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The enforcement of National Health Insurance（NHI）, especially
the case payment has great influence on the medical provider.
How to utilize the limited medical resource efficiently is
important to all the members of the health-care system. system.
The standard medication procedure was made. The medication
procedure, patient''s severity of illness, average
hospitalization fee and the drug cost of 25 uncomplicated
appendectomy cases studied in 1996 were compared retrospectly
with 33 cases in 1993. The average hospitalization fees are
35,291 NT dollars in retrospective study（Group A）and 17,266
NT dollars in prospective study（Group B）. The average
hospitalization days are 5.6 in Group A and 3.1 in Group B. The
percentages of drug cost are 31% in Group A and 22% in Group B.
The average hospitalization fees, average hospitalization days
and the percentages of drug cost are all significantly
different between Group A and Group B. The wound infection
rates are 3% in Group A, in which the correct a antibiotics
were used at the right time, and 0% in Group C, in which the
antibiotics were administered at all the hospitalization days
without concerning the antimicrobial activities, safety, and
cost of these agents. The results show that the "single dose"
prophylactic antibiotic is practical. The clinical path system
is one of National Taiwan University Hospital''s policies of
quality assurance.We hope the pharmacy can contribute to reduce
the cost and enhance the quality of medical care by
participating in the formation of standard medication procedure
in clinical path.
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