[1]沈婷于海跃钟力炜朱佳云张娴静李群朱乐兰.临床专科评价的DRG细化分组机制研究[J].中国卫生质量管理,2024,31(03):012-14.[doi:10.13912/j.cnki.chqm.2024.31.3.04]
 SHEN Ting,YU Haiyue,ZHONG Liwei.DRG Refinement Grouping Mechanism of Clinical Specialty Departments Evaluation[J].Chinese Health Quality Management,2024,31(03):012-14.[doi:10.13912/j.cnki.chqm.2024.31.3.04]
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临床专科评价的DRG细化分组机制研究()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年03期
页码:
012-14
栏目:
特别关注
出版日期:
2024-03-15

文章信息/Info

Title:
DRG Refinement Grouping Mechanism of Clinical Specialty Departments Evaluation
作者:
沈婷于海跃钟力炜朱佳云张娴静李群朱乐兰
上海中医药大学附属市中医医院
Author(s):
SHEN TingYU HaiyueZHONG Liwei
Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine
关键词:
DRG细分组专科评价专科建设
Keywords:
DRGRefinement GroupingSpecialist EvaluationSpecialty Building
分类号:
R197.3
DOI:
10.13912/j.cnki.chqm.2024.31.3.04
文献标志码:
A
摘要:
目的将细分后的DRG分组作为临床专科评价工具,为专科评价提供参考。方法邀请20余名相关专家进行专题讨论,将CHS-DRG现有的376组ADRG组按国家《医疗机构诊疗科目名录》细分为460组,分入42个专科。结果有277组归属唯一专科;有57组被拆分为两个专科;有19组被拆分为两个以上专科;另有23组不进行细分,其中5组在国家医疗保障局细分组方案中未见具体编码。结论基于细分后的DRG分组,可准确归属专科并开展临床专科评价,有利于促进优势专科能力建设。依据不同专科特点,增加更具有针对性的考核要素,有助于进行精细化绩效评价。
Abstract:
ObjectiveThe refined DRG group is used as an evaluation tool for clinical departments to provide reference for specialty evaluation.MethodsMore than 20 relevant experts were invited to have a thematic discussion, and 376 ADRG groups existing in CHS-DRG were subdivided into 460 groups,according to the national "Medical Institution Diagnosis and Treatment Subjects Directory" and grouped into specialties,which were divided into 42 specialties.Results277 groups belonged to the only specialty; 57 groups were divided into 2 specialties; 19 groups were divided into two or more specialties; another 23 groups were not subdivided. Five groups did not had the specific code in the National Healthcare Security Administration subgroup plan.Conclusion Based on the refinement DRG group, it can be accurately classified into specialties and carry out clinical specialty evaluation, which is conducive to promoting the capacity building of superior specialties. According to the characteristics of different specialties, more targeted assessment elements could be added to help to carry out fine performance evaluation.

参考文献/References:

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更新日期/Last Update: 2024-03-15