《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]
卷:
第27卷
期数:
2020年02期
页码:
49-52
栏目:
关注DRG
出版日期:
2020-03-28
- 作者:
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李景 郑曦 王梦菲
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北京老年医院
- 关键词:
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疾病诊断相关组(DRGs); 老年医院; 诊治能力; 效率; 绩效评价
- Keywords:
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Diagnosis Related Groups (DRGs); Geriatric Hospital; Diagnostic Ability; Efficiency; Performance Evaluation
- DOI:
-
10.13912/j.cnki.chqm.2020.27.2.16
- 摘要:
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目的 应用DRGs评价系统对老年医院诊治能力及效率进行评价，提升医院的管理水平。方法 以2018年15 096份住院病案首页数据为研究对象，使用“北京版诊断相关组(BJ-DRGs)”作为风险调整工具，从病例组合指数（CMI）、时间消耗指标、费用消耗指标、住院例均费用和医疗安全等方面进行分析，探讨DRGs工具对老年医院诊治能力及效率的评价效果。结果 老年医院MDC为22个，DRGs组数为437组， CMI、时间消耗指数和费用消耗指数分别超过老年病专业和北京市医院平均水平，低风险死亡率为0，中高组和高风险组病例数占比高于全市水平，死亡率低于全市水平。结论 通过DRGs数据分析能够发现老年医院、老年医学专业与综合医院专业科室在收治常见疾病上的差异,优化老年医院资源配置，改进医疗服务质量和水平。建议在使用DRG工具评价老年医学专业时，应考虑老年患者年龄、多病共存等因素影响，完善老年医学专业的医疗效率绩效指标个性化设定。
- Abstract:
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Objective To explore the effect of DRGs evaluation system in evaluating the diagnosis and treatment capacity and efficiency of geriatric hospital, to improve the hospital management level.Methods Taking 15 096 home pages of inpatient medical records in 2018 as the study object, and taking "Beijing Diagnosis Related Groups (BJ-DRGs)" as a tool of risk adjustment, it was analyzed from the aspects of Case Mix Index (CMI), time consumption index, expense consumption index, cost per inpatient and medical safety. The evaluation effect of DRGs on the diagnosis and treatment ability and efficiency of geriatric hospital was explored.ResultsThere were 22 main diagnostic classifications (MDC) and 437 DRGs in geriatric hospital. The CMI, time consumption index and expense consumption index were higher than the average level of geriatric specialty and Beijing hospitals respectively. The low-risk mortality rate was zero. The proportion of cases in high-risk group and middle-risk group was higher than that in the whole city, and the mortality rate was lower than that in the whole city. Conclusion Through DRGs data analysis, the differences on the treatment of common diseases among geriatric hospitals, geriatric medicine departments and general hospitals could be found out, which can help to optimize the resource allocation of geriatric hospitals, and improve the quality and level of medical services. It was suggested that when evaluating gerontology specialty with DRG tools, the age of elderly patients and the co-existence of multiple diseases should be taken into account to improve the personalized setting of medical efficiency performance indicators.
更新日期/Last Update:
2020-03-28
