| 国内外临床路径效果评价研究综述 |
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| 引用本文： | 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. |
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| 作者姓名： | 张超逸 管晓东 卢恬 贾立明 史录文 陈玉文 |
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| 作者单位： | 沈阳药科大学工商管理学院, 沈阳 110016,北京大学药学院, 北京 100191;北京大学医药管理国际研究中心, 北京 100191,江西省卫生和计划生育委员会, 南昌 330046,江西省卫生和计划生育委员会, 南昌 330046,北京大学药学院, 北京 100191;北京大学医药管理国际研究中心, 北京 100191,沈阳药科大学工商管理学院, 沈阳 110016 |
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| 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。
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| 关 键 词： | 临床路径 效果评价 评价方法 评价指标 |
| 收稿时间： | 2017/1/11 0:00:00 |
Review of Effect Evaluation of Clinical Pathway at Home and Abroad |
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| Zhang Chaoyi,Guan Xiaodong,Lu Tian,Jia Liming,Shi Luwen and Chen Yuwen.Review of Effect Evaluation of Clinical Pathway at Home and Abroad[J].Chinese Pharmaceutical Affairs,2018,32(1):8-14. |
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| Authors: | Zhang Chaoyi Guan Xiaodong Lu Tian Jia Liming Shi Luwen and Chen Yuwen |
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| Institution: | School of Business Administration, Shenyang Pharmaceutical University, Shenyang 110016, China,School of Pharmaceutical Sciences, Peking University, Beijing 100191, China;International Research Center of Medicinal Administration, Peking University, Beijing 100191, China,Health and Family Planning Commission of Jiangxi Province, Nanchang 330046, China,Health and Family Planning Commission of Jiangxi Province, Nanchang 330046, China,School of Pharmaceutical Sciences, Peking University, Beijing 100191, China;International Research Center of Medicinal Administration, Peking University, Beijing 100191, China and School of Business Administration, Shenyang Pharmaceutical University, Shenyang 110016, China |
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| Abstract: | 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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| Keywords: | clinical pathway effect evaluation evaluation method evaluation index |
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