转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
1期
163-165
,共3页
乌鲁木齐%三甲医院%电子化临床路径%实施效果
烏魯木齊%三甲醫院%電子化臨床路徑%實施效果
오로목제%삼갑의원%전자화림상로경%실시효과
Urumqi%major hospital%electronic clinical path-way%implementation effect
目的：分析乌鲁木齐某三甲医院电子化临床路径实施的效果，为电子化临床路径的应用和推广提供参考．方法：选取该院2012-01～12实施纸质版临床路径17个病种诊疗病例342例，收集2013-01～12电子化临床路径诊疗的对应病例948例，对比住院时间和住院费用；选取2013年排名前十病种的临床路径病例1204例，收集2013年对应临床路径前10病种未实施临床路径病例337例，对比住院时间和住院费用．结果：经过分析，实施电子化临床路径的病例，其平均住院时间和住院费用均低于实施纸质版临床路径的病例，差异有统计学意义（P ＜0．05）；实施临床路径的病例，其平均住院时间和住院费用均低于未实施临床路径的病例，差异有统计学意义（P ＜0．05）．结论：实施电子化临床路径，能更有效地控制医疗行为，有利于进一步缩短患者住院时间，减少住院费用，对于促进患者的康复和减轻家庭负担具有重要作用．
目的：分析烏魯木齊某三甲醫院電子化臨床路徑實施的效果，為電子化臨床路徑的應用和推廣提供參攷．方法：選取該院2012-01～12實施紙質版臨床路徑17箇病種診療病例342例，收集2013-01～12電子化臨床路徑診療的對應病例948例，對比住院時間和住院費用；選取2013年排名前十病種的臨床路徑病例1204例，收集2013年對應臨床路徑前10病種未實施臨床路徑病例337例，對比住院時間和住院費用．結果：經過分析，實施電子化臨床路徑的病例，其平均住院時間和住院費用均低于實施紙質版臨床路徑的病例，差異有統計學意義（P ＜0．05）；實施臨床路徑的病例，其平均住院時間和住院費用均低于未實施臨床路徑的病例，差異有統計學意義（P ＜0．05）．結論：實施電子化臨床路徑，能更有效地控製醫療行為，有利于進一步縮短患者住院時間，減少住院費用，對于促進患者的康複和減輕傢庭負擔具有重要作用．
목적：분석오로목제모삼갑의원전자화림상로경실시적효과，위전자화림상로경적응용화추엄제공삼고．방법：선취해원2012-01～12실시지질판림상로경17개병충진료병례342례，수집2013-01～12전자화림상로경진료적대응병례948례，대비주원시간화주원비용；선취2013년배명전십병충적림상로경병례1204례，수집2013년대응림상로경전10병충미실시림상로경병례337례，대비주원시간화주원비용．결과：경과분석，실시전자화림상로경적병례，기평균주원시간화주원비용균저우실시지질판림상로경적병례，차이유통계학의의（P ＜0．05）；실시림상로경적병례，기평균주원시간화주원비용균저우미실시림상로경적병례，차이유통계학의의（P ＜0．05）．결론：실시전자화림상로경，능경유효지공제의료행위，유리우진일보축단환자주원시간，감소주원비용，대우촉진환자적강복화감경가정부담구유중요작용．
AIM:To analyze the implementation effect of elec-tronic clinical pathway in a major hospital in Urumqi and provide reference for the application and popularization of the clinical e-lectronic pathway. METHODS: From January to December 2012,paper-based clinical pathway was implemented in 342 pa-tients of 17 diseases in our hospital.From January to December 2013,electronic clinical pathway was implemented in 948 pa-tients.Hospital stay and hospital cost of the two groups were com-pared.And also among patients with top ten diseases,1204 cases who had undergone and 337 cases who had not undergone clinical pathway were selected,and hospital stay and hospital cost were compared.RESULTS:Upon analysis,patients who underwent e-lectronic clinical pathway spent averagely less days and money in hospital than those who underwent paper-based clinical pathway, and there were statistically significant differences (P <0.05 );patients who underwent clinical pathway spent averagely less days and money in hospital than those who did not undergo clinical pathway,and there were also statistically significant differences (P <0.05).CONCLUSION:The implementation of electronic clinical pathway can effectively control the medical practice and is conducive to hospital stay and cost reduction.It plays important role in promoting the rehabilitation of patients and reducing the economic burden of the family.
