DRGs方法在临床亚专科医疗服务绩效评价中的应用

发布时间：2018-07-20 21:44

【摘要】：目的运用疾病诊断相关组指标对样本医院"消化系统大手术"亚专科住院医疗服务绩效进行评价,为医院加强精细化管理和学科建设提供数据支持。方法以"国家版诊断相关组"作为风险调整工具,从能力、效率和安全3个维度对样本医院"消化系统大手术"亚专科住院医疗服务绩效进行评价。结果 2008—2015年样本医院亚专科总权重逐年增加,2015年亚专科病例数占市属医院的50.27%;时间消耗指数0.91,但费用消耗较市属医院平均水平高24%;2015年GB15、GB25疾病组死亡率均为0,GB11、GB23疾病组死亡率低于市属医院平均水平。结论 2008—2015年样本医院"消化系统大手术"亚专科医疗服务能力稳步提升,在市属医院范围内具有明显优势;但须注意在保持服务效率和安全优势的同时,增加GB11、GB23疾病组病例的收治,并应注意严格控制患者住院费用。
[Abstract]:Objective to evaluate the performance of subspecialist medical service in "major digestive system operation" in a sample hospital by using the index of disease diagnosis related group, and to provide data support for strengthening fine management and discipline construction in hospital. Methods the performance of "digestive system major surgery" was evaluated from three dimensions of ability, efficiency and safety by using the "National version of Diagnostic related Group" as a risk adjustment tool. Results the total weight of subspecialty in sample hospitals increased year by year from 2008 to 2015. In 2015, the number of subspecialist cases accounted for 50.27% of municipal hospitals, the time consumption index was 0.91, but the cost consumption was 24% higher than the average level of municipal hospitals, and the mortality rate of GB15GB25 disease group in 2015 was all 0 GB11GB23. The mortality rate of the disease group was lower than the average level of the municipal hospital. Conclusion from 2008 to 2015, the subspecialty medical service capacity of the sample hospital "Digestive system surgery" has been steadily improved, which has obvious advantages in the scope of municipal hospitals, but we should pay attention to the maintenance of service efficiency and safety at the same time. To increase the number of GB11GB23 patients, and to strictly control the cost of hospitalization.
【作者单位】：北京大学肿瘤医院暨北京市肿瘤防治研究所·恶性肿瘤发病机制及转化研究教育部重点实验室;国家卫生计生委统计信息中心;
【分类号】：R197.323

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