摘要
目的:通过对单病种乳腺癌改良根治术等10个单病种临床路径与成本控制绩效分析,评价患者的满意效果。方法:收集整理2005年10月至2007年3月10个单病种的统计信息,以其手术并发症发生率、平均住院天数、平均住院费用、患者满意率等作为评价指标,将实验组(应用临床路径和成本控制组)和对照组(未应用临床路径和成本控制组)进行对比分析。结果:应用临床路径和成本控制的患者与未应用这一方式的患者之间在手术并发症发生率、平均住院时间、平均住院费用、患者满意率方面有统计学显著差异。结论:单病种临床路径和成本控制模式应用于临床管理,可以明显促进CQI(Continuous Quali-ty Improvement),缩短平均住院时间,降低住院费用,提高患者满意率,并从根本上改善医患关系。
Objective： To evaluate patient satisfaction conditions and the implementation effect of clinical pathway （CP） and cost control （ CC ） of 10 single - disease entities. Methods： After collecting the information of the hospi-talized patients after the surgical therapies from October 2005 to March 2007, we analyzed the effect of CP and CC with the evaluation indexes of average length of stay and the hospitalization charge. Results ： There was significant difference in CQI, the average length of stay, the hospitalization charge, and patient satisfaction rate between the CP- CC groups and the traditional groups. Conclusion： The method of clinical pathway and cost control can markedly improve medical quality and patient satisfaction rate, decrease the average length of stay and the hospitali-zation charges, and fundamentally improve the doctor-patient relation.
出处
《解放军医院管理杂志》
2008年第1期34-36,共3页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
临床路径
成本控制
平均住院日
平均住院费用
患者满意率
医患关系
clinical pathway
cost control
average length of stay
average hospitalization charge
patient satisfac-tion rate
doctor - patient relation
作者简介
李明，男，博士，副主任医师，副主任；电话：010-88276105
