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目的评价癫痫病种临床路径实施的住院费用、医疗质量和效率。方法采用历史同期对照,对364例路径实施前和345例路径实施后的一般性癫痫和难治性癫痫入院患者相关指标进行对比分析。结果一般性癫痫的次均住院费用减少了872.49元,平均住院日减少2天;难治性癫痫的平均住院日减少1天,病情好转率显著提高。结论在不影响医疗质量的前提下,癫痫临床路径的实施有效地缩短了住院天数,降低了住院费用,减轻了患者的疾病经济负担,且实施临床路径后好转率有所提高。
Objective To evaluate the cost of hospitalization, quality of care and efficiency of clinical pathways for epilepsy. Methods Using the historical contemporaries, we compared and analyzed the related indicators of general epilepsy and refractory epilepsy admission patients before the implementation of the 364 routes and after the implementation of the 345 routes. Results The average cost of hospitalization for general epilepsy decreased by 872.49 yuan and the average hospitalization days decreased by 2 days. The average length of stay of refractory epilepsy was reduced by 1 day, and the rate of condition improvement was significantly improved. Conclusion Without affecting the quality of medical care, the implementation of clinical pathways of epilepsy effectively shorten the length of hospital stay, reduce hospitalization costs, reduce the patient’s economic burden of disease and improve the improvement rate after the implementation of clinical pathway.