DRGs在云南省某市二级综合性医院绩效评价中的应用
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摘要
目的:应用诊断相关分组对云南省某市二级综合性医院进行绩效评价,为不同类别医院发展提供参考。方法:以北京版CN-DRGs的分组结果,运用出院人数、组数、费用消耗指数、时间消耗指数、CMI、低风险死亡率等指标对2017年研究的某市不同类别医院绩效进行分析。结果:二级综合医院的DRGs指标绩效评价排名与医院的服务能力、医院服务效率和医疗服务安全三方面均有关。结论:在研究的医院中,二级综合性医院的医疗服务范围广,服务能力强,服务效率高,需进一步提高医院的服务能力、效率和安全,向三级综合医院看齐。
objective: To evaluate the performance of a secondary general hospital in Yunnan province by using diagnostic subgroups to provide reference for the development of different types of hospitals.Methods:Based on the group results of Beijing version of CN-DRGs, the performance of different hospitals in 2017 was analyzed by using the indexes of discharge number, group number, cost consumption index, time consumption index and low risk death rate.Results:The rank of DRGs performance evaluation was related to hospital service ability, hospital service efficiency and medical service safety.Conclusion: In the hospital under study, the medical service of the secondary general hospital whose service scope is wide, the service ability is strong, the service efficiency is high, the service ability, efficiency and safety of the hospital need to be further improved, which is in line with the tertiary general hospital.
objective: To evaluate the performance of a secondary general hospital in Yunnan province by using diagnostic subgroups to provide reference for the development of different types of hospitals.Methods:Based on the group results of Beijing version of CN-DRGs, the performance of different hospitals in 2017 was analyzed by using the indexes of discharge number, group number, cost consumption index, time consumption index and low risk death rate.Results:The rank of DRGs performance evaluation was related to hospital service ability, hospital service efficiency and medical service safety.Conclusion: In the hospital under study, the medical service of the secondary general hospital whose service scope is wide, the service ability is strong, the service efficiency is high, the service ability, efficiency and safety of the hospital need to be further improved, which is in line with the tertiary general hospital.
引文
[1]陈燕红,王心旺,谢洪,杨沈雷,杨炜青.通过DRGs组合方式制定上尿路结石患者住院费用的研究[J].中国病案,2014,15(12):52-54.
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[6]简伟研,胡牧,崔涛.运用疾病诊断相关分组进行临床服务绩效评价初探.中华医院管理杂志,2006,22(11):736-739.
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[8]彭琰,严莉,罗艳,李婧,匡华,刘望,杜明,朱瑞东,李润萍.云南省禄丰县公立医院疾病诊断相关组支付方式改革探讨[J].医学与社会,2016,29(3):70-73.
[9]高雅,陈少贤.DRGs国内医院案例研究分析[J].现代医院,2017,17(1):12-14.
[10]刘罡,向明飞,罗安心,刘潇霞,孙影,伍金林.DRGs在医院管理中的应用[J].四川医学,2016,37(3):347-349.
[2]李小莹,王力红,仇叶龙,等.运用DRGs方法对医院各专科住院医疗能力的分析[J].中华医院管理杂志,2015,31(11):849-852.
[3]赵万全,赵瑞丰,姜悦.基于北京地区住院医疗服务绩效评价平台的主诊医师绩效评价研究[J].中华医院管理杂志,2015,31(11):858-860.
[4]简伟研,胡牧,简伟健,等.基于“诊断相关组”评估医院诊疗技术的综合能力[J].中国医院管理,2010,30(8):17-19.
[5]刘豆,吕琳,周维维,尹芳.DRGs在三甲医院临床重点专科绩效评价中的应用[J].中国病案,2017,18(3):10-13.
[6]简伟研,胡牧,崔涛.运用疾病诊断相关分组进行临床服务绩效评价初探.中华医院管理杂志,2006,22(11):736-739.
[7]凡媛农.我国医院结算方式改革进展及其难点突破[J].医学与社会,2013,26(10):69-72.
[8]彭琰,严莉,罗艳,李婧,匡华,刘望,杜明,朱瑞东,李润萍.云南省禄丰县公立医院疾病诊断相关组支付方式改革探讨[J].医学与社会,2016,29(3):70-73.
[9]高雅,陈少贤.DRGs国内医院案例研究分析[J].现代医院,2017,17(1):12-14.
[10]刘罡,向明飞,罗安心,刘潇霞,孙影,伍金林.DRGs在医院管理中的应用[J].四川医学,2016,37(3):347-349.