摘要
目的分析2018年肝病专科的住院医疗服务能力,为科室精细化管理、提高肝病诊疗能力和加强肝病专科的发展提供数据支持。方法以宁波市某三甲医院肝病专科6个临床科室为研究对象,根据医院2018年住院病案首页数据经分组器分组后的结果,计算各临床科室疾病诊断相关组(Diagnosis Related Groups,DRGs)组数、DRGs总权重数、病例组合指数(Case Mix Index,CMI)、每床位工作负荷、每医师工作负荷、时间消耗指数、费用消耗指数指标,分析各临床科室病种结构,比较各临床科室的病种顺位前10的DRG组的专科时间效率指数和费用效率指数。结果2018年肝病专科6个临床科室中E科DRGs组数最多,CMI值最大,每床位产出最高;F科治疗同类疾病所花费的时间和费用最低,DRGs总权重数和每医师产出最高。不同临床科室主要病种不同。病种顺位前10的各病种时间效率指数最低的科室依次为:D、E、F、C、F、C、E、A、A、E;各病种费用效率指数最低的科室依次为:D、F、F、A、F、C、E、C、A、A。结论DRGs可以对临床专科各临床科室的住院医疗服务能力进行对比分析。
Objective To study the inpatient medical service capacity of hepatology department,to provide data support for refine department management,improving the capacity of diagnosis and treatment for liver diseases,and facilitating the development of hepatology department.Methods The analysis was performed based on inpatient medical record homepages of six clinical hepatology departments in a tertiary hospital in Ningbo.The data on the medical record homepages of 2018 were grouped and then used to calculate the number of Diagnosis Related Groups(DRGs),the total weight of DRGs,the case mix index(CMI),the workload per bed,the workload per physician,time consumption index and cost consumption index of each department.The disease structure,time efficiency index and cost efficiency index of the top 10 DRGs in each department were compared.Results In 2018,department E had the most DRGs,the largest CMI and the highest output per bed among the 6 departments.The department F had the lowest time and cost consumption index and the highest total weight of DRGs and output per physician.The main diseases in different departments were different.As for top 10 DRGs diseases,the departments with the lowest time efficiency index were D,E,F,C,F,C,E,A,A and E,and the departments with the lowest cost efficiency index were D,F,F,A,F,C,E,C,A and A.Conclusion DRGs can be used for comparison analysis of inpatient medical service capacity of clinical departments.
作者
曾祥嫚
吴姗姗
杨毓芳
郑小庆
王明红
茹平
ZENG Xiang-man;WU Shan-shan;YANG Yu-fang;ZHENG Xiao-qing;WANG Ming-hong;RU Ping(Hwa Mei Hospital,University of Chinese Academy of Sciences)
出处
《医院管理论坛》
2020年第1期30-33,共4页
Hospital Management Forum
关键词
DRGS
肝病专科
住院
医疗服务能力
Diagnosis Related Groups
Hepatology department
Hospitalization
Medical service capacity
