Effect Analysis of Clinical Pathway of Day Surgery for Senile Cataract

Abstract：Objective To learn from experience of day surgery management at home and abroad,and to explore a new approach for Clinical Pathway of day surgery for senile cataract under the background of the comprehensive reform of medical & drug separation.Method Comparing the average cost per day,average length of stay and postoperative infection rate of senile cataract in 2010 (before the implementation of Clinical Pathway),2013 (after the implementation of Clinical Pathway),and 2016 (after the implementation of Clinical Pathway of day surgery) in Beijing Tongren Hospital Affiliated to Capital Medical University.Result The new model of Clinical Pathway of day surgery for senile cataract surgery is achieved,the average length of stay is shortened,and the treatment cost per capita is decreased.The differences are statistically significant (P＜0.05).The rate of surgical infection in 2010,2013 and 2016 is low and the difference among them is not statistically significant.Conclusion On the premise of ensuring medical quality,the implementation of the new model of Clinical Pathway of day surgery for senile cataract surgery not only improves the economic benefits of hospital and department,and saves the medical resources for the government,but also reduces the cost of patients,and makes them feel achieved during the consultation.