1 Jinhua Maternity and Child Health Care Hospital, Jinhua 321000, China; 2 Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China
Abstract:Objective To analyze the practical application of DRG performance grouping standardized time and bed efficiency model to clinical departments, to effectively avoid the impact of different disease structures on efficiency and productivity, and to provide basis for hospital bed management and related medical resources allocation.Methods Patients discharged from the pediatric department in a municipal maternal and child health care institution in Zhejiang Province were selected as the research subjects. DRG group was combined with the specialized data, and the average hospitalization days and bed utilization rate were standardized by direct standardization method. The standardized results of the coverage of all the diseases were measured and compared with the traditional indicators. Time bed efficiency model was used to analyze time efficiency and bed efficiency.Results In the first half of 2021, the average hospitalization days and bed utilization rate of the first pediatrics department were different in the three groups of traditional, standardized and standardized coverage of all diseases; the first and second quarter values of the utilization rate of standardized beds in the first pediatrics department and standardized beds for full-coverage diseases were 45.08%, 84.17% and 56.38%, 84.64% respectively. The time and bed efficiency model showed that the three specialties in the second quarter were improved compared with those in the first quarter; the first pediatrics department was in the quadrant of high efficiency and efficiency, with an operation score of 2.25.Conclusion Standardized average hospital stay and bed utilization rate can promote the refined management of DRG in medical institutions and other evaluation institutions. The time-bed efficiency model can reflect resource usage more accurately and comprehensively, which is helpful for government departments and hospital managers to make development plans.
周美珍,郑盼,郭佳奕,徐敏慧,李小兵,胡旻. 基于DRG绩效标准化时间效率和床位效率对临床科室的评价研究[J]. 中国医院统计, 2023, 30(3): 203-207.
Zhou Meizhen,Zheng Pan,Guo Jiayi,Xu Minhui,Li Xiaobing,Hu Min. Evaluation on standardized time efficiency and bed efficiency model for clinical departments on DRG performance management. journal1, 2023, 30(3): 203-207.