摘要
目的探讨实施康复临床路径在医疗费用和住院时间控制方面所取得的效果。方法比较实施临床路径前(2012年1月1日至2013年4月30日)、后(2013年5月1日至2015年12月31日),4个常见康复病种脑出血、脑梗死、脊髓损伤及痉挛型脑瘫患者各50例的住院费用、药物费用及住院时间。结果实施临床路径后,各病种患者住院时间均显著缩短(t>5.226,P<0.001),脑梗死患者住院费用显著下降(t=3.327,P<0.001),其他疾病住院费用和药物费用均无显著性差异(t<1.777,P>0.05)。结论对常见病住院康复患者实施临床路径,能够对诊疗措施进行有效规范,缩短住院时间。
Objective To investigate the effect of clinical pathway on inpatients for rehabilitation. Methods The hospital expense, the ex-pense for medicine and length of stay in hospital were compared in patients with cerebral hemorrhage, cerebral infarction, spinal cord injury and spastic cerebral palsy before （January 1st, 2012 to April 30th, 2013） and after （May 1st, 2013 to December 31st, 2015） clinical pathway implementation, 50 inpatients for each disease, totally 200 patients. Results The length of stay in hospital reduced after of clinical pathway implementation, in all the diseases （t〉5.226, P〈0.001）, with the decrease of hospital expense for cerebral infarction （t=3.327, P〈0.001）. There was no significant increase in any expense in the disease （t〈1.777, P〉0.05）. Conclusion The implementation of rehabilitation clinical pathway can reduce the length of stay in hospital for the patients rehabilitation in hospital, without increasing their cost.
作者
李曼
朱平
陈爽
金枫
张淑燕
LI Man ZHU Ping CHEN Shuang JIN Feng ZHANG Shu-yan(Beijing Bo＇ai Hospital, China Rehabilitation Research Center, Beijing 10068, China)
出处
《中国康复理论与实践》
CSCD
北大核心
2017年第7期855-858,共4页
Chinese Journal of Rehabilitation Theory and Practice
关键词
康复
临床路径
住院时间
rehabilitation
clinical pathway
length of stay
