目的：分析临床路径下青光眼住院费用变化情况，为制定合理的临床管理方法提供参考。方法：收集青光眼临床路径患者数据，建立 Excel 数据库，以 2016 年为基准对住院费用进行贴现计算后，应用 SPSS 软件对住院数据进行统计分析。结果：手术费用占总费用的比例最大，人均住院费用变化不明显，诊疗费逐年上升。随着日间手术的开展，实施临床路径管理的患者数量下降。结论：诊疗费用对提高医务人员工作积极性具有很重要的意义，随着日间手术的推广，将对临床路径的实施产生影响。
Objective: To investigate hospitalization costs through the inpatient costs of primary acute angle closure glaucoma between 2009 to 2016, and to provide a more suitable method for clinical management.
Methods: We collected the data of hospitalization patients with glaucoma from 2009 to 2016, coded and established the corresponding Excel databases. Based on a variety of statistics tables, descriptive analysis (according to SPSS for Windows 17.0) was applied to analyze the proportion of different types of hospitalization costs and simple linear regression was used to analyze the tendency of costs with years.
Results: Operation costs was the largest percentage of total cost; the average hospitalization cost change was not obvious, and the treatment costs rose year by year. With the development of day surgery, patients of clinical pathway management was decreased.
Conclusion: Increasing the medical expenses to improve medical staff’s work enthusiasm has very important significance. As day surgery, will affect the implementation of clinical pathway.
目的：了解眼科住院医师规范化培训学员(规培生)的沟通技能态度和人际沟通能力现状。方法：对中山大学中山眼科中心三个年级规培生的沟通态度和人际沟通能力进行问卷调查，并进一步分析其沟通态度与沟通能力的相关性。结果：共纳入196名规培生，沟通积极态度量表总分为51.38±6.52，消极态度为36.80±5.70，人际沟通能力为2.41±0.40，辅导与咨询维度得分为2.50±0.64，提供有效的负面反馈维度得分为2.61±0.50，支持性沟通维度得分为2.29±0.44。沟通技能的积极态度与人际沟通能力和三维度之间显著相关(P<0.01)。人际沟通技能得分与性别、规培年级、喜欢眼科专业的程度、得到家庭的关爱程度、得到朋友的关爱程度等因素显著相关(P<0.05)。结论：眼科规培生对沟通技能的积极态度优秀，但是总体沟通能力较弱，并受到多种因素影响。应充分重视规培生人际沟通能力的培养，开展医患沟通的专业化培训。
Objective: To evaluate the current status and correlations between attitudes and competency for interpersonal communication in ophthalmology standardized training trainee. Methods: A questionnaire survey was conducted on the communication attitudes and interpersonal communication ability of standardized training trainees from three grades in Zhongshan Ophthalmic Center, affiliated to Sun Yat-sen University, and the correlation between communication attitude and communication ability was further analyzed. Results: A total of 196 trainees were included. The scores of positive attitude, negative attitude, and interpersonal communication skills were 51.38±6.52, 36.80±5.70, and 2.41±0.40, respectively. In addition, the dimension of coaching and counseling scores were 2.50±0.64, the dimension of providing effective and negative feedback scores were 2.61±0.50, and the dimension of supportive communication scores were 2.29±0.44. The positive attitudes of communication skills were significantly related to the interpersonal communication skills and three-dimensionality (P<0.01). The interpersonal communication skills were significantly associated with sex, grades, interest in ophthalmology, social support from the family and friends (P<0.05). Conclusion: Ophthalmology trainees have excellent positive attitudes toward communication skills, but the overall communication skills are weak and influenced by a variety of factors. More attention should be paid to the development of interpersonal communication skills of the trainees, and specialized training in doctor-patient communication is warranted.
