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目的:探讨临床路径管理应用于单病种付费中的效果。方法:选择我院2013年1月~2015年1月单病种患者作为研究对象,一共100例,随机分组为观察组和对照组,各组为50例,对照组按照常规进行管理,观察组采用临床路径进行管理,观察和比较两组患者的住院时间、治疗费用、护理满意度。结果:(1)与对照组对比,观察组平均住院时间(12.0±8.5d)明显更短,治疗费用(6012.0±800.5元)明显更少,数据比较差异具有统计学意义,P<0.05。(2)与对照组(70%)对比,观察组护理满意度(96%)明显更高,数据比较差异具有统计学意义,P<0.05。结论:临床路径管理在单病种付费中的应用效果显著,能够有效地缩短患者的治疗时间,减少医疗费用,提高护理满意度,值得临床广泛应用以及推广。
Objective: To explore the effect of clinical path management on single disease payment. Methods: A single disease patient from January 2013 to January 2015 in our hospital was selected as the research object. A total of 100 patients were randomly divided into observation group and control group, with 50 patients in each group. The control group was managed according to the routine and the observation group Clinical pathways were used to manage, observe and compare the length of hospital stay, treatment costs and nursing satisfaction in both groups. Results: (1) Compared with the control group, the average length of stay in the observation group was significantly shorter (12.0 ± 8.5d), the cost of treatment was significantly lower (6012.0 ± 800.5yuan), and the difference was statistically significant (P <0.05). (2) Compared with the control group (70%), the nursing satisfaction (96%) in the observation group was significantly higher, the difference was statistically significant, P <0.05. Conclusion: The application of clinical path management is significant in the single disease payment, which can effectively shorten the treatment time, reduce the medical costs, improve the nursing satisfaction, which is worthy of clinical application and promotion.