从临床经济学角度论胃手术后并发症的干预

Abstract

胃肠道手术并发症日益成为国内外临床研究和实践过程中用以衡量手术安全性的重要指标.在实际临床决策过程中,除了以并发症机制作为干预切入点,并发症的临床经济学分析也是重要的参考依据.通过临床经济学分析,优化并发症诊断登记能够从国家宏观层面获得较高的投入产出比,并且通过微观分析,也能够进一步获得改善临床决策的着力点.通过对并发症干预措施的临床经济学分析,还能够更进一步理解胃外科术后并发症诸多干预措施在实践过程中的必要性、可行性,从而立足自身资源,优化临床策略,合理利用有限的卫生资源.

Postoperative complications of gastrointestinal surgery have become an important indicator for evaluating surgical safety in the process of the domestic and foreign clinical research and practice.The clinical economics evaluation of the complications provides an important reference in the clinical decision-making process,in addition to the mechanism investigation.It reveals that higher cost-effectiveness can be obtained through optimizing complication diagnosis and registration process from a national macroscopic level,while it also uncovers the targets of the yet-to-be improved clinical decision making process in the microscopic analysis.Through clinical economics evaluation,the necessity and feasibility of interventions targeting the complications can be better understood the clinical practice,which would eventually optimize clinical strategies and proper use of the limited health resources.