摘要
目的：探讨基于临床路径对各种非手术指征的合并症的病例进行疾病相关分组（DRGs）管理的必要性。方法：选取2011年10月-2012年10月广东省妇幼保健院顺产病例，将其顺产分娩费用、各类费用项、平均住院天数进行比较。结果：3个院区顺产平均费用：番禺〉越秀〉海珠；平均住院天数：海珠〉番禺〉越秀；化验费：番禺〉越秀〉海珠；床位费：海珠〉番禺〉越秀。结论：在同一科室运行机制和诊疗规范指引下，住院费用和住院天数具有明显差异，说明医疗资源的使用存在人为干预，以临床路径方式强制性将某些符合路径条件的病例纳入管理，将有效调配医疗资源（人力和物力），为DRGs分组做铺垫。
Objective： To explore the necessity of DRGs based on the clinical pathway management by comparison of obstetrical delivery costs. Methods： The cases of natural delivery from October 2011 to October 2012 were selected from the hospital, then the delivery costs, all kinds of costs, and the mean hospitalization days were compared. Results： The mean cost of natural delivery in the.three hospital districts ： Panyu 〉 Yuexiu 〉 Haizhu ; the mean hospitalization days ： Haizhu 〉 Panyu 〉 Yuexiu ; the laboratory fees ： Panyu 〉 Yuexiu 〉 Haizhu ; bed fee ： Haizhu 〉 Panyu 〉 Yuexiu. Conclusion： Under the same guidance mechanisms and diagnostic and treatment practices, there were statistically significant differences in the hospital costs and hospitalization days, which indicates that the presence of human intervention in medical resource use. Management of the eligible cases based on clinical pathway will effectively balance the reasonable deployment of medical resources （human and material . and lav the aToundwork for DRGs.
出处
《中国妇幼保健》
CAS
北大核心
2014年第7期987-989,共3页
Maternal and Child Health Care of China
基金
广东省卫生厅立项课题〔A2011080〕
