中文摘要：

为了评价高血压痛患者双向转诊临床路径的效果效益，采用病例查阅、专家咨询、现场考察、试点研究、个人访谈等方法，评价试验组和对照组高血压患者双向转诊临床路径的效果效益。结果显示，试验组首次就诊时间和再次就诊率与对照组问差异有统计学意义（P〈0．05）；两组间医疗费用和对医护人员服务态度满意率差异有统计学意义（P〈0．05）；两组间治疗效果差异无统计学意义（P〉0．05），提示实施高血压病患者双向转诊临床路径有很好的社会和经济效益。

英文摘要：

To evaluate the effect and benefit of clinical pathway of two--way referral in patients with hypertension, the methods of case review, expert consultation, on--site inspection, pilot study, and individual interviews were used to eval- uate the effectiveness of essential hypertension patients who were in test group and control group by two--way referral clinical pathway. The difference of the visiting time for the first time and the visiting rate for the second time between the test group and the control group was significant （P~0.05）, respectively; the difference of health care costs and the satis- factory rate for service attitude of medical staff between the two groups was significant （P〈0.05）, respectively; the difference of the effect of treatment between the two groups was not significant （P〉0.05）. The implementation of two--way referral in patients with essential hypertension clinical pathway has achieved very good effect and benefit.