摘要
公立医院改革深化是新一轮深化医改的重要内容,而研究疾病诊断分组,建立科学合理的基于疾病诊断分组的绩效考核办法,对于公立医院强化公益性、提高服务能力、提升专业化精细化管理水平具有重要意义。通过将国际成熟疾病分组系统本土化并利用上海市级医院临床信息交换平台(医联平台)数据渠道对疾病分组系统进行模拟评估和权重设置,本土化的疾病诊断分组系统具有较好的适宜性和一致性;引入基于难度的疾病诊断分组,可以有效体现疾病诊治的难易度,客观反映医院运行和管理的实质结果,对于专业化精细化医院管理起到正确的导向作用。
The public hospital reform is the main content of the new healthcare reform.Studying the diagnosis related group system and establishing a set of scientific and rational performance assessment, which is essential to strengthen the public hospitals＇public and social benefits, improve the service capacity and enhance the specialized and delicacy management.The international diagnosis related group system localization and weight settlement have been proved suitable and consistent through the Shanghai Shenkang Hospital Development Centre.Hence, the severity-based DRGs should be introduced to reflect the actual hospitals operation and management outcome, which provides a proper guidance on the hospitals＇specialized and delicacy management.
出处
《中国卫生政策研究》
CSCD
北大核心
2015年第9期6-9,共4页
Chinese Journal of Health Policy
关键词
疾病诊断分组
医院管理
绩效考核
疾病危重度
Diagnosis related group
Hospital management
Performance evaluation
Severity of disease
