摘要
目的探讨基于疾病诊断相关组(DRGs)对肝病相关专业科室的医疗服务绩效进行秩和比法(RSR)评价。方法 2016年北京市某三甲医院6个肝病相关科室出院患者的病案首页信息,通过"诊断相关组(BJ-DRGs)"的病例组合系统分析获取出院患者的DRGs相关信息,并运用RSR评价方法对各肝病相关专业科室进行综合绩效评价。结果所有肝病专业科室收治疾病大类(MDC)组数为16组,DRGs组数为77组,病例组合指数(CMI)为0.87,低于北京市医疗技术难度的平均水平;时间消耗指数为0.95,高于北京市服务效率的平均水平。治疗疾病范围最广的是综合科,DRGs组数77个;技术难度最高的为肝病一科,CMI指数为0.95;肝病一科的住院时间消耗最短、费用消耗最低;中西医结合一科的住院时间消耗最长(1.04)、费用消耗最大(0.98)。RSR综合评价显示,最优档为肝病一科,最差档为肝病二科、中西医结合一科。结论基于DRGs的RSR评价方法,综合了医疗服务广度及难度、服务效率指标,评价的结果客观,其为相同专业的临床科室绩效评价提供了一种可行的评价方法。
Objectives To investigate the evaluation of the medical service performance of the hospital based the diagnosis related group(DRGS) in RSR statistics method for hepatology clinic departments. Methods The first page information of patients from six hepatology clinic departments of a hospital in Beijing were analyzed by BJ-DRGs platform in 2016,then the related DRGS information of patients were obtained from the platform. The RSR statistics method was applied to analysis the medical service performance of various hepatology clinic departments. Results The major disease classification(MDC) was 16 groups in hepatology clinic departments, the DRGs subgroup was 77 groups, case mix index(CMI) was 0.87, which was lower than the average level of medical technology difficulty in Beijing, the time consumption index were 0.95, which were higher than the average level of the service efficiency.The most widely used in the treatment of disease was the integrated department, the DRGS subgroup was about 77 groups. The difficulty of treatment was the hepatology department 1, the case mix index was 0.95. The time and pay consumption index of hepatology department 1 was the lowest, but the longest was Integrated traditional Chinese and Western Medicine department 1.The result of RSR showed the department with best medical service performance were the hepatology department 1, the medical service performance of the department of hepatology department 3 and integrated traditional Chinese and Western Medicine department 2 were lowest respectively. Conclusions The RSR evaluation method based on the DRGs was utilized comprehensively the width and difficulty of the medical service, the medical service efficiency index, the evaluation result was objective, it provided a reasonable and feasible method for the hospital medical performance evaluation.
作者
吴国安
万钢
桑雁
郝一炜
李磊
wU Guoan, Wan Gang, Sang Yan, Hao Yi wei, Li Lei(Beijing Ditan Hospital Affiliated to Capital Medical University, Beijing 100015, Chin)
出处
《中国病案》
2018年第3期39-41,共3页
Chinese Medical Record