| 张超逸,管晓东,卢恬,贾立明,史录文,陈玉文.国内外临床路径效果评价研究综述[J].中国药事,2018,32(1):8-14 |
| 国内外临床路径效果评价研究综述 |
| Review of Effect Evaluation of Clinical Pathway at Home and Abroad |
| 投稿时间：2017-01-11 |
| DOI：10.16153/j.1002-7777.2018.01.002 |
| 中文关键词: 临床路径 效果评价 评价方法 评价指标 |
| 英文关键词: clinical pathway effect evaluation evaluation method evaluation index |
| 基金项目: |
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| 摘要点击次数: 1276 |
| 全文下载次数: 938 |
| 中文摘要: |
| 了解国内外临床路径效果评价研究进展，为今后开展临床路径效果评价研究提供参考。方法：通过文献研究，总结目前国内外临床路径效果评价研究所使用的评价方法、评价指标等内容。结果：国内外研究普遍采用前后对照法或平行对照法，一部分研究采用meta分析进行效果评价；统计学上，大部分研究仅对结果进行t检验，部分研究使用回归、间断时间序列、双重差分等方法。评价指标上，多采用效率指标、效果指标、卫生经济学指标和工作量指标等4大类指标。结论：目前，国内外已经有较为成熟的临床路径效果评价体系，在评价方法和评价指标的选取上需要针对研究的问题灵活选择。 |
| 英文摘要: |
| Objective: To study the researches on effect evaluation of clinical pathway at home and abroad in order to provide references for the future research on evaluation of clinical pathway effect. Methods: The factors such as current methods and indexes of effect evaluation of clinical pathway at home and abroad were summarized through literature review. Results: The before-and-after contrast method or the parallel method were commonly used at home and abroad and meta-analysis was used in some studies. Most researches used t-test to do statistic analysis of the results. Some studies used regression, intermittent time series, double difference and other methods. Efficiency index, effect index, health and economy index and workload index were generally used as the evaluation indexes. Conclusion: There are some mature effect evaluation systems of clinical pathway at home and abroad. The selection of evaluation methods and indexes should be more flexible according to the problems. |
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