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目的:对江西省11个设区市的57种常见疾病基本诊疗路径试点情况进行定量分析,为在该省建立和完善基层医疗机构诊疗路径管理制度提供依据。方法:按照分层、整群、多阶段抽样方法,随机抽取江西省11个设区市的767所乡镇卫生院进行调查,并利用SPSS21.0进行分析。结果:江西省11个设区市的基层医疗机构试点后平均治疗费用比试点前减少了19.92%(t=34.930,P=0.000),平均治疗天数比试点前缩短了14.97%(t=4.928,P=0.000)。结论:基本诊疗路径的实施可以减少治疗费用,缩短治疗时间,说明路径的实施可以减轻患者负担,符合新医改的初衷和老百姓的根本利益,基本诊疗路径管理应该以制度的形式确立下来,并不断进行修改完善。
Objective: To quantitatively analyze the pilot program of 57 common diseases pathways in 11 districts and districts in Jiangxi Province, and provide the basis for establishing and perfecting the management system of pathways of diagnosis and treatment in primary medical institutions in this province. Methods: According to stratified, cluster and multistage sampling methods, 767 township health centers in 11 districts and cities in Jiangxi Province were randomly selected for investigation and analyzed by SPSS21.0. Results: The average post-treatment cost of primary medical institutions in 11 districts and districts in Jiangxi Province decreased by 19.92% (t = 34.930, P = 0.000), and the average number of days of treatment decreased 14.97% (t = 4.928, P = 0.000). Conclusion: The implementation of the basic diagnosis and treatment path can reduce the treatment cost and shorten the treatment time. It shows that the implementation of the path can reduce the burden on patients, accord with the original intention of the new medical reform and the fundamental interests of ordinary people. The basic diagnosis and treatment path management should be established in the form of system, Modify and perfect.