[1]贺哲翁雨雄夏家红王莉霞杨超余晓云张明吴少玮.基于DRG的临床医师医疗能力评价体系构建及应用[J].中国卫生质量管理,2022,29(10):058-61.[doi:10.13912/j.cnki.chqm.2022.29.10.13 ]
　HE Zhe,WENG Yuxiong,XIA Jiahong.Construction and Application of the Evaluation System of Physicians' Medical Competence Based on DRG[J].Chinese Health Quality Management,2022,29(10):058-61.[doi:10.13912/j.cnki.chqm.2022.29.10.13 ]
点击复制

基于DRG的临床医师医疗能力评价体系构建及应用
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年10期
页码:
058-61
栏目:
关注DRG
出版日期:
2022-10-28

文章信息/Info

Title:
Construction and Application of the Evaluation System of Physicians' Medical Competence Based on DRG
作者:
贺哲翁雨雄夏家红王莉霞杨超余晓云张明吴少玮
华中科技大学同济医学院附属协和医院
Author(s):
HE Zhe; WENG Yuxiong; XIA Jiahong
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
关键词:
核心人力资源; 医疗能力评价; 指标体系; 评价标准
Keywords:
Core Human Resources;  Evaluation of Medical Capacity;  Index System;  Evaluation Standard
分类号:
R192.3；R197.323
DOI:
10.13912/j.cnki.chqm.2022.29.10.13
文献标志码:
A
摘要:
目的构建医师医疗能力分层分类评价体系，为客观反映医师能力和人力水平提供参考。方法文献研究法、头脑风暴法、专家咨询法。结果构建包含5个维度、14个评价指标的临床医师医疗能力评价体系。应用后，医院核心人力资源医疗能力评价区分度高，符合临床工作实际。结论将DRG指标和传统医疗指标相结合，可以客观、全面评价医师医疗能力。但还需加强人员信息管理，保证病案首页数据质量，完善特殊科室医师医疗能力评价体系，建立临床科室+医管部门多维度的评价体系等。
Abstract:
ObjectiveTo construct a hierarchical classification and evaluation system for medical competence of physicians, so as to provide a reference for objectively reflecting the competence and manpower level of physicians.MethodsLiterature research method, brainstorming method, and expert consulting method.ResultsA physicians' medical competence evaluation system was established, including 5 dimensions and 14 evaluation indicators. After the application, the evaluation of hospital core human resources medical ability had a high discrimination, which was in line with clinical practice.Conclusion The combination of DRG index and traditional medical index can objectively and comprehensively evaluate the medical competence of physicians. However, it is still necessary to strengthen the management of personnel information, ensure the quality of the first page data of medical records, improve the evaluation system of medical competence of physicians in special departments, and establish a multi-dimensional evaluation system of clinical departments and medical management departments.

参考文献/References:

［1］黄 山，向 前，王 冬，等. 基于RBRVS的薪酬改革政策回顾、进展与常模设计［J］. 中国医院管理, 2017, 37(11): 83-85. ［2］卞伟峰，辛 玲，伏 瑜，等. 构建手术室护理质量敏感指标体系［J］. 中国卫生质量管理, 2020, 27(5): 59-62. ［3］熊占路，孟 浦，齐 磊，等. 医院核心人力资源医疗绩效考核之个人考核［J］. 中国医院管理, 2012, 32(1): 31-32. ［4］胡靖琛，李 煜，刘明孝. 基于DRGs指标评估临床医师专业技术能力初探［J］. 中华医院管理杂志, 2019, 35(5): 372-375. ［5］崔立君，赵长久，李 洋，等. 基于DRG的临床医师高级职称评审实践探索［J］. 中国医院管理, 2022, 42(2): 77-79. ［6］张海峤，许 昌. 基于DRG的泌尿外科医师绩效综合评价比较研究［J］. 中国医院管理, 2021, 41(3): 68-72. ［7］龚怡琳，冯宇彤，王慧卿. 基于德尔菲法的综合医院临床医师高级职称评审指标体系构建［J］. 中国医院管理, 2020, 40(8): 50-53. ［8］BERWICK D，FOX DM. Evaluating the quality of medical care：Donabedian’s Classic Article 50 years later［J］.Mibank Quarterly,2016,94(2):237-241. ［9］CHOWDHURY H，ZELENYUK V. Performance of hospital services in Ontario：DEA with truncated regression approach［J］.Omega,2016,63:111-122. ［10］叶秀峰，徐洪斌，陈 斌. 基于DRG的临床医师水平能力分级分类考核评价研究［J］. 中国医院管理, 2021, 41(9): 42-44. ［11］冯煜坤，席修明. 国内外重症医学科医疗质量控制研究现状［J］. 中国医院, 2018, 22(3): 78-80. ［12］张瑞迪，王 虎，张丽华，等. 基于RBRVS的某公立医院外科绩效工资改革路径解析［J］. 中国医院管理, 2020, 40(6): 76-78, 82.

更新日期/Last Update: 2022-10-28