Abstract
Clinical pathway (CP) is a medical management tool made by a group of medical specialists and specialized for certain diseases. It has been proved that CP was an efficient way to optimize the hospitalization management and control medical cost. In this paper, we focused on the effect of CP in the patients with acute complicated appendicitis via total duration of hospitalization, hospitalization time before operation, total cost of hospitalization and drug expenditure. From March 2014 to March 2015, the patients with conditions of appendicitis in Three Gorges Central Hospital of Wanzhou, Chongqing, were divided into CP group and non path control group to analyze the effect of the application of CP. Our data showed that there were no significant differences between two groups of patients in total duration of hospitalization, hospitalization time before operation, total cost of hospitalization and drug expenditure. The implementation of CP neither decreased the time of patients in hospital nor the total hospitalization cost. Besides, application of CP for acute appendicitis patients should distinguish between simple appendicitis and complicated appendicitis, simple appendectomy patients implement CP is beneficial, and patients with complicated appendicitis did not come from the benefit.
Highlights
Clinical pathways, known as care pathways, critical pathways, integrated care pathways, or care maps, are one of the main tools used to manage the quality in healthcare concerning the standardization of care processes
We focused on the effect of Clinical pathway (CP) in the patients with acute complicated appendicitis
The recovery rate of the patients in each group was nearly the same which may indicate that the CP management did not show its advantages in acute complicated appendicitis (Table 1)
Summary
Known as care pathways, critical pathways, integrated care pathways, or care maps, are one of the main tools used to manage the quality in healthcare concerning the standardization of care processes It has been intensively applied in many hospitals all over the world because of its benefits in the medical quality. (2016) The Effect of Clinical Pathway in Patients with Acute Complicated Appendicitis. The clinical pathway and standardizing treatment protocol for acute appendicitis is thought to be difficult to adopt because this disease shows various clinical patterns according to the degree of inflammation. Acute appendicitis is one of most common surgical diseases and a simple and precise medical protocol with a clinical pathway would be necessary to improve the treatment outcome and patient satisfaction [2] [3]. By comparing total duration of hospitalization, hospitalization time before operation, total cost of hospitalization and drug expenditure in CP and non-CP patients, we tried to find out in situ questions of CP in patients with acute complicated appendicitis and come up with the proper solution in clinical treatment
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