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目的研究临床路径对某院医保5种手术疾病的相关数据的影响。方法收集某院2013年1月-2014年12月因子宫肌瘤、子宫腺肌症、急性化脓性阑尾炎、良性前列腺气切、慢性鼻窦炎5种手术治疗属于市医保的患者共973例。实行临床路径管理481例做为cp组;同期住院未实行CP管理的492例患者为对照组。统计分析两组患者的住院总费用、药费(包括中西药费)、平均住院日、手术费用、检查费(包括化验费及影像学检查费用)、材料费(包括高耗材及一次性材料费用)。结果两组的平均住院日与手术费用基本持平;住院总费用P<0.03、药费P<0.02、检查费P<0.02、材料费P<0.02,均有明显差异。结论实施CP管理患者可降低患者的住院总费用、药费、检查费、材料费。
Objective To study the influence of clinical path on the related data of five kinds of surgical diseases in hospital. Methods A total of 973 patients were enrolled in this study from January 2013 to December 2014, including 5 cases of uterine myoma, adenomyosis, acute suppurative appendicitis, benign prostatic septal disease and chronic sinusitis. The implementation of clinical path management 481 cases as the cp group; the same period without CP administration of 492 patients in the control group. Statistical analysis of the two groups of patients total hospital costs, drug costs (including Chinese and Western medicine), average length of stay, operation costs, examination fees (including laboratory and imaging costs), materials costs (including high supplies and materials costs ). Results The average length of hospital stay and operation cost were basically the same in both groups. The total cost of hospitalization was P <0.03, the cost of medication was P <0.02, the cost of examination was P <0.02, and the cost of materials was less than 0.02. Conclusion The implementation of CP management of patients can reduce the total cost of hospitalization, medicine, examination fees, materials costs.