《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (7): 855-858.doi: 10.3969/j.issn.1006-9771.2017.07.026

• 康复管理 • 上一篇    下一篇

康复临床路径的实施效果

李曼, 朱平, 陈爽, 金枫, 张淑燕   

  1. 中国康复研究中心北京博爱医院医务处,北京市 100068。
  • 收稿日期:2016-07-14 出版日期:2017-07-25 发布日期:2017-08-07
  • 通讯作者: 张淑燕,女,副主任医师。E-mail: zsy0227@126.com。
  • 作者简介:张淑燕,女,副主任医师。E-mail: zsy0227@126.com。

Effect of Rehabilitation Clinical Pathway

LI Man, ZHU Ping, CHEN Shuang, JIN Feng, ZHANG Shu-yan   

  1. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 10068, China
  • Received:2016-07-14 Published:2017-07-25 Online:2017-08-07
  • Contact: Correspondence to ZHANG Shu-yan. E-mail: zsy0227@126.com

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。

关键词: 康复, 临床路径, 住院时间

Abstract: ObjectiveTo investigate the effect of clinical pathway on inpatients for rehabilitation. MethodsThe hospital expense, the expense 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. ResultsThe 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). ConclusionThe implementation of rehabilitation clinical pathway can reduce the length of stay in hospital for the patients rehabilitation in hospital, without increasing their cost.

Key words: rehabilitation, clinical pathway, length of stay

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