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目的探讨临床路径的实施对促进医院运行效率提升的效果。方法采用SPSS22.0进行分析,选取输尿管结石、老年性白内障、腰椎间盘突出症和先天性室间隔缺损4个病种。将采用临床路径的337份病例作为实验组,传统方法诊疗的580份病例为对照组。结果将4个病种的患者的性别、年龄、治疗效果进行χ~2和t检验,P>0.05,差异无统计学意义;实验组的住院天数比对照组的住院天数短,经独立样本t检验,P<0.05。除了先天性室间隔缺损病种,实验组的平均住院费用为28678.50元,对照组为31653.79元,t=1.294,P>0.05;其它3个病种总费用均显著下降。结论临床路径的实施不仅可以减少平均住院日、增加床位周转次数,还可以有效减轻患者的直接和间接经济负担,提高患者满意度。
Objective To explore the effect of clinical pathway on promoting hospital operation efficiency. Methods SPSS22.0 was used for the analysis of 4 diseases including ureteral calculi, senile cataract, lumbar disc herniation and congenital ventricular septal defect. 337 clinical cases were used as experimental group and 580 cases treated by traditional method were control group. Results The sex, age and treatment effect of 4 disease patients were tested byχ ~ 2 and t test, P> 0.05, the difference was not statistically significant; the hospitalization days in the experimental group were shorter than those in the control group, and the independent samples t Test, P <0.05. In addition to congenital ventricular septal defect species, the average cost of hospitalization for the experimental group was 28,678.50 yuan, the control group was 31,653.79 yuan, t = 1.294, P> 0.05; the other three kinds of diseases the total cost were significantly decreased. Conclusion The implementation of clinical path can not only reduce the average length of stay, increase the number of bed turnover, but also can effectively reduce the direct and indirect financial burden on patients and improve patient satisfaction.