http://jcps.bjmu.edu.cn

中国药学(英文版) ›› 2016, Vol. 25 ›› Issue (2): 154-158.DOI: 10.5246/jcps.2016.02.018

• 【简 报】 • 上一篇    下一篇

青岛某医院临床路径改革对医疗费用影响的ITS分析

张敏1, 鲍国春2*, 赵琨3, 李雪3   

  1. 1. 青岛大学, 山东 青岛 266071
    2. 青岛市食品药品监督管理局, 山东 青岛 266071
    3. 国家卫生计生委卫生发展研究中心卫生政策与技术评价中心, 北京 100191
  • 收稿日期:2015-10-22 修回日期:2015-11-27 出版日期:2016-02-29 发布日期:2015-12-16
  • 通讯作者: Tel.: 13808999587, E-mail: 1172557238@qq.com

Implications of clinical pathway reform on pharmaceutical costs at a hospital in Qingdao city

Min Zhang1, Guochun Bao2*, Kun Zhao3, Xue Li3   

  1. 1. Qingdao University, Qingdao 266071,China
    2. Qingdao Food and Drug Administration, Qingdao 266071, China
    3. China National Health Development Research Center, Beijing 100191, China
  • Received:2015-10-22 Revised:2015-11-27 Online:2016-02-29 Published:2015-12-16
  • Contact: Tel.: 13808999587, E-mail: 1172557238@qq.com

摘要:

为了探索临床路径在有效控制用药费用中的作用, 我们选取青岛某三级医院复杂的慢性非传染性疾病:脑梗死、脑出血、短暂性脑缺血发作及慢性阻塞性肺疾病作为路径实施病种, 对其药费进行间断时间序列分析。在实施临床路径后总体用药费用、短暂性脑缺血发作患者用药费用显著降低, 对脑出血患者的降低用药费用效果不明显。综上所述, 实施临床路径对促进用药费用降低有一定作用。

关键词: 临床路径, 用药费用, 间断时间序列分析方法

Abstract:

To study on the effect of clinical pathway (CP) on controlling pharmaceutical costs, we selected complex, chronic, non-communicable diseases, including cerebral infarction, cerebral hemorrhage, transient ischemic attack, and chronic obstructive pulmonary disease, as diseases to implement clinical pathways at a tertiary hospital in Qingdao. We then conducted intermittent time series analysis on pharmaceutical costs. After the implementation of clinical pathway, overall pharmaceutical costs of patients with transient ischemic attack reduced significantly. The effect was not significant for cerebral hemorrhage patients. The implementation of clinical pathway has a desirable outcome on controlling pharmaceutical costs.

Key words: Clinical pathway, Pharmaceutical costs, Intermittent time series analysis method

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