与DRGs结合的临床路径管理效果评价

Evaluation of Clinical Pathway Management Effect Combined with Diagnosis Related Groups

目的结合运用疾病诊断相关分组(Diagnosis Related Groups, DRGs)数据进行临床路径管理的效果评价。方法探讨结合DRGs数据对临床路径的实施效果进行评价。结果 (1)通过DRGs数据分析,可以看出治疗同等类型、同等难度病例,该医院所耗费用较低,住院时间也较短,总体效率较高。(2)路径管理病种的入径患者与未入径患者的平均住院天数比较,2014—2016年的平均住院天数数据经配对t检验,差异有统计学意义(P<0.05)。(3)路径管理病种的入径患者与未入径患者的平均费用比较,2014—2016年的平均住院费用数据经配对t检验,差异有统计学意义(P<0.05)。结论通过在该医院推广运用临床路径管理方法,使得临床路径的管理直接目的缩短平均住院天数、降低住院费用初见成效。

Objective To evaluate Clinical Pathway management in a hospital by using Diagnosis Related Groups.Methods Evaluating the effect of Clinical Pathway implementation in combination with DRGs(Diagnosis Related Groups)data.Results(1)It was showed that the cost of treatment of the same type and the same difficulty cases was lower,the hospitalization time was shorter,and the overall efficiency was higher in the hospital.(2)The average length of stay of patients with path management was compared with that of patients without access.The average length of stay in 2014,2015 and 2016 was analyzed by paired t test,and P<0.05 showed significant differences between the two groups.(3)Compared with the average cost of path management patients and the patients without access,the average hospitalization expenses from 2014 to 2016 were paired by t test,and P<0.05 indicated that there was signifi?cant difference between the two groups.Conclusion Through the promotion of Clinical Pathway management method in the hospital,the direct management of Clinical Pathway can shorten the average length of stay,and reduce the medical expenses.