临床路径实施效果分析与探讨

The Analysis and Discussion of the Practical Result of Clinical Pathway

目的 评价实施病种临床路径的获益情况。方法 比较实施病种临床路径前(2007年)、后(2009年)全院住院天数、住院费用、医疗质量的变化,及心肌梗塞、尿道修补、骨盆骨折、髋关节置换等疾病的费用分项变化。结果 实施病种临床路径后,全院住院平均住院天数下降,住院费用下降,医疗安全上升。结论 病种临床路径可以提高医院管理水平,节省医疗成本。

The writers of the article assess the benefits from practicing the clinical pathway by comparing the days of hospitalization,hospital expense,the changes in medical quality and the changes in the item expenses of myocardinal infarction,the repairs to the urinary tracts,pelvic fracture and the replacement of total hip before（2007）and after the practice of the clinical pathway（2009）myocardial infarction.After the practice of clinical pathway,the average days of hospitalization shortened,hospital expense reduced and medical safety upgraded.The writers conclude that clinical pathway can improve hospital management and save medical cost.