摘要
目的探讨医联体分级诊疗模式对急诊监护病房COPD患者的影响。方法随机选取2018年2月至2018年8月我科COPD患者60例,将患者按先后序列号(1-60)随机分为医联体共管分级诊疗模式组(研究组,30例)和医师与护士普通管理模式组(对照组,30例)。统计分析两组患者的CAT评分、FEV1、PO2、PCO2、气流受限严重程度、急性发作次数、住院费用、医疗费用。结果研究组患者的CAT评分、PCO2均显著低于对照组(p<0.05),FEV1、PO2均显著高于对照组(p<0.05),气流受限1级、2级比例显著高于对照组(p<0.05),3级、4级比例显著低于对照组(p<0.05),急性发作次数、住院费用、医疗费用均显著少于对照组(p<0.05)。结论医联体分级诊疗模式较普通管理模式更能有效改善COPD患者的预后,值得在临床推广应用。
Objective To explore the effect of hierarchical medical service by medical consortium on COPD patients in emergency care unit.Methods Sixty COPD cases in our department from February 2018 to August 2018 were randomly selected.These patients were randomly divided into two groups according to their serial numbers(1-60).One group were involved in co-management and hierarchical medical service by medical consortium(study group,30 cases),while the other group were under routine management by doctors and nurses(control group,30 cases).Statistical analysis was conducted on the CAT scores,FEV1,PO2,PCO2,severity of airflow restriction,frequency of acute episodes,hospitalization expenses,and medical expenditures of the two groups.Results The CAT score and PCO2 of the study group were significantly lower than those of the control group(p<0.05),FEV1 and PO2 were significantly higher than those of the control group(p<0.05),the proportion of airflow restrictions of grade 1 and grade 2 was significantly higher than that of the control group(p<0.05),the proportion of airflow restrictions of grade 3 and grade 4 was significantly lower than that of the control group(p<0.05),the frequency of acute episodes was significantly lower than that of the control group(p<0.05),and the shospitalization expenses and medical expenditures were significantly less than those of the control group(p<0.05).Conclusion The mode of hierarchical medical service by medical consortium can improve the prognosis of COPD patients more effectively than routine mode of management,and can be put more into clinical practice.
作者
张欢
杨小玲
赵顺金
ZHANG Huan;YANG Xiao-ling;ZHAO Shun-jin(Lanxi People's Hospital of Zhejiang Province)
出处
《医院管理论坛》
2019年第8期29-31,共3页
Hospital Management Forum
基金
浙江省医药卫生科技计划项目，编号：2018KY869
