口腔科住院患者数字化临床路径干预效果分析

An analysis on the intervention effect of digital clinical pathway on dentistry inpatients

目的分析口腔科住院患者数字化临床路径干预的应用效果。方法选取2012年6月—2013年6月浙江大学附属第一医院实施数字化临床路径后口腔科颌骨骨折、唾液腺良性肿瘤及瘤样病变、颌骨良性肿瘤及瘤样病变、口腔癌4个病种住院患者737例为路径组;选取2009年6月—2010年6月未实施临床路径的相应住院患者725例为对照组,比较两组平均住院天数、平均住院费用和病人满意度。结果与对照组相比,路径组不同病种患者平均住院天数均明显减少(P<0.05),颌骨良性肿瘤患者由(10.66±1.12)d降至(9.39±1.39)d,最为明显。病人满意度均明显提高,其中颌骨骨折患者由(94.2±1.98)%提高至(97.5±1.47)%。平均住院费用颌骨良性肿瘤由(10 215.4±1 563.5)元降至(8 482.3±1 852.0)元,口腔癌由(20 372.4±2 519.1)元降至(17 746.4±2 723.1)元,差异均有统计学意义(P<0.05),其余两病种平均住院费用两组之间差异无统计学意义(P>0.05)。结论数字化临床路径的实施能有效缩短口腔科患者的住院天数,降低治疗费用,提高病人的满意度,值得推广应用。

Objective To evaluate the implementation effect of the digital clinical pathway on the dentistry inpatients. Methods After implementation of digital clinical pathway （from June 2012 to June 2013 ） , a total of 737 patients of four single diseases （jaw fracture, salivary gland benign tumor and tumor- like lesions, benign tumor of jaw and tumor- like lesions and oral cancer） were enrolled as trial group. A total of 725 patients who were treated before the implementation of digital clinical pathway （from June 2009 to June 2010） were enrolled as control group. The average hospitalization days, average hospitalization expenses and patient satisfaction with medical care were compared between these two groups. Results Implementation of the digital clinical pathway reduced the average hospitalization days of theses four diseases （ P 〈 0. 05 ）. The most obvious reduction was observed in benign tumor of jaw, which decreased from 10. 66 ± 1.12 days to 9. 39 ± 1.39 days. Compared with control group, the patient satisfaction with medical care in trial group was higher （ P 〈 0.05 ） , especially in patients with jaw fracture which increased from （ 94. 2 ± 1.98 ） % to （ 97. 5 ± 1.47 ） %. The trial group differed from the control group in terms of the average hospitalization expenses of benign tumor of jaw and oral cancer （tumor of jaw： 8 482.3 ± 1 852.0 Yuan vs. 10 215.4 ±1 563.5 Yuan; oral cancer： 17 746.4 ±2 723.1Yuan vs. 20 372.4 ± 2 519. 1 Yuan; P 〈 0.05 ）. Conclusion The digital clinical pathway is effective on reducing the average hospitalization days and the average hospitalization expenses. It can improve the patient satisfaction and is worthy to be widely applied to clinical practices.