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中文摘要: 目的:结合DRGs分类方法探讨急性胆囊炎临床路径的纳入标准,为现代化医院临床路径管理提供科学参考。方法:选取某医院2020年1月1日至2020年12月31日全年的急性胆囊炎患者,通过医院病案首页信息系统提取患者的年龄、性别、住院日、总费用以及临床路径的完成情况等指标,同时运用某DRGs分析平台和SPSS软件对数据进行分析。结果:2020年1月1日至2020年12月31日急性胆囊炎患者的临床路径完成率为85.36%,通过DRGs分组后发现非手术患者DRGs组中临床路径完成率最高为86.21%,手术患者DRGs组中临床路径完成率最高为95.24%;在非手术患者和手术患者中不同DRGs组间的平均住院日、平均总费用和CMI均有差异,且差异具有统计学意义(P < 0.05)。结论:DRGs分组与临床路径相辅相成,通过DRGs分组结果制定多样化的临床路径可显著提高临床路径的完成率,促进医院诊疗过程规范化与合理化。
Abstract:Objective:To investigate the inclusion criteria of acute cholecystitis clinical path by combining DRGs classification methods,and provide scientific reference for clinical path management in modern hospitals. Methods:Patients with acute cholecystitis in a certain hospital from January 1,2020 to December 31,2020 were selected. The age,gender,hospitalization day,total cost and completion of clinical pathways were extracted from the hospital's home page information system. The certainDRGs platform and SPSS software were used to analyze. Results:The clinical path completion rate of patients with acute cholecystitis in 2020 was 85.36%. The highest clinical path completion rate was 86.21% in the non-surgical patients and 95.24% in the surgical patients by DRGs. The average hospitalization days,average total cost,and CMI were different between the non-surgical patients and the surgical patients,and the differences were statistically significant(P < 0.05). Conclusion:DRGs grouping and clinical pathways complement each other,and formulating diverse clinical pathways based on the results of DRGs grouping can significantly improve the completion rate of clinical pathways and promote the standardization and rationalization of hospital diagnosis and treatment processes.
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王莹莹,郭孟玲,林家荣,苏丽红,孙允宗,郑娟娟,蔡雪玉.基于DRGs对急性胆囊炎临床路径的探讨[J].江苏卫生事业管理,2023,34(2):224-227.
WANG Yingying,GUO Mengling,LIN Jiarong,SU Lihong,SUN Yunzong,ZHENG Juanjuan,CAI Xueyu.Discussing the Inclusion Criteria of Clinical Pathway of Acute Cholecystitis Based on DRGs[J].Jiangsu Health System Management,2023,34(2):224-227.
王莹莹,郭孟玲,林家荣,苏丽红,孙允宗,郑娟娟,蔡雪玉.基于DRGs对急性胆囊炎临床路径的探讨[J].江苏卫生事业管理,2023,34(2):224-227.
WANG Yingying,GUO Mengling,LIN Jiarong,SU Lihong,SUN Yunzong,ZHENG Juanjuan,CAI Xueyu.Discussing the Inclusion Criteria of Clinical Pathway of Acute Cholecystitis Based on DRGs[J].Jiangsu Health System Management,2023,34(2):224-227.