临床路径对提升子宫平滑肌瘤行子宫切除术医疗服务品质的效用研究

Clinical Pathway on the Improvement of Medical Service Quality in Hysterectomy of Uterine Leiomyoma Patients

目的探讨临床路径对提升子宫平滑肌瘤子宫切除术医疗服务品质的效用。方法将实施临床路径的子宫平滑肌瘤手术患者138例设为路径组,未实施临床路径的136例患者作为对照组,两组均行子宫全切除术或子宫次全切除术。比较分析两组患者的住院天数、术前住院天数、住院总费用、药品费用、检查费用、术后并发症发生率及满意度等。结果路径组住院天数、术前住院天数缩短;用药规范性增强,住院费用结构发生改变,药品费用减少;患者满意度明显提高。在术后并发症发生率方面,两组患者相比无统计学差异。结论临床路径的实施,规范了医疗服务行为,提高了医疗服务效率,提升了医疗服务品质。

Objective To investigate the influence of clinical pathway on medical service quality in hysterectomy of uterine leiomyoma patients. Method The path group had 138 uterine leiomyoma surgery patients with management of clinical pathway, while 136 same patients without clinical pathway were the control group. All patients received hysterectomy or subtotal hysterecto- my. A series of comparisons and assessments were made involving the hospital stays, number of days before the surgery, hospital expenses, cost structures, etc. Result The hospital stays and days before the surgery were shorter in the path group. Clinical pathway enhanced normative medication and changed hospitalization fee structure, reduced cost of medicines, significantly im- proved patient satisfaction. However, the incidence of postoperative complications had no significant difference between the two groups. OConclusion The implementation of clinical pathway enhanced normative medical behavior, increased the efficiency and benefits of medical service and improved the service quality.