某三级医院实施临床路径管理的效果评价

目的：对某三级医院13个病种实施临床路径效果进行总结和评价。方法：选取2012年3月~2014年2月实施临床路径及2009年10月~2011年9月未实施临床路径的膀胱肿瘤等13个病种分别作为实验组和对照组,以术前住院日、住院天数、住院费用及住院药费等作为评价指标,进行Pearson相关性分析及Hotelling T2或t检验。结果：多数病种的评价指标间均具有显著的正相关性。在此基础上,差异性检验同样表明多数病种实施临床路径后有显著效果（P〈0.05）。结论：具备科学合理的规范并严格按临床路径能够有效地降低住院日、提高医疗效率、减少患者住院费用、降低医疗成本,从而保证医疗质量和应对按病种支付的压力。

Effect evaluation of clinical pathways management in a tertiary hospital

Objective:To evaluation of clinical pathway applied to 13 diseases in a certain hospital. Methods: Selected the implementation of clinical pathway from 2012 March to 2014 February and unimplementation from 2009 October to 2011 September of bladder tumor in 13 cases as the experimental group and control group, respectively. Set the preoperative hospital days, days of hospital stays, hospitalization expenses and medicine expenses as the assessment indexes by using Pearson correlation analysis and Hotelling T2 or t test. Results:Evaluation indexes of most diseases had a significant positive correlation. On this basis, the difference test also showed that most diseases after the implementation of clinical pathway showed significant effect(P<0.05). Conclusion:The clinical pathway which had a scientific and reasonable standard and strict implementation could effectively reduce the hospitalization days, which improves medical efficiency, and reduces the cost of hospitalization of patients and the medical cost.