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題 名 | 消化外科實施臨床路徑之成效探討=Effectiveness of Clinical Pathways on Digestive Surgery |
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作 者 | 鄭麗芳; 楊美雪; 郭承志; 柯成國; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 9:1 2013.06[民102.06] |
頁 次 | 頁50-59 |
分類號 | 419.73 |
關鍵詞 | 臨床路徑; 住院天數; 醫療費用; 再入院; Clinical pathways; Length of stay; Medical expenditure; Readmission; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:本研究在探討消化外科個案實施臨床路徑對住院天數、醫療費用與非計劃性再入院的影響。方法:本研究為回溯性資料分析,選取2006年與2007年申報資料庫之單純性闌尾切除術、腹腔鏡膽囊切除術、疝氣修補術與痔瘡切除術等, 共1,101件個案。以獨立樣本 t檢定,分析臨床路徑實施前後兩組個案之住院天數、醫療費用與非計劃性再入院等。結果:臨床路徑實施後, 腹腔鏡膽囊切除術與痔瘡切除術個案住院天數分別較實施前少0.4天(p<0.001)與0.2天(p< 0.05)。在醫療費用分析結果顯示, 藥費顯著地減少, 包括單純性闌尾切除術為820點(p<0.001)、疝氣修補術為93點(p< 0.001)、痔瘡切除術為55點(p<0.001)。單純性闌尾切除術與痔瘡切除術臨床路徑實施後, 平均每件檢查費分別地減少953點(p<0.001)與336點(p<0.001)。單純性闌尾切除術個案、疝氣修補術個案與痔瘡切除術個案平均總住院費用於臨床路徑實施後皆顯著地減少, 然而腹腔鏡膽囊切除術個案卻增加2,432點(p<0.001)。臨床路徑實施後, 出院後十四日內非計劃性再入院與出院後三日內入急診皆無顯著改變。結論:消化外科臨床路徑的實施,可降低腹腔鏡膽囊切除術與痔瘡切除術之住院天數; 在醫療費用方面, 這四種手術之總醫療費用均可降低, 具有成效。 |
英文摘要 | Objective: To investigate the effects of clinical pathways on the length of stay (LOS), cost and readmissions.Methods: It's a retrospective analysis from the sample hospital database. This study chose 1,101 cases of appendectomy, laparoscopic cholecystectomy, mastectomy, inguinal herniorrhaphy and hemorrhoid-dectomy operations to analysis. Including before (538 cases) and after (563 cases) implementing of their clinical pathways by using independent t-test.Results: After application of clinical pathways, the length of stay (LOS) were declined 0.4 day (p<0.001) and 0.2 day (p < 0.05) for these laparoscopic cholecystectomy and hemorroidectomy patients. The pharmacy fee were decreased about 820, 93, and 55 points for simple appendectomy, herniorraphy and hemorroidectomy respectively (p<0.001). In expection fee, they saved 953 (p<0.001) and 336 points (p< 0.001) for the appendectomy and herniorraphy respectively. But the fee of laparoscopic cholecystectomy was decreased.Conclusions: The effects of clinical pathways in these four digestive surgeries are effective and they can save the medical expenditure by application of clinical path. |
本系統中英文摘要資訊取自各篇刊載內容。