CAJ | 학술논문

目的分析临床路径对住院日和住院费用的影响.方法收集2010.7-2012.3期间实施临床路径后诊断标准和治疗方案一致的4个病种住院患者纳入本研究,对比临床路径组和对照组住院日及住院费用.结果1.临床路径降低了腮腺混合瘤患者的住院天数(P < 0.05),其他病种无统计学差异 . 2.住院费用主要构成因子手术费、药费路径组低于对照组(P < 0. 05).3.唇裂、腭裂患者的住院总费用路径组低于对照组(P < 0.05).结论本次研究的4个单病种通过实施临床路径减少了住院日、避免了平均药品费用的快速增长、有效减少了患者的住院总费用.
목적분석림상로경대주원일화주원비용적영향.방법수집2010.7-2012.3기간실시림상로경후진단표준화치료방안일치적4개병충주원환자납입본연구,대비림상로경조화대조조주원일급주원비용.결과1.림상로경강저료시선혼합류환자적주원천수(P < 0.05),기타병충무통계학차이 . 2.주원비용주요구성인자수술비、약비로경조저우대조조(P < 0. 05).3.진렬、악렬환자적주원총비용로경조저우대조조(P < 0.05).결론본차연구적4개단병충통과실시림상로경감소료주원일、피면료평균약품비용적쾌속증장、유효감소료환자적주원총비용.
Objective To analyze the influence of clinical pathways on the length of hospital stay and medical expenditure .Meth-ods Collecting all the cases of 4 single diseases that were consistant in diagnosis standard and treatment after the implementation of clinical pathways ,then compared the trail and control group with the total length of stay as well as hospital expenditure .Results 1 . The length of stay from the trail group is lower than it from the control group in the mixed parotid tumor ,the difference is statistical-ly significant (P< 0 .05) .2 .The factors which make up the expenditure including drug expense ,surgical fees in trail group is lower than the control group (P < 0 .05) .3 .The average hospital expenditure of the control group is higher than the trail group in the cleft lip and cleft palate ,the result has statistically significant (P < 0 .05) .Conclusion With the implementation of clinical pathway ,the average stay length of four single diseases decreased and prevented the increasing of the average medical drugs cost ,thus cut down the medical fee of the patients effectively .