Abstract
目的 对抚州市基层医疗卫生机构开展的67种常见疾病基本诊疗路径实施情况进行定量分析,为在该地区甚至省内建立和完善基层医疗机构诊疗路径管理制度提供依据。 方法 对抚州市境内实施了基本诊疗路径的193所基层医疗卫生机构进行调查,并利用SPSS 21.0进行分析。 结果 抚州市开展基本诊疗路径的基层医疗机构实施后平均治疗费用比实施前减少了11.25%(t=15.02,P=0.002),平均治疗天数比实施前缩短了15.56%(t=8.892,P=0.000)。 结论 实施基本诊疗路径可以减少治疗费用与治疗时间,表明路径的实施可以缓解患者的负担,符合新医改的期望和人民的根本利益,基本诊疗路径管理应该以制度的形式确立下来,并不断进行修改完善。
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