摘要
目的以某三甲医院按病种分值(diagnosis-intervention packet,DIP)付费结果及同期该医院所在城市DIP付费数据为基础,评价该院各专科医疗住院服务运行现状,为医院运营发展提供参考。方法对某样本医院一段时期内按DIP付费的入组及结算相关数据,从医疗服务能力及医疗服务效率2个维度及DIP入组数、各病例分值均值、费用消耗指数及时间消耗指数4个指标进行运行现状评价。结果医院2个专科运行现状优;5个专科运行现状差;其余专科运行现状一般。结论DIP付费能够作为一项医疗服务运行现状评价工具,可客观、科学地反映医院及各科室医疗服务的优势与不足,为持续改善医疗服务提供数据支持。
Objective Based on the results of a hospital's and the city's DIP payment data in the same period to evaluate the operation status and methods of the hospital's specialized medical inpatient services,so as to provide reference for the hospital's operation and development.Methods The data related to the enrollment and settlement of a hospital paid by DIP in a period of time were evaluated from the two dimensions of medical service capacity and me-dical service efficiency,and the four indicators include the number of DIP enrollments,the average score of each case,the cost consumption index and the time consumption index.Results The running status of the two specialties in the hospital were excellent.The operation status of five specialties was poor.The operation status of other specialties was general.Conclusion DIP payment can be used as a tool to evaluate the operation status of medical services,objectively and scientifically reflect the advantages and disadvantages of medical services in hospitals and departments,and provide data support for continuous improvement of medical services.
作者
童雪君
吕翔
高原
杨帆
TONG Xuejun;LV Xiang;GAO Yuan;YANG Fan(Department of Medical Insurance,The Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225000,China)
出处
《中国社会医学杂志》
2024年第5期636-639,共4页
Chinese Journal of Social Medicine
基金
江苏省卫生健康委员会卫生健康经济管理研究课题(CW202253)
扬州市反腐倡廉制度建设研究课题(FFCL21 B13)。
