目的 利用疾病诊断相关分组（DRG）指标评价市级医院新生儿住院医疗服务绩效情况。方法 收集西安市2019年二级及以上医疗机构上报的新生儿住院患者病案数据，取权重前10名的医院纳入分析，从服务能力、服务效率和医疗质量安全3个维度及运用综合指数法进行医疗服务评价，并与省级临床重点专科名单对比。结果 DRG组数覆盖面较全，无低风险组死亡病例，A医院的能力指数和综合排名第1位，D和H医院的效率指数排名并列第1位，E医院的DRG组数和CMI值排名第1位。结论 全市新生儿救治范围覆盖较广，医疗质量安全程度较高，但是医疗服务能力和效率之间有待均衡发展，更应关注各维度指标的提升，而非单一的综合排名。

Objective To evaluate the performance of n neonatal inpatient medical services in municipal hospitals based on DRG-indicators.Methods Medical records of neonatal inpatients reported by all municipal medical institutions were collected, and the top 10 hospitals were included in the analysis. The medical service was evaluated from the three dimensions of service ability, service efficiency, and medical quality and safety, and the comprehensive index method was used to compare the medical service with the list of provincial key clinical specialties.Results The kinds of DRG groups were comprehensive, with no death cases in the low-risk group. Hospital A ranked first in terms of capacity index and comprehensive ranking, while hospitals D and H ranked first in efficiency index, and Hospital E ranked first in terms of DRG groups and CMI.Conclusion The coverage of neonatal disease treatment was wide and the medical quality was pretty well in the city. However, there is a need for balanced development between medical service capacity and efficiency, and more attention should be paid to the specify dimensions of indicators, rather than a single comprehensive ranking.