基于DRG的某院神经内科住院医疗服务绩效评价

王建,王敬毅

中国医院统计 ›› 2021, Vol. 28 ›› Issue (6) : 528-532.

PDF(1848 KB)
微信公众号
PDF(1848 KB)
中国医院统计 ›› 2021, Vol. 28 ›› Issue (6) : 528-532. DOI: 10.3969/j.issn.1006-5253.2021.06.010
住院统计

基于DRG的某院神经内科住院医疗服务绩效评价

作者信息 +

Performance evaluation of inpatient medical service in the neurology department of a hospital based on DRG

Author information +
文章历史 +

摘要

目的 基于疾病相关诊断分组(DRG)对神经内科各病区的绩效展开评价,为医院提供精细化管理依据。方法 运用能力、效率、安全3个维度6项指标对某院神经内科2020年1月—2021年6月的住院医疗服务绩效进行分析。结果 医疗服务绩效综合评价A病区最好,C病区最差;能力方面,A病区病例组合指数最高,C病区最低;效率方面,D病区时间消耗指数和费用消耗指数最好,A病区最差。从费用构成上看诊断类、西药类、中药类、综合医疗服务类费用占住院费用的84.48%;通过费用拆分,不同病区各项目费用消耗指数均不同。结论 神经内科各病区住院费用消耗指数在能力和效率方面存在偏离,应用DRG 指标评价各病区的住院绩效情况,可以客观、公平地评价其医疗能力与医疗效率。

Abstract

Objective To evaluate the hospital service performance of inpatients in the neurology department based on the diagnosis related groups (DRG), and to provide the basis for fine management of the hospital. Methods The performance of inpatient medical service in the department of neurology from January 2020 to June 2021 was analyzed by using six indexes including capability, efficiency and safety. Results The comprehensive evaluation of medical service performance was best in ward A and worst in ward C. In terms of ability, the case combination index was the highest in ward A and the lowest in ward C. In terms of efficiency, ward D had the best time consumption index and cost consumption index, while ward A had the worst. In terms of cost composition, diagnosis, Western medicine, traditional Chinese medicine and comprehensive medical service expenses accounted for 84.48% of hospitalization expenses; through cost splitting, the cost consumption index of each item in different wards was different. Conclusion There is deviation in the ability and efficiency of each ward in the neurology department. DRG index can be applied to evaluate the performance of each ward in the hospital, and the medical ability and efficiency can be evaluated objectively and fairly.

关键词

疾病相关诊断分组 / 能力 / 效率 / 费用拆分

Key words

DRG / capacity / efficiency / cost splitting

引用本文

导出引用
王建, 王敬毅. 基于DRG的某院神经内科住院医疗服务绩效评价[J]. 中国医院统计, 2021, 28(6): 528-532 https://doi.org/10.3969/j.issn.1006-5253.2021.06.010
Wang Jian, Wang Jingyi. Performance evaluation of inpatient medical service in the neurology department of a hospital based on DRG[J]. Chinese Journal of Hospital Statistics, 2021, 28(6): 528-532 https://doi.org/10.3969/j.issn.1006-5253.2021.06.010

参考文献

[1]ROGER FRANCE F H. Case mix use in 25 countries: A migration success but international comparisons failure[J]. Int J Med Inform, 2003, 70(2-3):215-219.
[2]邓小虹.北京DRGs系统的研究与应用[M].北京:北京大学医学出版社,2015. 
[3]黄锋,付婷辉,郑建鹏.基于ICD11的诊断相关分组研究[J].中国医院统计,2021,28(4):360-364. 
[4]高永,王玖,石德文.加权TOPSIS法综合评价在Excel中的实现[J].中国卫生统计,2007,24(4):428-429.
[5]袁磊,陈子华,黄耿文,等.基于DRG精准制定科室平均住院日目标的实践与评价[J].中国医院管理,2021,41(6):34-38.
[6]郭默宁,刘婉如,仇叶龙,等.2014年北京市基于DRGs的住院医疗服务绩效评价方法与应用[J].中华医院管理杂志,2015,31(11):840-842.
[7]贾农,罗薇.DRGs评价体系应用于医院管理运行模式探讨[J].中国医院统计,2019,26(4):289-293.
[8]张海峤,许昌.基于DRG的泌尿外科医师绩效综合评价比较研究[J].中国医院管理,2021,41(3):68-72.

基金

山东省中医药科技项目(2020M017)

PDF(1848 KB)

425

Accesses

0

Citation

Detail

段落导航
相关文章

/