PDF下载

[1]杨大文赖媛艳黄晨璐陈晖陈萍萍.DRG相关指标在提升公立医院精细化运营管理效能中的应用[J].中国卫生质量管理,2025,32(11):1-6.[doi:10.13912/j.cnki.chqm.2025.32.11.01]
　YANG Dawen,LAI Yuanyan,HUANG Chenlu.Application of DRG-Related Indicators in Enhancing the Efficiency of Refined Operational Management in Public Hospitals[J].Chinese Health Quality Management,2025,32(11):1-6.[doi:10.13912/j.cnki.chqm.2025.32.11.01]

点击复制

DRG相关指标在提升公立医院精细化运营管理效能中的应用

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年11期页码: 1-6 栏目: 特别关注出版日期: 2025-11-15

Title:: Application of DRG-Related Indicators in Enhancing the Efficiency of Refined Operational Management in Public Hospitals

作者:: 杨大文赖媛艳黄晨璐陈晖陈萍萍; 福建医科大学附属协和医院

Author(s):: YANG Dawen; LAI Yuanyan; HUANG Chenlu; Fujian Medical University Union Hospital

关键词:: DRG; 公立医院; 精细化运营管理; 多元线性回归; 波士顿矩阵

Keywords:: DRG; Public Hospitals; Refined Operational Management; Multiple Linear Regression; Boston Matrix

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2025.32.11.01

文献标志码:: A

摘要:: 目的探讨疾病诊断相关分组（DRG）相关指标在公立医院精细化运营管理中的应用，为提升医院运营管理效能提供参考。方法收集福建省某三甲医院2021-2024年DRG相关数据，通过多元线性回归、波士顿矩阵等分析工具，评估DRG相关指标对医院运营效率、成本控制、服务质量等方面的影响。结果相对权重（RW）显著影响平均住院天数与住院次均费用，2022年较2021年每RW影响费用下降9 361.59元，住院天数缩短6.44 d。基于时间消耗指数的床位运行效率矩阵将科室分为压床型、闲置型、周转型、效率型；基于药品消耗指数与耗材消耗指数的床均医疗结余矩阵揭示科室成本管控差异；基于病例组合指数（CMI）和DRG组数的服务质量矩阵将科室划分为明星科室、金牛科室、瘦狗科室和问题科室；基于CMI和抗菌素消耗指数的矩阵排除了病种差异，更能准确反映抗菌素使用情况。结论对DRG相关指标的有效应用能够为医院管理者提供科学决策依据，针对性制订管理策略，有助于提升公立医院精细化运营管理水平。

Abstract:: ObjectiveTo explore the application of disease related groups (DRG)-related indicators in the refined operational management of public hospitals, and to provide references for enhancing hospital operational management efficiency.MethodsDRG-related data from a tertiary hospital in Fujian Province from 2021 to 2024 were collected. Through analytical tools such as multiple linear regression and the Boston matrix, the impacts of DRG-related indicators on hospital operational efficiency, cost control, and service quality were evaluated.ResultsThe relative weight (RW value) significantly influenced the length of hospital stay and the average cost per hospitalization. Compared to 2021, in 2022, the cost influenced by each RW decreased by 9 361.59 yuan, and the length of hospital stay shortened by 6.44 days. The bed operational efficiency matrix based on the time consumption index categorized departments into bed-blocking type, idle type, turnover type, and efficient type; the matrix of medical surplus per bed based on the drug consumption index and consumable consumption index revealed differences in cost control among departments; the service quality matrix based on the case mix index (CMI) and the number of DRG groups classified departments into star departments, golden cow departments, thin dog departments, and question mark departments; the matrix based on CMI and antibiotic consumption index eliminated variations in disease types and more accurately reflected antibiotic usage.Conclusion The effective application of DRG-related indicators can provide scientific decision-making bases for hospital administrators and facilitate the formulation of targeted management strategies, thereby contributing to the enhancement of refined operational management levels in public hospitals.

参考文献/References:

