Study on effect of clinical pathway implementation in advanced schistosomi-asis with ascites / 中国血吸虫病防治杂志

ABSTRACT

Objective To evaluate the effect of clinical pathway(CP)on the implementation of advanced schistosomiasis pa-tients with ascites.Methods Totally 1 129 cases of advanced schistosomiasis patients with ascites but without other complica-tions were selected randomly from the Performance Evaluation and Management System for Medical Treatment of Advanced Schistosomiasis Patients in Hubei Province from year 2011 to 2013.Among the patients,754 cases were treated by CP(CP group),and 375 cases were treated with traditional methods(NCP group),and the hospitalization days,hospitalization expens-es,medicine proportions,treatment outcomes and degrees of satisfaction and health knowledge rates of the two groups were com-pared.Meanwhile,the variation of CP was calculated.Results The average length of hospital days of the CP group and NCP group were(13.85 ± 5.60)d and(17.92 ± 5.80)d,respectively,and the average hospitalization costs of the two groups were(4 699.14 ± 1 520.59)Yuan and(5 692.01 ± 1 616.66)Yuan,respectively,both the differences were statistically significant(both P＜0.05).Also the hospitalization cost structures of the two groups were remarkably different,the composition ratios of the inspection fee and accommodation fee in the CP group were lower than those in the NCP group,but the constituent ratios of the examination fee,diagnosis and treatment fee,drug charges and other expenses were higher than those in the NCP group(all P<0.05).The awareness rate of health knowledge in the CP group was higher than that in the NCP group(P<0.05),but there were no statistically significant differences in the treatment outcome and the degree of satisfaction between the two groups(both P>0.05).The variation rate of CP was 9.02％(68/754).Conclusions The implementation of CP can decrease the days of hos-pital stay and medical expenses,improve the awareness rate on health knowledge of the patients.The CP treatment with low vari-ation rate is applicable to advanced schistosomiasis patients with ascites but without complications.