臨床路徑於股及腹股溝疝氣手術之應用

Implementation of Clinical Pathway in Femoral and Inguinal Hernia Repair

李良明(Liang-Ming Lee) ； 邱文達(Wen-Ta Chiu) ； 許志瑋(Chi-Wei Hsu) ； 李碧玲(Pi-Ling Lee)

《醫務管理期刊》 3卷2期 (2002/06) Pp. 25-34

摘要

The research is designed to evaluate the effects of clinical pathway upon the average length of hospital stay and admission charges of the femoral and inguinal hernia repair patients under the case payment system.
In the research, 340 cases of femoral and inguinal hernia repair from October 1997 to March of 1999 are collected. The 340 cases are divided into three periods: the FFS period (October 1997 to March 1998, N=98), the lead-in period (April 1998 to September 1998, N=114) and the post-implementation period (October 1998 to March 2000, N=126).
After implementation of clinical pathway, the average length of hospital stay is significantly reduced, from 4.5 days in the FFS period to 2.4 days in the post-implementation period (46.7%, P＜0.05); the average admission charges is reduced from NT$ 19,459 to 18,853 (3.1%,P＞0.05).
The research reveals that implementation of clinical pathway can reduce the average length of hospital stays and admission chargess.

關鍵字

論病例計酬制 ； 臨床路徑 ； 論量計酬制 ； 股及腹股溝疝氣手術

並列摘要

The research is designed to evaluate the effects of clinical pathway upon the average length of hospital stay and admission charges of the femoral and inguinal hernia repair patients under the case payment system.
In the research, 340 cases of femoral and inguinal hernia repair from October 1997 to March of 1999 are collected. The 340 cases are divided into three periods: the FFS period (October 1997 to March 1998, N=98), the lead-in period (April 1998 to September 1998, N=114) and the post-implementation period (October 1998 to March 2000, N=126).
After implementation of clinical pathway, the average length of hospital stay is significantly reduced, from 4.5 days in the FFS period to 2.4 days in the post-implementation period (46.7%, P＜0.05); the average admission charges is reduced from NT$ 19,459 to 18,853 (3.1%,P＞0.05).
The research reveals that implementation of clinical pathway can reduce the average length of hospital stays and admission chargess.

並列關鍵字

Case Payment ； Clinical Pathway ； Femoral and Inguinal Hernia Repair ； FFS

參考文獻

廖述朗(1997)。醫院實施臨床路徑之影評估－以台大醫院股及腹股溝疝氣手術為例(碩士論文)。國立台灣大學。

林碧珠、莊琴英、陸嘉玲、顔碧秋、王金蓮、陳瓊香(1999)。臨床路徑在骨科的應用。護理雜誌。46(2)，45-53。

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