • ISSN:31-1826/R
  • 分类号:52-54
摘要
目的探讨单病种临床路径管理的应用效果。方法在某三甲医院接收的住院患者中,随机抽取5个病种200例患者作为观察组,实施临床路径管理;另随机选取同时期同样5个病种200例患者作为对照组,实施常规管理。结果观察组的平均住院时间和住院费用明显低于对照组,且观察组对治疗和护理的满意度明显高于对照组,其差异具有统计学意义(P<0.05)。结论单病种临床路径管理对提高医疗服务质量具有重要作用,临床应加以推广。
        Objective To test the effect of single disease clinical pathway management.Methods 200 hospitalized patients were chose from 5 types of diseases randomly,who were set to be the observation group,and implemented clinical pathway management.Meanwhile,200 hospitalized patients from the same 5 types of diseases were set to be the control group randomly,and implemented routine management.Results The average length of stay and medical expenses of the observation group was less than the control group,while the degree of satisfaction was higher than that of the control group,and the difference was of statistical significance(P<0.05).Conclusions The single disease clinical pathway management plays an important role in improving the quality of medical service,and it is worthy for clinical application.
引文
[1]蒲月英,罗瑶,王孝琦.医院相关病种实施临床路径管理的效果分析[J].中国卫生统计,2014,31(3):463-464,467.
    [2]杨洁,李礼安,张武军,等.优化临床路径管理模式#持续推进公立医院改革[J].实用医学杂志,2013,29(17):2926-2927.
    [3]赵琨,张莹,马莉,等.公立医院临床路径管理试点工作开展现状与效果评估:基于卫生部临床路径上报数据[J].中国卫生经济,2013,32(1):76-80.
    [4]辛然,刘明旭,顾芯铭.老年患者临床路径管理在基本医疗保险制度下费用支付比例的年度对照[J].中国老年学杂志,2014,34(15):4308-4309.
    [5]王丽莎.临床路径管理在中小城市医院中的应用[J].重庆医学,2012,41(32):3453-3455.

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