脑血管意外康复临床路径实施效果初探

Exploration of Implementation Effect of Clinical Pathway of Cerebrovascular Accident Rehabilitation

目的探讨脑血管意外后偏瘫住院康复实施临床路径在控制医疗费用方面的效果。方法回顾对比2010年3月至2011年1月期间实施临床路径患者与2009年3月至2010年1月未实行临床路径患者的住院费用、药费及药费所占比例等指标,进行统计学分析。结果实施临床路径后,患者间住院费用的离散度降低;平均药费从实施临床路径前的5215.73元降至3481.40元,平均药费所占比例从45.80%降至36.52%,差异均有统计学意义(P<0.05)。结论对脑血管意外后偏瘫住院康复患者实施临床路径可有效规范诊疗措施,降低住院患者的药费。

Objective To discuss the effect of the clinical pathway for the inpatients who suffered from hemiparalysis after cerebrovascular accidents.Methods Analyzing hospital expenses,the expenses for medicine and its percentage in the total cost of patients with clinical pathway from Mar.2010 to Jan.2011 and patients without clinical pathway from Mar.2009 to Jan.2010. Results The hospital costs dispersion reduced after implementation of clinical pathways.The average expenses for medicine dropped from 5215.73yuan to 3481.40yuan.Its percentage in the total cost dropped from 45.80% to 36.52%.There was significant difference（P0.05）.Conclusion The clinical pathway for the inpatients suffering from hemiparalysis after cerebrovascular accident can standardize diagnosis and treatment and decrease the expenses of hospitalized patients.