| 摘要: |
| 目的 评价北京市某医院开发研制的肝病十二分级诊疗系统疾病管理模式的实施效果。 方法 收集肝病十二分级诊疗系统实施前306名和实施后418名酒精性肝硬化患者病历数据，开展实施前后住院天数、住院费用以及治疗效果比较。 结果 实施后术前等待日减少1天，但总住院费用没有变化；常规治疗收入、材料费和药品收入变化有统计学意义；院内感染减少，第一诊断和第二诊断好转比例增加。 结论 实施肝病十二分级诊疗系统后，取得了一定的效果，建议在此基础上开发肝病相关病种的临床路径研究，科学测算肝病的住院天数和医疗费用。 |
| 关键词: 肝病 分级诊断 疾病管理 效果评价 |
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| Effect Evaluation on Implementation of 12-Classification Diagnosis and Treatment System of Liver Diseases |
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| Abstract: |
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Objective
To evaluate the effect of 12-Classification diagnostic and treatment system of liver diseases which developed in some hospital in Beijing. Methods 306 alcoholic liver cirrhosis patients’ data before implementation and 418 patients’ data after implementation were collected respectively to compare hospitalization days, hospitalization expenses and treatment effect before and after the implementation by SPSS 20.0. Results Waiting days before surgery decreases 1 day, but total hospitalization cost didn’t change. The difference of conventional treatment income, the cost of materials and medicines income was statistically significant. Nosocomial infection was reduced, and the first and second diagnosis had better ratio increases. Conclusion The implementation of 12-Classification diagnostic and treatment system has obtained the certain effect, it is suggested that the Clinical Pathway of liver related diseases should be developed based on the model, and measure the length of hospitalization and medical expense of liver diseases. |
| Key words: alcoholic liver cirrhosis, classification diagnosis, disease management, effect evaluation |
