国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
10期
1863-1865
,共3页
惠玲%张自峰%王雨生%车红芳
惠玲%張自峰%王雨生%車紅芳
혜령%장자봉%왕우생%차홍방
临床路径%白内障%医疗质量%住院日%住院费用
臨床路徑%白內障%醫療質量%住院日%住院費用
림상로경%백내장%의료질량%주원일%주원비용
clinical pathway%cataract%quality of medical care%days of hospitalization%cost of hospitalization
目的：通过对老年性白内障临床路径实施患者住院及治疗情况的综合分析,评价临床路径在规范诊疗行为、提高医院工作效率、促进医疗质量管理中的作用。<br> 方法：对在西安市北方医院眼科通过超声乳化白内障吸除联合人工晶状体植入术行白内障治疗的病例资料进行回顾性研究。临床路径组为2012-10/2013-05收治的老年性白内障患者220例,按白内障临床路径完成标准住院治疗流程；对照组为2010-10/2011-06收治的老年性白内障患者213例,按普通流程完成住院治疗。对两组患者的治疗效果、平均住院日、平均住院费用、及患者满意度进行对比分析。<br> 结果：临床路径组,220例白内障患者视力提高者209例(95.0%),平均住院日4.5±1.4d,平均住院费用4522.3±285.1元；对照组患者213例,视力提高者202例(94.8%),平均住院日5.1±1.7d,平均住院费用4647.7±271.2元。两组间平均住院日和平均住院费用比较有显著性统计学差异(P<0.05)；治疗效果和患者满意度比较无统计学意义(P>0.05)。<br> 结论：老年性白内障临床路径的实施,规范了白内障治疗过程中的医疗行为,优化了医疗诊治流程,降低了医疗成本,提高了医疗质量,为促进医疗管理水平的改进提供了理论±据。
目的：通過對老年性白內障臨床路徑實施患者住院及治療情況的綜閤分析,評價臨床路徑在規範診療行為、提高醫院工作效率、促進醫療質量管理中的作用。<br> 方法：對在西安市北方醫院眼科通過超聲乳化白內障吸除聯閤人工晶狀體植入術行白內障治療的病例資料進行迴顧性研究。臨床路徑組為2012-10/2013-05收治的老年性白內障患者220例,按白內障臨床路徑完成標準住院治療流程；對照組為2010-10/2011-06收治的老年性白內障患者213例,按普通流程完成住院治療。對兩組患者的治療效果、平均住院日、平均住院費用、及患者滿意度進行對比分析。<br> 結果：臨床路徑組,220例白內障患者視力提高者209例(95.0%),平均住院日4.5±1.4d,平均住院費用4522.3±285.1元；對照組患者213例,視力提高者202例(94.8%),平均住院日5.1±1.7d,平均住院費用4647.7±271.2元。兩組間平均住院日和平均住院費用比較有顯著性統計學差異(P<0.05)；治療效果和患者滿意度比較無統計學意義(P>0.05)。<br> 結論：老年性白內障臨床路徑的實施,規範瞭白內障治療過程中的醫療行為,優化瞭醫療診治流程,降低瞭醫療成本,提高瞭醫療質量,為促進醫療管理水平的改進提供瞭理論±據。
목적：통과대노년성백내장림상로경실시환자주원급치료정황적종합분석,평개림상로경재규범진료행위、제고의원공작효솔、촉진의료질량관리중적작용。<br> 방법：대재서안시북방의원안과통과초성유화백내장흡제연합인공정상체식입술행백내장치료적병례자료진행회고성연구。림상로경조위2012-10/2013-05수치적노년성백내장환자220례,안백내장림상로경완성표준주원치료류정；대조조위2010-10/2011-06수치적노년성백내장환자213례,안보통류정완성주원치료。대량조환자적치료효과、평균주원일、평균주원비용、급환자만의도진행대비분석。<br> 결과：림상로경조,220례백내장환자시력제고자209례(95.0%),평균주원일4.5±1.4d,평균주원비용4522.3±285.1원；대조조환자213례,시력제고자202례(94.8%),평균주원일5.1±1.7d,평균주원비용4647.7±271.2원。량조간평균주원일화평균주원비용비교유현저성통계학차이(P<0.05)；치료효과화환자만의도비교무통계학의의(P>0.05)。<br> 결론：노년성백내장림상로경적실시,규범료백내장치료과정중적의료행위,우화료의료진치류정,강저료의료성본,제고료의료질량,위촉진의료관리수평적개진제공료이론±거。
AIM: To analyze clinical data of hospitalized patients with age - related cataract treated through clinical pathway in our hospital, and to investigate the effectiveness of clinical pathway in standardizing medical behavior, advancing work efficiency, and improving quality of hospital management. <br> METHODS:Data of patients with age-related cataract, who were treated with phacoemulsification combined with intraocular lens implantation in Xi'an North Hospital, were retrospectively analyzed. In clinical pathway group, 220 patients underwent cataract surgery from October 2012 to May 2013 in accordance with clinical pathway. For control group, 213 patients with cataract receiving surgery from October 2010 to June 2011, comply with conventional process. Effect of cataract surgery, average length of hospitalization, average cost of hospitalization, and degree of satisfaction of patients were comprehensive investigated. <br> RESULTS: In 220 patients of clinical pathway group, 209 ( 95. 0%) got improved vision, the days of hospitalization was 4. 5 ± 1. 4d, and the average hospitalized consumption was 4 522. 3 ± 285. 1 Yuan. Whereas, in control group, visual acuity in 202 (94. 8%) out of 213 patients were improved, and the length and cost of hospitalization were 5. 1±1. 7d and 4 647. 7±271. 2 Yuan. The difference of the length and cost of hospitalization between these two groups were significant (P<0. 05). However, there was no statistically significance in curative effect and patients satisfaction compare (P>0. 05). <br> CONCLUSION: Practicing of age - related clinical pathway is helpful in standardizing medical heavier, optimizing clinical process, reducing health cost, improving quality of medical care, and providing evidence for hospital management innovation.
