摘要
目的:研究临床路径的管理方法,评价临床路径的应用效果。方法:运用病例分型方法、统计学分析、循证医学以及持续质量改进对六个病种进行临床路径管理。结果:六个单病种临床路径组的病例,平均住院日、平均医疗费、平均药费均减少,患者满意度均提高,差异有统计学意义(P<0.05)。结论:临床路径管理需运用病例分型病例监测、应用循证医学最新成果、采用PDCA循环过程,临床路径管理能有效地降低病种医疗费用、缩短病人住院日,增加患者满意度,促进医疗护理质量的持续改进。
Objects：This study is to research the management methods of clinical pathway, and evaluate the application of it. Methods： Managements of clinical pathway with six kinds of illnesses were analyzed by case classification, statistic analysis, evidence-based medicine, and continuous quality improvement. Results：We analyzed the clinical pathway of 396 cases of these six kinds of illnesses and 360 cOntrols managed in traditional way. Patients average days in hospital, average cost of medical treatment, and average cost of medicine all have decreased, meanwhile the degree of patients＇ satisfaction have increased. These four respects is significant difference between using the management of clinical pathway and using the traditional way （P〈0.05）. Conclusion： The management of clinical pathway needs case classification, case monitoring, new achievement in evidence-based medicine, and PDCA circulating process. This is an effective way to decrease the cost of medical treatment and the days in hospital, and increase the degree of patients＇ satisfactions, and it is also a continuous method to improve medical and nursing quality.
出处
《科技信息》
2010年第3期383-383,396,共2页
Science & Technology Information
关键词
临床路径
管理方法
单病种
Clinical pathway
Management
Single kind of illness
