慢性乙型病毒性肝炎门诊临床路径的优势分析

目的:分析慢性乙型病毒性肝炎门诊临床路径优势,突出临床路径在临床诊疗中的运用,优化服务流程,提高临床疗效和医疗品质,降低医疗成本。方法:采用随机对照的研究方法,选取2014年10月至2016年6月深圳市光明新区人民医院就诊符合慢性乙型病毒性肝炎入选标准的病人120例,分别纳入临床路径组和对照组,每组各60例,治疗84天,随访30天。比较临床路径组和对照组卫生经济学指标、服务满意度差异,分析临床路径组患者治疗前后的临床症状体征变化情况、生化学指标、病毒学指标转归情况。结果:临床路径组无论是患者满意度还是临床疗效观察均优于对照组。结论:在慢性乙肝患者门诊治疗中运用临床路径可优化医疗方案,避免医疗资源浪费。

Objective: to analysis of chronic hepatitis b viral hepatitis outpatient clinical pathway advantages, highlight the application of clinical pathway in the clinical diagnosis and treatment, optimize service process, improve the clinical curative effect and medical quality, reduce the medical cost. Methods: using randomized controlled methods, the selection in October 2014 to June 2016, shenzhen guangming new district people’s hospital in chronic hepatitis b patients with viral hepatitis criteria for the 120 cases, respectively, into the clinical pathway group and the control group, each group of 60 cases, treatment of 84 days, 30 days of follow-up. To compare clinical pathway group and the control group indicators of health economics, the difference of service satisfaction, analysis of the clinical pathway group before and after treatment in patients with clinical symptoms and signs changes, biochemistry, virology outcome. Results: the clinical pathway group was better than the control group in both patients’ satisfaction and clinical outcomes. Conclusions: in patients with chronic hepatitis b in the outpatient treatment using clinical pathway medical scheme can be optimized, the waste of medical resources, avoid the patients enjoy the best and the best treatment plan