CAJ | 학술논문

目的：研究临床路径对某院医保5种手术疾病的相关数据的影响。方法收集某院2013年1月-2014年12月因子宫肌瘤、子宫腺肌症、急性化脓性阑尾炎、良性前列腺气切、慢性鼻窦炎5种手术治疗属于市医保的患者共973例。实行临床路径管理481例做为cp组；同期住院未实行CP管理的492例患者为对照组。统计分析两组患者的住院总费用、药费（包括中西药费）、平均住院日、手术费用、检查费（包括化验费及影像学检查费用）、材料费（包括高耗材及一次性材料费用）。结果两组的平均住院日与手术费用基本持平；住院总费用P＜0.03、药费P＜0.02、检查费P＜0.02、材料费P＜0.02，均有明显差异。结论实施CP管理患者可降低患者的住院总费用、药费、检查费、材料费。
목적：연구림상로경대모원의보5충수술질병적상관수거적영향。방법수집모원2013년1월-2014년12월인자궁기류、자궁선기증、급성화농성란미염、량성전렬선기절、만성비두염5충수술치료속우시의보적환자공973례。실행림상로경관리481례주위cp조；동기주원미실행CP관리적492례환자위대조조。통계분석량조환자적주원총비용、약비（포괄중서약비）、평균주원일、수술비용、검사비（포괄화험비급영상학검사비용）、재료비（포괄고모재급일차성재료비용）。결과량조적평균주원일여수술비용기본지평；주원총비용P＜0.03、약비P＜0.02、검사비P＜0.02、재료비P＜0.02，균유명현차이。결론실시CP관리환자가강저환자적주원총비용、약비、검사비、재료비。
ObjectiveTo study the impacts of clinical pathway for five kinds of surgical diseases relevant data of health insurance.Methods Collect 973 health insurance patients with five kinds of surgical diseases which are hysteromyoma, uterine adenomyosis, and acute suppurative appendicitis, and benign prostatic gas cutting, chronic sinusitis from January 2013 to December 2014. We divide 481 cases with clinical pathway management into cp group; and divide 492 cases without CP management in the corresponding period into control group. Analyze two groups of patients in hospital cost, expenses for medicine(including Chinese and western medicine), average length of stay, operation cost, examination(including assay and imaging examination), cost of raw materials(including high supplies and disposable material costs).Results Two groups of average length of stay and operation costs arebasicallyflat; the hospital total cost(P<0.03), expenses for medicine(P<0.02), expenses for examination (P<0.02), materials(P<0.02), all have obvious difference.Conclusion Implement of CP can reduce the total hospitalization expenses, medical expenses, examination expenses, and materials expenses.