临床路径在白内障临床医疗中的应用研究

Application of Clinical Pathway in Clinical Treatment of Cataract

目的为提高医疗质量、规范诊疗过程、缩短住院天数、降低医疗费用、促进医疗资源的合理利用提供经验,对临床路径应用的实际效果进行分析,比较临床路径实施前后白内障临床治疗医疗质量的变化.方法采用历史回顾的方法,借助医院信息系统检索分别选择实施临床路径前和实施临床路径后的所有白内障相关入院患者的住院天数、术前住院日、住院总医疗费用、药费、检查费、患者满意率等进行统计分析.结果临床路径实施前后白内障病人的住院日、术前住院日、住院总费用、药费及检查费差异有统计学意义(P<0.05),均呈下降趋势.患者满意率较实行临床路径前有提升.结论在不削弱临床医疗效果的基础上,临床路径确实可以减少总住院费用、检查费及药费,规范诊疗流程,缩短住院日及术前住院日,并优化诊疗服务和提高服务质量.

Objective To analyze effects of clinical pathway and compare medical qualities of clinical treatment of cataract before and after using clinical pathway.Method We used history review method to gather information of all inpatients with cataract before and after clinical pathway was used respectively with the aid of the hospital information system,and analyzed admission days,admission days before surgery,total hospitalization expenses,medicine fees,examination fees and patient satisfaction rates when the clinical pathway was used. Results After the clinical pathway was put into effect,there was statistical difference in admission days,admission days before surgery,total hospitalization expenses,medicine fees and examination fees of patients with cataract,and these indicators were all reduced. The satisfaction rates of patients were increased compared with those before using the clinical pathway.Conclusion The clinical pathway indeed lowers hospitalization expenses,medicine fees and examination fees while treatment effects are maintained,standardizes diagnosis and treatment process,shortens admission days and admission days before surgery,optimizes diagnosis and treatmentservices and improves service quality.