摘要
目的研究三级甲等儿童医院临床路径管理与持续改进的实施效果。方法选取天津市儿童医院2012年1月至2012年12月改进前实施临床路径管理的10个病种病例作为对照组,另选取2013年1月至2015年12月持续改进期间实施临床路径管理的同病种病例作为观察组。针对存在的问题提出改进措施,对比改进前后路径入组率、变异率、住院时间、住院费用等变化情况。结果观察组临床路径入组率、完成率均高于对照组,而变异率、溢出率均明显低于对照组(P<0.05)。观察组患儿住院时间及住院费用均明显低于对照组(P<0.05)。结论通过临床路径管理的持续改进,有效增加了临床路径的入组率,降低了变异率,从而规范了诊疗流程,缩短了疾病的治疗时间,减少了住院费用,值得临床应用及推广。
Objective：To explore the application effect of the continuous improvement in clinical pathway management of children＇s hospital of Class A,Grade Three. Method：Tianjin Children＇s Hospital was selected as the control group from January,2012 to December,2012 for cases of the 10 diseases before the improvement,while cases of the same diseases in the observation group from January,2013 to December,2015. Improvement measures were proposed for the existing problems, comparing with the changes in rate of clinical pathway participation, mutation rate, hospitalization time and hospitalization costs for the two groups. Result：The rate of clinical pathway participation and completion rate of the observation group are higher than those of the control group while the mutation rate and overflow rate for observation group was obviously lower than those of the control group（ P 〈0.05 ）. The hospitalization time is shorter and the hospitalization expenses for the children in observation group were much lower than those of the control group （ P 〈 0. 05 ）. Conclusion：The continuous improvement in clinical pathway management can efficiently increase the participating rate and reduce the mutation rate, which is worthy of clinical application and popularization in simplifying diagnosis and treatment process, shortening hospitalization time and reducing hospitalization cost.
出处
《现代医院管理》
2017年第1期50-52,共3页
Modern Hospital Management
关键词
临床路径
医疗管理
住院费用
平均住院日
儿童医院
clinical pathway
medical management
hospitalization cost
average hospitalization day
children＇s hospital
