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To explore the impact of standardized clinical pathway management on the cost changes of anterior cruciate ligament injury of the knee and its value in medical practice, with the intention of providing experience for the reform of clinical pathways for disease types and medical insurance payment systems in the context of the DRG payment system.
The study selected a tertiary general hospital in City L as the research object and utilized the interrupted time series analysis method to compare the data before and after the implementation of clinical pathway management.
After the implementation, the average cost per case of this disease type significantly decreased, and the cost structure was optimized. The main cost items such as drug fees, examination fees, and treatment fees all showed a downward trend. The optimization of hospitalization frequency was limited, and the control of consumable costs still needed to be strengthened.
Although clinical pathway management has achieved certain results, it also faces challenges. During the implementation, it is necessary to be vigilant against the decomposition of hospitalizations, strengthen medical insurance supervision and technical monitoring, and optimize hospital management processes. Emphasis should be placed on the value of medical labor and the adjustment of salary systems. Continuous control of consumables is needed to control costs and optimize resource utilization. In the future, the system should be continuously improved to enhance service quality and efficiency, promote the high-quality development of public hospitals, and advance the reform of medical insurance payment systems.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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