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目的探讨甲状腺癌临床路径的实施对患者住院时间指标及在医疗费用降低方面的作用。方法选择2013年1月-12月在某院符合甲状腺癌治疗临床路径纳入标准的患者,共254例,将患者随机分为入径组(n=123)与对照组(n=131),对两组患者的住院费用、住院时间、术前住院时间等卫生经济指标进行分析比较。结果入径组患者平均住院时间为(11.02±0.52)d,对照组患者平均住院时间为(14.61±0.73)d,入径组较对照组患者住院时间缩短(P<0.05);入径组患者术前平均住院时间(4.16±0.32)d,对照组术前平均住院时间为(6.67±0.46)d,入径组较对照组患者术前住院时间缩短(P<0.05)。在费用方面入径组平均医疗费用明显低于对照组(P<0.05),但患者的住院总费用并未因是否为医疗保险患者而有较大改变,同时患者医疗费用的个人和医疗保险支付比例也未因是否纳入路径产生较大影响(P>0.05)。结论临床路径管理在提高病床周转率、降低医疗费用、提升医疗质量方面有较大促进作用。
Objective To investigate the clinical pathology of thyroid cancer patients on hospitalization time indicators and reduce the cost of medical care. Methods A total of 254 patients were enrolled in a hospital from January 2013 to December 2015. The patients were randomly divided into treatment group (n = 123) and control group (n = 131) The two groups of patients hospitalization costs, hospital stay, preoperative hospitalization time and other economic indicators for health analysis and comparison. Results The average hospitalization time was (11.02 ± 0.52) days in the patients in the diameter group and (14.61 ± 0.73) days in the control group, and the hospitalization time in the patients in the admission group was shorter than that in the control group (P <0.05) The average preoperative hospital stay was (4.16 ± 0.32) d, and the average preoperative hospital stay was (6.67 ± 0.46) days in the control group. The preoperative hospitalization time was shorter in the admission group than in the control group (P <0.05). The average medical cost of admission group was significantly lower than that of the control group (P <0.05), but the total cost of hospitalization did not change significantly due to whether it was for medical insurance, meanwhile, the individual medical expenses and the medical insurance payment The proportions also did not have a significant impact on whether the route was included (P> 0.05). Conclusion Clinical pathway management plays a significant role in promoting the turnover rate of hospital beds, reducing the medical costs and improving the quality of medical care.