2015年江西省基本诊疗路径实施情况调查与分析

Survey and analysis on basic clinical pathway implementation in Jiangxi province in 2015

目的调查江西省基本诊疗路径实施情况。方法对江西省11个地级市中实施基本诊疗路径的1 485所基层医疗卫生机构进行调查,分析基本诊疗路径实施前后的诊疗时间和费用,以及67种常见疾病实施前后的治疗时间及费用。结果江西省11个地级市的基本诊疗路径完成率较高,均在90%以上。实施基本诊疗路径后,基层医疗机构治疗费用少于实施前(P<0.05),治疗时间短于实施前(P<0.05)。52个病种的治疗费用低于实施前,53个病种的治疗时间少于实施前(P<0.05)。结论实施基本诊疗路径在一定程度上减少了诊疗的费用和时间,在减轻疾病负担方面起到一定的作用。

Objective To investigate the implementation status of the basic clinical pathway in Jiangxi province. Methods A survey was conducted among 1 485 grassroots medical institutions from 11 prefecture-level cities of Jiangxi province,and all institutes underwent the basic clinical pathway. The costs and duration of medical services before and after the implementation,as well as the costs and duration of treatment for 67 common diseases were analyzed. Results The success rate of the basic clinical pathway implementation was quite high in 11 prefecture-level cities of Jiangxi province,higher than 90%. In the grassroots medical institutions,the medical costs were lower and treatment duration was less after implementating the basic clinical pathway than those before implementation（P〈0. 05）. After implementation,the medical costs of 52 categories of diseases were lower and the treatment durations of 53 categories of diseases were less compared to those before implementation（P〈0. 05）. Conclusion Implementating the basic clinical pathway can decrease the costs and duration of medical services to some extent and plays a role in reducing the burden of disease.