计敏 孟德祺 黄国钦
[摘要] 目的 探究临床路径在医疗质量管理中的应用效果。方法 择取2010年6月—2016年6月期间在该院进行治疗的两个病种患者各50例作为研究对象,随机分成对照组50例和观察组50例。对照组开展常规管理模式,观察组开展临床路径管理,对两组患者住院费用、药占比、住院时间、抗生素使用时间、满意度等进行比较。结果 观察组社区获得性肺炎、结节性甲状腺的住院费用、药占比、住院时间、抗生素使用时间均少于或低于对照组,社区获得性肺炎患者5种观察指标,观察组满意度100.00%高于对照组满意度88.00%(χ2=6.383,P<0.05)。结节性甲状腺肿患者5种观察指标,观察组满意度96.00%高于对照组满意度78.00%(χ2=7.162,P<0.05)。结论 在医疗质量管理中实施临床路径管理模式可以有效减少患者的住院和检查费用,降低药占比,缩短抗生素使用和住院时间,也可以提升医疗管理质量,因此该种管理模式值得在临床中进行大力推广应用。
[关键词] 临床路径;医院管理;医疗质量管理
[中图分类号] R197.1 [文献标识码] A [文章编号] 1672-5654(2020)02(c)-0084-03
[Abstract] Objective To explore the application effect of clinical pathways in medical quality management. Methods 50 patients of two diseases who were treated in our hospital from June 2010 to June 2016 were selected as the research objects, and the patients were divided into control group 50 cases and observation group 50 cases. The control group carried out the routine management mode, and the observation group carried out the clinical path management, and compared the two groups of patients' hospitalization expenses, drug proportion, length of hospitalization, antibiotic use time, satisfaction and so on. Results The community-acquired pneumonia, tuberculous thyroid hospitalization costs, medication ratio, length of hospital stay, and antibiotic use time in the observation group were less than or lower than those in the control group. There were 5 observation indicators for patients with community-acquired pneumonia was 88.00% higher than the control group (χ2=6.383, P<0.05). There were 5 observation indexes for patients with nodular goiter. The satisfaction rate in the observation group was 96.00% higher than that in the control group 78.00%(χ2=7.162, P<0.05). Conclusion The implementation of the clinical path management model in medical quality management can effectively reduce the hospitalization and examination costs of patients, reduce the proportion of drugs, shorten the use of antibiotics and length of hospitalization, and also improve the quality of medical management. Therefore, this management model is worthy of clinical implementation and application.
[Key words] Clinical pathway; Hospital management; Medical quality management
近幾年来,随着我国人民生活条件的提升,患者不仅对医院及时正确诊断疾病提出了较高要求,而且对医疗质量也提出了更高要求。随着医疗技术的不断发展,人们对健康和医疗质量的关注越来越多,因此医院的医疗质量管理工作十分重要[1]。临床路径管理模式是新型管理模式,在医疗管理中的应用较多,该种管理模式对医疗服务水平具有良好的提升作用,还可降低医疗成本,对服务疗程也具有优化作用,以此提升医院医疗管理质量[2]。但是该种管理模式在我国的应用较少,起步也相对较晚,为探究该种管理模式对医疗质量管理的作用,该次择取2010年6月—2016年6月期间在该院进行治疗的两个病种患者各50例作为研究对象,开展不同类型管理模式的应用(对照组开展常规管理模式、观察组开展临床路径管理)效果研究,报道如下。