Study of new clinical pathway in patients with senile cataract treated by operation
10.3969/j.issn.1006-5725.2016.04.033
- VernacularTitle:老年性白内障手术治疗患者的新临床路径研究
- Author:
Ling LI
;
Yuehong ZHANG
;
Haoying TANG
;
Zhigao XIA
;
Jie YAN
;
Hongbin JU
- Publication Type:Journal Article
- Keywords:
Senile cataract;
Clinical pathway;
Decision tree
- From:
The Journal of Practical Medicine
2016;32(4):616-618
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the standard clinical pathway and stratified cost insurance in patients with senile cataract operation. Methods Patients treatment by senile cataract phacoemulsification combined with IOL implantation were selected as research subjects by cluster sample from two hospitals from 2013 to 2014 . Patients were divided into different groups according to the year, chronic diseases, preoperative waiting time. The difference of hospitalization expenses and hospitalization time were compared. Different levels of hospital costs were established by CHAID decision tree used hospitalization cost as target variable. Results The waiting time for operation was 2 days, the total hospitalized time was 5 days and these can be used as reference time in clinical pathway. Patients uninsured or with long waiting time for operation had longer hospitalized time. Chronic disease, terms of payment and waiting time before operation were point factors that effect the hierarchical of decision tree. Conclusion The new standard of clinical path need to adjust constantly. Distinguish different patients condition and pay different clinical path costs.
