】——杨岳利 周营新 范江荣 江波涛
【摘要】目的 通过比较创伤骨科两种绩效二次分配方案，探索更能体现临床医师工作绩效的分配方案，为医院绩效改革提供借鉴。方法 对6名带组医师通过现行绩效二次分配方案（以二次分配系数为原则）确定绩效系数；基于DRG指标从3个维度6项指标采用综合指数法进行评价。对比两种方案下医师绩效排名。结果 科室绩效二次分配结果排名在两种不同方案中结果差异明显。基于DRG的综合绩效评价法更加科学、合理、公平。结论 医院在绩效二次分配中引入DRG需完善三级医师分组体系，提高病案首页质量，加强医院信息化建设，确保DRG指标的可获得性。
【关键词】创伤骨科；疾病诊断相关组；绩效；二次分配；分配系数；综合评价
中图分类号：R192.3;R68文献标识码：B
Comparative Study of Two Performance Secondary Allocation Schemes in Traumatic Orthopedic Department/YANG Yueli,ZHOU Yingxin,FAN Jiangrong,et al.//Chinese Health Quality Management，2021,28(1):82-84
Abstract Objective To compare the two performance secondary allocation schemes in Traumatic Orthopedic Department to explore the allocation scheme that could better reflect the work performance of clinicians, so as to provide reference for the hospital performance reform. Methods The performance coefficients were determined by 6 group-leader physicians through the current performance secondary allocation scheme (secondary allocation coefficient as the principle). Based on DRG indexes, the evaluation was carried out from three dimensions and six indexes using the comprehensive index method. Physician performance rankings were compared between the two schemes.Results The results of the secondary allocation of department performance were significantly different in the two schemes. The comprehensive performance evaluation method based on DRG was more scientific, reasonable and fair.Conclusion In the performance secondary allocation scheme, hospital should improve the three-level physician grouping system, improve the quality of the first page of medical records, strengthen the construction of hospital informatization, and ensure the availability of DRG indicators.
Key wordsTraumatic Orthopedic Department;Diagnosis Related Groups;Performance;Secondary Distribution;Distribution Coefficient;Comprehensive Evaluation
Firstauthor's addressXianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Xianning,Hubei, 437100, China
随着国家医药卫生体制改革的不断深化，公立医院只有充分发挥绩效管理的杠杆作用，调动医务人员积极性，才能实现可持续发展［1］。近年来，疾病诊断相关组（Diagnosis Related Group, DRG）［2-3］在医院绩效评价、医师个人能力评价、学科建设和等级医院评审等方面应用广泛。本研究通过对比分析某三甲医院创伤骨科现行绩效二次分配方案与基于DRG的绩效二次分配方案，以期为医院制定公平、合理的科室绩效二次分配方案提供参考。
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