中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2013年
5期
353-356
,共4页
马国胜%蔡曦光%孟永洁%张东%唐淑玲%刘小霞%包雅琴%陈延平%柏燕
馬國勝%蔡晞光%孟永潔%張東%唐淑玲%劉小霞%包雅琴%陳延平%柏燕
마국성%채희광%맹영길%장동%당숙령%류소하%포아금%진연평%백연
临床路径%效果%费用%满意度%评价指标
臨床路徑%效果%費用%滿意度%評價指標
림상로경%효과%비용%만의도%평개지표
Clinical pathway%Effect%Expense%Satisfaction%Evaluation indexes
目的 了解临床路径管理对医院工作效率、经济效率及患者满意度的影响.方法 选择2010年8月至2012年8月于我院住院的适合实施临床路径管理的患者,包括轻-中度支气管哮喘等23个病种的1436例作为观察组；选择2008年1月至2009年12月我院未曾实施临床路径的上述同样疾病的1445例患者作为对照组,以住院总费用、药物总费用、平均住院时间、药品种数、术后生活回归时间及满意度评分等作为评价指标.结果 观察组的住院总费用、药物总费用、抗生素费用、平均住院时间、抗生素使用时间、药品种数、术前住院时间、术后住院时间及术后生活回归时间等指标均低于对照组(P＜0.05),满意度评分则高于对照组(P＜0.05).结论 临床路径能科学、有效、合理地控制医疗成本,提高医院运行效率,提高患者满意度.
目的 瞭解臨床路徑管理對醫院工作效率、經濟效率及患者滿意度的影響.方法 選擇2010年8月至2012年8月于我院住院的適閤實施臨床路徑管理的患者,包括輕-中度支氣管哮喘等23箇病種的1436例作為觀察組；選擇2008年1月至2009年12月我院未曾實施臨床路徑的上述同樣疾病的1445例患者作為對照組,以住院總費用、藥物總費用、平均住院時間、藥品種數、術後生活迴歸時間及滿意度評分等作為評價指標.結果 觀察組的住院總費用、藥物總費用、抗生素費用、平均住院時間、抗生素使用時間、藥品種數、術前住院時間、術後住院時間及術後生活迴歸時間等指標均低于對照組(P＜0.05),滿意度評分則高于對照組(P＜0.05).結論 臨床路徑能科學、有效、閤理地控製醫療成本,提高醫院運行效率,提高患者滿意度.
목적 료해림상로경관리대의원공작효솔、경제효솔급환자만의도적영향.방법 선택2010년8월지2012년8월우아원주원적괄합실시림상로경관리적환자,포괄경-중도지기관효천등23개병충적1436례작위관찰조；선택2008년1월지2009년12월아원미증실시림상로경적상술동양질병적1445례환자작위대조조,이주원총비용、약물총비용、평균주원시간、약품충수、술후생활회귀시간급만의도평분등작위평개지표.결과 관찰조적주원총비용、약물총비용、항생소비용、평균주원시간、항생소사용시간、약품충수、술전주원시간、술후주원시간급술후생활회귀시간등지표균저우대조조(P＜0.05),만의도평분칙고우대조조(P＜0.05).결론 림상로경능과학、유효、합리지공제의료성본,제고의원운행효솔,제고환자만의도.
Objective To study the effects of clinical pathway management on hospital efficiency,cost effectiveness and patient satisfaction.Methods Choosing inpatients appropriate for clinical pathway management who were admitted from August 2010 to August 2012 into the hospital,including those patients with any of the 23 diseases such as bronchial asthma(mild or moderate)at the hospital,totaling 1436 cases as the observation group.Choosing those inpatients who were admitted from January 2008 to December 2009 into the hospital and not subject to the clinical pathway management,including those patients diagnosed with any of the above 23 diseases,totaling 1445 cases as the control group.Total hospital expense,total medicine expense,average days of stay,types of drugs used,days of normal life recovery after operation,and satisfaction score were made the evaluation indexes.Results Such indexes as the total hospital expense,total medicine expense,antibody expense,average days of stay,types of drugs used,hospital days before operation,days of normal life recovery after operation were lower than the control group(P＜0.05),while the satisfaction score was higher than the control group(P＜0.05).Conclusion Clinical pathway can control medical costs in a scientific,effective and reasonable way,while improving hospital efficiency and raising patient satisfaction.