［1］应亚珍.中国医疗保障支付方式改革发展报告（2023~2024）［M］.北京：社会科学文献出版社,2024:1-26.［2］FANG CJ, SHAKER JM, DREW JM, et al. The cost of hip and knee revision arthroplasty by diagnosis-related groups: comparing time-driven activity-based costing and traditional accounting［J］.J Arthroplasty, 2021, 36(8): 2674-2679.［3］PENG HM,XU Y,CI PW,et al.A simple diagnosis-related groups-based reimbursement system is cost ineffective for elderly patients with displaced femoral neck fracture undergoing hemiarthroplasty in Beijing ［J］. Front Med (Lausanne), 2021, 8: 733206.［4］国家医保局办公室.关于印发按病组和病种分值付费2.0版分组方案并深入推进相关工作的通知:医保办发〔2024〕9号［EB/OL］.(2024-07-17）［2025-09-04］.https://www.gov.cn/zhengce/zhengce ku/202407/content_6964136.htm.［5］姜赟,冯姗,黄文剑.DRGs背景下多元线性回归模型在评价某省三甲专科医院运营效率中的应用［J］.江西医药,2020,55(12):1912-1914.［6］杨香瑜,李璐璐,余子珩,等.某院药品消耗指数与DRG超支的相关性及阈值效应分析［J］.中国药房,2025,36(1):113-116.［7］胡维娜,洪学智,曹家超,等.公立医院医用耗材成本控制最佳管理实践研究［J］.中国医院管理,2023,43(2):68-71.［8］温少东,李丞,尼日格日勒,等.DRG在医院科室绩效考核中的实践应用［J］.中国卫生经济,2018,37(9):74-76.［9］郝一炜,刘晓宇,陈吟,等.基于CMI和DRG组数的北京市二、三级综合医院感染性疾病服务能力量化分析［J］.中国卫生经济,2024,43(11):6-10.［10］龚伟伟,赵太宏,肖雨龙,等.基于波士顿矩阵对2017—2019年某三级综合医院科室抗菌药物使用强度的评价［J］.中国抗生素杂志,2022,47(9):981-985.

相似文献/References:

[1]生星,石庆,王辰昊,等.大型公立医院视觉系统运行研究[J].中国卫生质量管理,2015,22(06):113.
[2]王云.医院集团垂直管理模式问题分析及对策探讨[J].中国卫生质量管理,2016,23(02):107.[doi:10.13912/j.cnki.chqm.2016.23.2.35]
[3]王瑛,张永雯,来玉美.公立医院医保工作人员生活质量调查与分析[J].中国卫生质量管理,2016,23(03):57.[doi:10.13912/j.cnki.chqm.2016.23.3.17]
[4]杨逸清.公立医院绩效工资总量核定办法探索[J].中国卫生质量管理,2016,23(03):94.[doi:10.13912/j.cnki.chqm.2016.23.3.27]
[5]周晗,高山.公立医院内部控制评价体系构建探讨[J].中国卫生质量管理,2016,23(03):96.[doi:10.13912/j.cnki.chqm.2016.23.3.28]
[6]毛瑛王雪何荣鑫.基于TOPSIS模型的公立医院医疗服务能力评价研究[J].中国卫生质量管理,2016,23(06):99.[doi:10.13912/j.cnki.chqm.2016.23.6.33]
[7]齐璐璐.医院品牌构建的自媒体传播[J].中国卫生质量管理,2017,24(05):124.[doi:10.13912/j.cnki.chqm.2017.24.5.39]
[8]张琛吴晓艳胡亚琼.微信满意度测评与现场测评的差异研究[J].中国卫生质量管理,2018,25(01):57.[doi:10.13912/j.cnki.chqm.2018.25.1.20]
[9]李怡.新医改形势下公立医院行政人员管理现状与思考[J].中国卫生质量管理,2018,25(03):92.[doi:10.13912/j.cnki.chqm.2018.25.3.28]
[10]张国庆姜华静李静颜涛.新疆某三甲医院取消药品加成后运行状况分析[J].中国卫生质量管理,2018,25(05):127.[doi:10.13912/j.cnki.chqm.2018.25.5.37]
[11]吴镝娅张丽华刘艳蔡林.基于DRG的公立医院精细化成本管控实践探讨[J].中国卫生质量管理,2023,30(01):39.[doi:10.13912/j.cnki.chqm.2023.30.1.10 ]
　WU Diya,ZHANG Lihua,LIU Yan.Practice of Lean Cost Control in Public Hospitals Based on Diagnosis Related Group[J].Chinese Health Quality Management,2023,30(11):39.[doi:10.13912/j.cnki.chqm.2023.30.1.10 ]
[12]王晓奕洪乃坤陈寒杰刘颜钟婉婷成思任妮丽孔少楠董四平许昌.基于价值医疗理念的公立医院DRG运营管理策略实证研究[J].中国卫生质量管理,2024,31(11):25.[doi:10.13912/j.cnki.chqm.2024.31.11.06]
　WANG Xiaoyi,HONG Naikun,CHEN Hanjie.An Empirical Study on the DRG Operation and Management Strategy of Public Hospital Based on the Concept of Value Medical Care[J].Chinese Health Quality Management,2024,31(11):25.[doi:10.13912/j.cnki.chqm.2024.31.11.06]

更新日期/Last Update: 2025-11-15