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目的分析口腔科住院患者数字化临床路径干预的应用效果。方法选取2012年6月—2013年6月浙江大学附属第一医院实施数字化临床路径后口腔科颌骨骨折、唾液腺良性肿瘤及瘤样病变、颌骨良性肿瘤及瘤样病变、口腔癌4个病种住院患者737例为路径组;选取2009年6月—2010年6月未实施临床路径的相应住院患者725例为对照组,比较两组平均住院天数、平均住院费用和病人满意度。结果与对照组相比,路径组不同病种患者平均住院天数均明显减少(P<0.05),颌骨良性肿瘤患者由(10.66±1.12)d降至(9.39±1.39)d,最为明显。病人满意度均明显提高,其中颌骨骨折患者由(94.2±1.98)%提高至(97.5±1.47)%。平均住院费用颌骨良性肿瘤由(10 215.4±1 563.5)元降至(8 482.3±1 852.0)元,口腔癌由(20 372.4±2 519.1)元降至(17 746.4±2 723.1)元,差异均有统计学意义(P<0.05),其余两病种平均住院费用两组之间差异无统计学意义(P>0.05)。结论数字化临床路径的实施能有效缩短口腔科患者的住院天数,降低治疗费用,提高病人的满意度,值得推广应用。
Objective To analyze the application effect of digital clinical pathway intervention in inpatients in dentistry. Methods From June 2012 to June 2013, the First Affiliated Hospital of Zhejiang University implemented the digital clinical pathology, which included dental fractures of jaws, salivary gland benign tumors and tumor-like lesions, benign tumors of the jaw and tumor-like lesions, 737 inpatients were selected as the path group; 725 corresponding inpatients without clinical pathology in June 2009-June 2010 were selected as the control group, and the average hospitalization days, average hospitalization costs and patient satisfaction were compared between the two groups. Results Compared with the control group, the average days of hospitalization in different pathological groups were significantly decreased (P <0.05). The patients with benign tumors of the jaw decreased from (10.66 ± 1.12) d to (9.39 ± 1.39) d, most obviously. Patient satisfaction were significantly improved, including jaw fracture patients increased from (94.2 ± 1.98)% to (97.5 ± 1.47)%. The average cost of hospitalization decreased from (10 215.4 ± 1 563.5) yuan to (8 482.3 ± 1 852.0) yuan, and the oral cancer decreased from (20 372.4 ± 2 519.1) yuan to (17 746.4 ± 2 723.1) yuan, with a difference of (P <0.05). There was no significant difference between the two groups in average hospitalization costs of the other two diseases (P> 0.05). Conclusion The implementation of digital clinical pathway can effectively shorten the hospitalization days of dentists, reduce treatment costs and improve patient satisfaction, which is worth popularizing and applying.