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| Comprehensive performance evaluation with RSR statistics method based on disease diagnosis related group |
| Wan Gang, Sang Yan, Hao Yiwei, Li Lei, Yu Jingyi, Ma Jing,Wang Jiajing, Wang Zhongfei |
| Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China |
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Abstract Objective To investigate the comprehensive performance evaluation of the hospital with RSR statistics method based the diagnosis related group (DRGs). Methods The home page information of patients from a hospital in Beijing in the first half of 2015 was analyzed with the use of the Beijing edition of the diagnosis related group (BJ-DRGs), and then the DRGs related information of patients were obtained. The RSR statistics method was applied to the analysis of comprehensive performance evaluation on the medical services of the departments. Results The hospital treated disease categories (MDC) was 23 groups, DRGs group was 479, and case mix index (CMI) was 0.96, which was close to the average level of medical technology difficulty in Beijing; cost index and time consumption index were 1.06 and 1.07, which were higher than the average level of the service efficiency. The infectious disease department treated the most diseases, with 71 DRGs groups and the ICU department was with the most difficult treatment, with the case mix index 3.17. The time and pay consumption indexes in nephropathy department were the lowest, while those in obstetrics and gynecology department were 1.28 and 1.46, being the highest. The results of RSR showed the departments with best medical service performance were the department of Infectious diseases, department of Internal Nervous Medicine, department of urology, Chinese and western medicine department and ICU, while the departments with worst medical service performance were obstetrics and gynecology department and pediatrics department. Conclusion The RSR evaluation method based on the DRGs colligated the width, difficulty and efficiency index of the medical service, the evaluation result was objective, and it provided a feasible method for the hospital medical performance evaluation.
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Received: 04 September 2015
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[1] BURIK D, NACKEL JG. Diagnosis-related groups: tool for management[J]. Hosp Health Serv Adm,1981,26(1):25-40.
[2] 盖红卫,赵莉,盖自强.TOPSIS法在我院病床工作效率评价中的应用[J].中国医院统计,2015,22(3):167-169.
[3] 杨建南,李世云,尹代红,等.基于RSR的相同级别综合医院临床手术科室综合绩效比较分析方法的探讨[J].中国医院统计,2011,18(2):118-120.
[4] 刘争.TOPSIS法和RSR法相结合综合评价医院医务工作者的工作效率与劳动强度[J].中国医院统计,2012,6(3):208-211.
[5] 孙振球,徐勇勇.医学统计学[M].北京:人民卫生出版社,2002:518-520.
[6] 简伟研,胡牧,崔涛.运用疾病诊断相关组进行临床服务绩效评价的初探[J].中华医院管理杂志,2006,22(11):736-739. |
| [1] |
. [J]. journal1, 2016, 23(6): 457-460. |
| [2] |
. [J]. journal1, 2016, 23(4): 305-307. |
| [3] |
. [J]. journal1, 2016, 23(2): 124-126. |
| [4] |
Ma Lixu, Li Hong, Niu Hui. Application of RSR method indicators in the evaluation of the running status of medical index in clinical departments[J]. journal1, 2016, 23(1): 27-30. |
| [5] |
Miao Liqiong, Shan Desheng, Li Li, Zhu Hongyuan, Ke Jiang, Li Xiaocui, Yang Qing. Application research of diagnosis related groups in performance management system of a hospital[J]. journal1, 2015, 22(4): 258-260. |
| [6] |
. [J]. journal1, 2015, 22(3): 203-204. |
|
|
|
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