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临床路径管理对宜昌市某医院单病种药费控制效果分析 被引量:2

Analysis of the Implementation Effect of Clinical Pathway in the Drug Costs Control of Single Diseases in a Hospital of Yichang
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摘要 目的:探讨单病种临床路径对药费及合理用药的控制效果。方法:采用历史对照研究方法,选择自然临产阴道分娩及大肠息肉2个单病种的住院患者共计586例,随机各选50个已实施临床路径的病例为研究组(临床路径组),50个未实施临床路径的病例为对照组,观察分析各组患者的住院费用、住院药费、药占比、用药明细、并发症发生率。结果:自然临产阴道分娩研究组平均住院费用(2902.68±481.26)元、平均药费(131.7±0.20)元、平均药占比(4.66±0.74)%,大肠息肉研究组平均住院费用(1784.8±347.22)元、平均药费(87.27±0.00)元、平均药占比(5.00±0.93)%,均比对照组下降,2组间有显著性差异(P<0.01),从用药明细分析,研究组用药合理。两组患者均无并发症发生。结论:临床路径的实施降低了住院费用、药费及药占比,提高了合理用药水平;单病种实施临床路径简单、易行,医护人员及患者均能接受,可考虑在基层医院全面推进,也为推动临床路径提供了一种思路。 Objective: To discuss the effect of clinical pathway (CP) in the drug costs control of single diseases and the control effect of rational drug use. Methods: With historical comparison method, a total of 586 hospitalized patients from two single diseases (natural childbirth and Colorectal polyps) were selected, and each disease randomly selected 50 patients as the research group (the pathway group) and 50 patients as the routine treatment (the non -pathway group) to analyze the effect of CP using the hospital costs, the drug costs and the drug proportion, the detail and the incidence of complications for the patients as the evaluating indexes. Results: The average hospital costs is ( 2902.68 ± 481.26 ) yuan, the average drug costs is ( 131.7 ± 0.20 ) yuan and the average drug proportion is (4.66± 0.74 ) % in research group of natural childbirth. The average hospital costs is (1784.8 ±347.22 ) yuan, the average drug costs is (87.27 ± 0.00) yuan and the average drug proportion is (5.00 ±0. 93 ) % in research group of Colorectal polyps, which are all lower than those in the control group, and there are significant differences between the two groups ( P 〈 0. 01 ). From detail analysis, the drug use of the research group is more reasonable. Both two groups of patients didn' t have complications. Conclusion: The CP can decrease the hospital costs, the drug costs, the drug proportion, and improve the level of rational drug use. Because the CP of single diseases is simple and easy, both medical staff and patients can accept it, which can be considered comprehensively promoting in primary hospitals and can provide an idea to promote clinical pathway.
作者 廖勇 望琴
出处 《医学与社会》 2015年第11期37-38,42,共3页 Medicine and Society
关键词 临床路径 单病种 合理用药 Clinical Pathway Single Diseases Rational Drug Use
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