单纯高血压专科诊疗路径的应用评价

Application and Evaluation of Clinical Pathway for Hypertension without Complication in Hospital

目的 评价所建立的适合我国城市医院患者的单纯高血压专科诊疗路径的效果、效益、可行性和可推广性。方法 采用历史对照方法和个人深入访谈法, 对所建立的专科诊疗路径进行评价。结果 实施单纯高血压专科诊疗路径能降低医疗费用, 提高患者对医疗服务的满意度。结论 单纯高血压专科诊疗路径在提高医院运行效率的同时规范了医疗服务, 确实是一个具有成本效果的疾病管理模式。

Objective To evaluate the effectiveness,benefit,feasibility and extrapolability of the clinical pathway developed in urban hospital for the patients with hypertension without complication.Methods The clinical pathway developed in urban hospital was evaluated by before-after trial and individual depth interview.Results The clinical pathway for hypertension without complication decreased the medical cost,increased the feeling of health and the satisfaction of patients in experimental group.Conclusion The clinical pathway developed in urban hospital for hypertension without complication is necessary to enhance the efficiency of hospital and to standardize the medical care service.It may be a cost-effectiveness model for disease management.