目的探究疾病诊断相关分组(diagnosis related groups,DRGs)付费模式药师主导临床路径药学干预对用药合理性的影响。方法选取2021年8月至2024年9月赣州市人民医院住院的72例患者作为研究对象,按照不同药学干预方法分为A组与B组,每组36例...目的探究疾病诊断相关分组(diagnosis related groups,DRGs)付费模式药师主导临床路径药学干预对用药合理性的影响。方法选取2021年8月至2024年9月赣州市人民医院住院的72例患者作为研究对象,按照不同药学干预方法分为A组与B组,每组36例。A组实施常规用药管理,B组实施DRGs付费模式药师主导临床路径药学干预。比较两组住院时间及住院费用、用药情况(用药强度、用药费用、药品费用占比、药物利用指数)、不合理用药、不良反应发生情况。结果两组住院时间比较差异无统计学意义;B组住院费用低于A组,差异有统计学意义(P<0.05);B组用药强度、用药费用、药品费用占比、药物利用指数水平均低于A组,差异有统计学意义(P<0.05);B组不合理用药、不良反应总发生率低于A组,差异有统计学意义(P<0.05)。结论对神经内科住院患者实施DRGs付费模式药师主导临床路径药学干预,可满足治疗需求,减少患者住院费用,提升临床用药合理性。展开更多
In order to find a method which can describe the passenger flow dynamical distribution of urban mass transit during interval interrupted operation,an urban railway network topology model was built based on the travel ...In order to find a method which can describe the passenger flow dynamical distribution of urban mass transit during interval interrupted operation,an urban railway network topology model was built based on the travel path dual graph by considering interchange,crowd and congestion.The breadth first valid travel path search algorithm is proposed,and the multipath passenger flow distribution logit model is improved.According to the characteristics of passengers under the interruption condition,the distribution rules of different types of passenger flow are proposed.The method of calculating the aggregation number of station is proposed for the case of insufficient transport capacity.Finally,the passenger flow of Beijing urban mass transit is simulated for the case study.The results show that the relative error of most of transfer passenger flow is below 10%.The proposed model and algorithm can accurately assign the daily passenger flow,which provides a theoretical basis for urban mass transit emergency management and decision.展开更多
文摘目的探究疾病诊断相关分组(diagnosis related groups,DRGs)付费模式药师主导临床路径药学干预对用药合理性的影响。方法选取2021年8月至2024年9月赣州市人民医院住院的72例患者作为研究对象,按照不同药学干预方法分为A组与B组,每组36例。A组实施常规用药管理,B组实施DRGs付费模式药师主导临床路径药学干预。比较两组住院时间及住院费用、用药情况(用药强度、用药费用、药品费用占比、药物利用指数)、不合理用药、不良反应发生情况。结果两组住院时间比较差异无统计学意义;B组住院费用低于A组,差异有统计学意义(P<0.05);B组用药强度、用药费用、药品费用占比、药物利用指数水平均低于A组,差异有统计学意义(P<0.05);B组不合理用药、不良反应总发生率低于A组,差异有统计学意义(P<0.05)。结论对神经内科住院患者实施DRGs付费模式药师主导临床路径药学干预,可满足治疗需求,减少患者住院费用,提升临床用药合理性。
基金The National Natural Science Foundation of China(No.61374157)the Science and Technology Project of the Education Department of Jiangxi Province(No.GJJ151524)
文摘In order to find a method which can describe the passenger flow dynamical distribution of urban mass transit during interval interrupted operation,an urban railway network topology model was built based on the travel path dual graph by considering interchange,crowd and congestion.The breadth first valid travel path search algorithm is proposed,and the multipath passenger flow distribution logit model is improved.According to the characteristics of passengers under the interruption condition,the distribution rules of different types of passenger flow are proposed.The method of calculating the aggregation number of station is proposed for the case of insufficient transport capacity.Finally,the passenger flow of Beijing urban mass transit is simulated for the case study.The results show that the relative error of most of transfer passenger flow is below 10%.The proposed model and algorithm can accurately assign the daily passenger flow,which provides a theoretical basis for urban mass transit emergency management and decision.
