疾病诊断相关组在绩效管理体系中的应用研究

doi:10.3969/j.issn.1006-5253.2015.04.006

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Abstract Objective The Diagnosis Related Groups (DRGs) were studied to explore it′s application in performance management system of a hospital. Methods We built the performance evaluation system based on medical business index, efficiency indicator, cost control index, drug control index, medical quality and medical safety index by the way of extracting the home page of hospital discharge record from 2009 to 2013 and grouping automatically with the ″BJ-DRGs″ grouping machine. Results Since the introduction of DGRs for performance management, the evaluation index of the hospital′s business has been improved. The quantity, quality, efficiency indicators and so on of the medical service in the hospital have been perfected. The work efficiency has been improved. The DGRs has effective control of the growth rate of the medical expense. It promoted the orientation of the medical service and made it change from the economic type to the social pattern, to achieve the central targets of the hospital, which was better quality and the higher efficiency. Conclusion The introduction of DRGs achieved great effect in the hospital performance appraisal system.

Key words： Hospital Diagnosis related groups(DRGs) Performance management

Received: 14 May 2015

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	Articles by authors
	Miao Liqiong
	Shan Desheng
	Li Li
	Zhu Hongyuan
	Ke Jiang
	Li Xiaocui
	Yang Qing

Cite this article:

Miao Liqiong,Shan Desheng,Li Li, et al. Application research of diagnosis related groups in performance management system of a hospital[J]. journal1, 2015, 22(4): 258-260.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2015.04.006 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2015/V22/I4/258

[1] Fetter R, Freeman J, Averill A,et al. Case mix definition by diagnosis related groups[J]. MedCare, 1980, 18(2): 1-53.
[2] 郭富威,任苒.DRGs 在美国的发展及在我国的应用对策[J].中国医院管理,2006,26(2): 32-35.
[3] Francis HRF. Case mix use in 25 countries:a migration success but international comparisons failure[J]. International Journal of Medical Informatics, 2003, 70(2-3):215-219.
[4] 黄惠英.诊断相关分类法在北京地区医院管理可行性研究[J].中华医院管理杂志,1994,10(3):131-136.
[5] 伟研,汤淑女,胡牧.北京地区公立医院规模和住院服务产出关系的实证分析[J].北京大学学报:医学版,2011,43(3):102-105.
[6] 林叶,陈燕燕,张翌,等.医院绩效考核体系设计探讨[J].医院管理论坛,2009,27(5):19-22.
[7] 简伟研,胡牧,张修梅,等.诊断相关组(DRGs)的发展和应用[J].中华医院管理杂志,2011,27(11):817-820.
[8] 卢铭,杨静,简伟研,等.北京DRG分组中的病案首页信息利用探讨[J].中华医院管理杂志,2013,29(3):198-200.
[9] 黄锋,陈剑铭,郭默宇,等.ICD-10北京临床版的设计与实现[J].中华医院管理杂志,2011,27(11):835-838.
[10]焦建军.病案首页主要诊断的选择[J].中华医院管理杂志,2011,27(11):832-834.
[11]简伟研,胡牧,张修梅,等.基于DRGs的医疗绩效服务评估方法与案例应用研究[J].中华医院管理杂志,2013,29(3):180-185.
[12]简伟研,胡牧,崔涛,等.运用疾病诊断相关组进行临床服务绩效评价初探[J].中华医院管理杂志,2006,22(11):736-739.
[13]简伟研,胡牧,张修梅,等.临床信息标准-以相对值法测算医生工作量的基础条件[J].中国医院管理杂志,2009,29(1):13-14.
[14]苗丽琼,山德生,钱靖,等.平均住院日影响因素的线性回归分析[J].中国医院统计,2014,21(4):255-257.
[15]简伟研,卢铭,胡牧,等.北京诊断相关组(BJ-DRGs)分组效果的初步评价[J].中华医院管理杂志,2011,27(11):854-856.
[16]邓小虹,张大发,吕飞宇,等.北京DRGs-PPS的组织实施[J].中华医院管理杂志,2011,27(11):809-812.