[1]罗玉英谭坤张雪莉郭小林韩旭胡娟.基于DRGs的医疗服务绩效差异分析：以二级综合医院为例[J].中国卫生质量管理,2021,28(09):42-45.[doi:10.13912/j.cnki.chqm.2021.28.9.12 ]
　LUO Yuying,TAN Kun,ZHANG Xueli.Analysis of the Difference of Medical Service Performance Based on DRGs: Taking the Secondary General Hospital as an Eexample[J].Chinese Health Quality Management,2021,28(09):42-45.[doi:10.13912/j.cnki.chqm.2021.28.9.12 ]

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基于DRGs的医疗服务绩效差异分析：以二级综合医院为例

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年09期页码: 42-45 栏目: 绩效管理与医院高质量出版日期: 2021-09-28

Title:: Analysis of the Difference of Medical Service Performance Based on DRGs: Taking the Secondary General Hospital as an Eexample

作者:: 罗玉英谭坤张雪莉郭小林韩旭胡娟; 四川省卫生健康信息中心

Author(s):: LUO Yuying; TAN Kun; ZHANG Xueli; Health Information Center of Sichuan Province

关键词:: 二级民营综合医院; 二级公立综合医院; DRGs; 医疗服务绩效

Keywords:: Secondary Private General Hospital; Secondary Public General Hospital; DRGs; Medical Service Performance

分类号:: R197

DOI:: 10.13912/j.cnki.chqm.2021.28.9.12

文献标志码:: A

摘要:: 目的对成都市二级民营综合医院与公立综合医院住院医疗服务绩效进行DRGs分析和比较，找出差异，提出建议。方法收集2019年成都市二级民营综合医院和二级公立综合医院住院病案首页数据，利用四川省DRGs应用平台进行分组计算，使用SPSS 20.0软件进行指标分析。结果成都市二级民营综合医院与二级公立综合医院2019年住院医疗服务绩效在医疗服务（总权重、覆盖DRGs组数和CMI值）、医疗效率（时间消耗指数、费用消耗指数）上并无显著差异，但在医疗质量与安全（中低风险及以下组病死率、标化病死率）上差异明显。结论二级民营综合医院与二级公立综合医院整体医疗服务差距逐渐缩小；二级民营综合医院内部发展不均衡，医疗质量与安全水平低于二级公立综合医院。建议持续提升民营综合医院服务能力，加强民营综合医院医疗质量与安全管理，同时政府须对民营医院强化监管。

Abstract:: ObjectiveTo analyze and compare the medical services performance between secondary private and public general hospitals by DRGs, find out the differences and make recommendations. Methods The first page data of inpatient records of secondary private and public general hospitals in Chengdu in 2019 were collected. The group calculation was performed using DRGs application platform of Sichuan Province, and the index analysis was performed using SPSS 20.0 software.ResultsThere was no difference in medical service (total weight, number of DRGs groups covered and CMI value) and medical efficiency (time consumption index, cost consumption index) between Chengdu secondary private and public general hospitals, but there were significant differences in medical quality and safety (case fatality rate for groups below medium and low risk, standardized case fatality rate).Conclusion The overall medical service gap between secondary private and public general hospitals had gradually narrowed. The internal development of secondary private general hospitals was not balanced, and the medical quality and safety level were lower than that of secondary public general hospitals. It was suggested that the service capacity of private general hospitals should be continuously improved, the medical quality and safety of private general hospitals should be strengthened, and the government should strengthen the supervision of private hospitals.

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更新日期/Last Update: 2021-09-28