摘要
目的探讨急性有机磷农药中毒临床路径应用的可行性以及对平均住院日和平均医疗费用的控制效果。方法对滨州医学院附属医院急诊科收治的急性有机磷农药中毒患者的临床资料进行回顾性研究,将实行临床路径治疗的患者作为临床路径组,另一组做为对照组。观察两组患者平均住院时间、平均住院费用、治愈率及满意度。结果临床路径患者平均住院时间、平均住院费用低于对照组,差异有统计学意义(P〈0.01);患者满意度高于对照组,差异有统计学意义(P〈0.01);治愈率两组无明显改变,差异无统计学意义(P〉0.05)。结论急性有机磷农药中毒患者实行临床路径治疗后能一定程度上解决看病贵的问题,有利于减少医疗纠纷,与我国卫生部实行临床路径的初衷一致。
Objective To study the application feasibility of clinical pathway in acute organo-phosphorus pesticide poisoning and its controlling effect on the average hospitalization days and the aver-age medical expenses.Methods Patients with acute organic phosphorus pesticide poisoning admitted in the emergency department of our hospital were studied retrospectively.Patients treated with clinical path way were in clinical pathway group,others were in the control group.The average hospitalization time,hospitalization costs,cure rate and satisfaction degree of the two groups were observed.Results The av-erage hospitalization time,hospitalization costs in clinical pathway group were lower than those in the control group,the differences were significant(P〈0.01);the satisfaction degree was higher than that in the control group,the difference was significant(P〈0.01);but there was no significant difference in the cure rate between the two groups(P〉0.05).Conclusions For patients with acute organophosphorus pesticide poisoning,clinical pathway can solve the problem of high medical costs to some degree and is beneficial to reduce the medical disputes,which is consistent with the original intention of clinical pathway implementated by China's Ministry of Health.
出处
《中国实用医刊》
2012年第13期11-12,共2页
Chinese Journal of Practical Medicine
关键词
临床路径
急性有机磷农药中毒
医疗费用
Clinical pathway
Acute organic phosphorus pesticide poisoning
Medical expenses
