文档介绍：第三军医大学硕士学位论文
原来有明显减少,经检验(ⅹ2=,P<),具有统计学意义。
结论:在肺癌手术病人的临床治疗方案没有明显变化、病情没有明显差异,两组病
人的性别构成、年龄、支付方式无显著性差异的前提下,对肺癌手术病人使用临床路
径管理后缩短了病人住院总天数、术前的住院天数,降低了病人的住院费用,提高了
患者的治愈率,减少了病人发生并发症的情况,充分说明临床路径管理对控制肺癌手
术病人的住院时间、医疗费用等具有一定的意义。为主管部门制定肺癌临床路径管理、
合理配置治疗肺癌的卫生资源提供了参考依据,将对遏制过度医疗或不合理消费,节
约有限的医疗资源,更好的服务于人民群众,最终减轻肺癌病人及家庭的负担具有一
定的意义。
关键词:肺癌手术病人;临床路径;效果评价。
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第三军医大学硕士学位论文
ABSTRACT
AIM: By means of investigating the differences of the information and total cost of
the patients who received lung cancer surgeries during the period of 2002 to September,
2009 in the thoracic surgery department of the First People’s Hospital of Yunnan Province
(FPHYP), this project is devoted to evaluate the clinical route management effect on the
patients with lung cancer surgeries in this hospital. There is to provide support evidences
for managing authorities to allocate medical resources for lung cancer treatment reasonably,
to regulate suitable policy, to have the cost of lung cancer treatment under control, to
prevent unnecessary treatment cost occurring, to use the limited medical resources
effectively, to serve the patients better, and finally to relieve the burden of the patients and
their families.
METHODOLOGY: Under the condition that the treatment plans for lung cancer
patients are relatively stable from 2002 to 2009, we consulted some experts in the thoracic
surgery department of the FPHYP, and adopted a retrospective investigating procedure,
according to the classifications of the “International Classification of Diseases”. We
collected and analyzed the basic information of the patients who received lung cancer
surgery from the Hospital Information System (HIS) of the FPHYP. Reading from the cases
managing database, we were able to find the surgery code for each patient, the total
treatment cost occurred, and separate cost for each treatment. We deleted the information of
those with total cost under RMB 10000. Then we con