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[Application of the index system for clinical evaluation of implementation effect: An example of vaginal delivery]
Ping Mao1, Chen Deng2, Xiao Zhu2
1Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078; Department of Nursing, Third Xiangya Hospital, Central South University, Changsha 410013; Key Laboratory of Medical Information Research, College of Hunan Province, Central South University, Changsha 410013, China.
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.
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