Application of the index system for clinical evaluation of implementation effect: An example of vaginal delivery
10.11817/j.issn.1672-7347.2018.01.004
- VernacularTitle:临床路径实施效果评价指标体系应用研究——以自然临产阴道分娩为例
- Author:
Ping MAO
1
;
Chen DENG
;
Xiao ZHU
;
Aijing LUO
;
Siqing DING
;
Jinfu YANG
Author Information
1. 中南大学湘雅公共卫生学院社会医学与卫生事业管理学系
- Keywords:
clinical pathway;
effect evaluation;
system;
vaginal delivery
- From:
Journal of Central South University(Medical Sciences)
2018;43(1):22-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective:In order to apply the index system for clinical evaluation of implementation effect in hospitals.Methods:A total of 862 patients with vaginal delivery from 9 hospitals were randomly divided into an clinical pathway group (n=496) and a control group (n=366).The patients in the control group received traditional treatment procedure while the patients in the clinical pathway group experienced procedure of the clinical treatment.The index system was used for clinical evaluation of implementation effect.Results:There were obvious advantages in 15 indicators in the clinical pathway group than those in the control group (P＜0.05).The comprehensive score of the clinical pathway group was higher than the control group of the corresponding grade and nature of the hospital.The comprehensive score for secondary hospitals (Ci=0.7967) were higher than that for the tertiary hospitals (Ci=0.2033).The comprehensive score for the general hospitals (Ci=0.8948) were higher than that for the specialized hospitals (Ci=0.1052).As for clinical implementation effect,the secondary hospitals were better than the tertiary hospital,and the general hospitals were better than the specialized hospitals.Conclusion:The index system for clinical evaluation could quantify the implementation effect,and compare the implementation effect in different hospitals,which provides reference for the management of clinical pathway.
