Lagoe R J
Nurs Econ. 1998 May-Jun;16(3):125-31.
Clinical pathways (using accepted benchmark goals) are among the most widespread tools used to enhance outcomes and contain costs within a constrained length of stay (LOS). The author describes the need for selection and use of designated basic statistics in the "definition and evaluation of the impact of clinical pathways in hospitals." The use of both the mean and median data on resource use and LOS information (to evaluate the effectiveness of various clinical pathways) is advised, as the influence of outlier data will thus be revealed. The ultimate goal of such evaluation is the identification of statistics that can be readily "understood by and communicated among providers and consumers of health care services." The correlation of statistical variables such as resource utilization (including ICU stays) and LOS, can reveal patterns not easily seen otherwise.
临床路径(采用公认的基准目标)是用于改善医疗结果并在限定住院时长内控制成本的最为广泛使用的工具之一。作者在“医院临床路径影响的定义与评估”中描述了选择和使用特定基础统计数据的必要性。建议同时使用资源利用和住院时长信息的均值和中位数数据(以评估各种临床路径的有效性),因为这样可以揭示异常值数据的影响。此类评估的最终目标是确定医疗服务提供者和消费者都能轻易理解并相互交流的统计数据。诸如资源利用(包括重症监护病房住院时间)和住院时长等统计变量之间的相关性,可以揭示出其他方式不易发现的模式。