안정형 협심증 환자의 효율적인 진료관리를 위한 진료관련 인자의 분석과 예측

Abstract

The current health care system demands provisions for patient care in perspectives of cost-effectiveness and patient's satisfaction. The most popular methods intended to meet this challenge are critical pathways. Critical or clinical pathways display goals for patients and provide the ideal sequence and timing of staff actions. In this study; a critical pathway was developed for stable angina. In order to identify the overall service contents; 1;547 patients who were diagnosed as stable angina and admitted into Dongsan Medical Center between January 2004 and December 2005; were included. After analyzing the frequency of the tests and medications; we classified by necessity compared with the days of hospitalization. And we consulted with three cardiologists about clinical validity. The proportion of the males to females was 1.32 : 1 and the average age of the patients was 62.4 years old. The mean hospitalization was 5.8 days. The "mandatory" medication included vasodilator; antiplatelet agent and beta-adrenergic receptor blocker. And the "mandatory" test included simple chest radiography(PA view); electrocardiography; echocardiography and coronary angiography. On the basis of the results of the study; we can choose the appropriate test and medication and make a critical pathway for stable angina. If we will implement this critical pathway; we can reduce the hospitalization by three days and increase the satisfaction of the patients with medical team simultaneously.