单病种临床路径纳入标准探讨

Study on the clinical path inclusion criteria of single disease

目的：以阑尾炎为例，探讨临床路径纳入标准，为加强临床路径的科学性提供参考。方法采用统计学方法对不同病变程度的阑尾炎进行归类，并分析不同类型阑尾炎住院费用的影响因素。结果按住院费用组间差异，将6组阑尾炎病例分为三类，影响住院费用的因素主要为药占比，住院日，各类间药占比，住院日的影响度略有差异。结论临床路径标准不应单纯执行一种标准，应依据医疗资源消耗的程度制定“多模式版本”，并根据影响因素有针对性地制定费用控制标准。

Objective Through study on the inclusion criteria of clinical pathway with appendicitis as an example, to provide reference for enhancing the scientificity of clinical pathways.Methods Using the statistics, appendicitis of different se-verity were classified to analyze the influencing factors of the cost of different types of appendicitis patients.Results According to hospital charges between groups, 6 group patients were divided into three types, and the main influencing factors of the hospital costs were drug proportion, hospitalization days, impact degree of drug proportion, with hospitalization days being slightly differ-ent.Conclusion The standard of the clinical path should not include only one, it should be develop into a″multi-mode version″based on the extent of consumption of medical resources and cost control standards should be developed specifically according to influencing factors.