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目的评价临床路径的实施效果,为全面实施临床路径提供依据。方法用t检验比较神经内科2个单病种实施临床路径前后的住院日和住院费用。结果癫痫、短暂性脑缺血的平均住院日分别下降了1.24天、9.93天(P<0.05);住院费用分别减少了19.56%、1.36%(P<0.05)。结论实施病种临床路径可以提高医疗服务效率、节省医疗成本、为缓解“看病难、看病贵”提供一定的政策思路。
Objective To evaluate the effect of clinical pathway and provide the basis for the full implementation of clinical pathway. Methods T-test was used to compare the hospitalization days and hospitalization costs before and after the implementation of two clinical trails in neurology. Results The average hospital stay of epilepsy and transient ischemic attack decreased by 1.24 days and 9.93 days respectively (P <0.05). The hospital expenses decreased by 19.56% and 1.36% (P <0.05), respectively. Conclusion The implementation of clinical pathways can improve the efficiency of medical services and save medical costs, and provide some policy ideas for alleviating “difficult to see a doctor, expensive to see a doctor ”.