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目的探讨和发现临床路径在医疗保险费用控制中的应用价值。方法通过医院信息系统(HIS)中提取原始数据经整理后,用Fxm数据库软件分析汇总。对医院单节椎体滑脱应用临床路径的费用控制进行探讨研究并对其结果进行统计分析。结果实行临床路径组的患者平均住院日缩短、住院费用降低、患者实际补偿比提高均有统计学意义,对于控制医疗费用具有现实意义。结论由此说明实施临床路径能在医疗保险费用控制中取得社会效益和经济效益的双赢,也为提高医疗质量管理和完善医保结算制度提供科学的参考依据和有益的指引。
Objective To explore and find the clinical value of the clinical pathway in the control of medical insurance costs. Methods After the original data were extracted from the hospital information system (HIS), the data were analyzed by Fxm database software. To study the cost control of clinical pathways of single vertebral body slippage in hospital and analyze the results statistically. Results In the clinical pathway group, the average hospitalization days were shortened, the hospitalization expenses were reduced, and the patients’ actual compensation rates were significantly increased, which was of practical significance for controlling medical expenses. Conclusions This shows that the implementation of clinical pathways can achieve a win-win social and economic benefits in the control of medical insurance expenses, and provide scientific reference and beneficial guidance for improving medical quality management and improving the medical insurance settlement system.