[1]姜德超胡跃军章佳明江淑妍邓炜珊.高质量发展背景下专科运营管理分析体系研究[J].中国卫生质量管理,2024,31(03):056-61.[doi:10.13912/j.cnki.chqm.2024.31.3.14]
　JIANG Dechao,HU Yuejun,ZHANG Jiaming.Research on the Analysis System of Hospital Specialty Operation Management under the Background of High-Quality Development of Public Hospitals[J].Chinese Health Quality Management,2024,31(03):056-61.[doi:10.13912/j.cnki.chqm.2024.31.3.14]
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高质量发展背景下专科运营管理分析体系研究()
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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:
056-61
栏目:
绩效管理与医院高质量发展
出版日期:
2024-03-15

文章信息/Info

Title:
Research on the Analysis System of Hospital Specialty Operation Management under the Background of High-Quality Development of Public Hospitals
作者:
姜德超胡跃军章佳明江淑妍邓炜珊
中山大学孙逸仙纪念医院
Author(s):
JIANG Dechao; HU Yuejun; ZHANG Jiaming
Sun Yat-sen Memorial Hospital,Sun Yat-sen University
关键词:
公立医院; 高质量发展; 专科运营管理; 分析体系
Keywords:
Public Hospital; High-Quality Development; Specialty Operation Management; Analysis System
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2024.31.3.14
文献标志码:
A
摘要:
目的分析医院经济运营和医疗质量相关指标，健全专科运营管理分析体系，推动医院运营管理决策过程科学化、规范化、精细化。方法以专科医疗收入及效率、直接成本构成、成本补偿情况等经济指标为基础，结合专科病种收治结构，对病种费用构成、DRG病组结构等内容展开分析，确立专科优势病种；构建指标分析预测模型，直观反映病种结构调整对专科成本补偿及医疗指标的综合影响。结果某院A科室一区、二区在医疗服务收入占比、人均医疗服务收入、直接成本构成、手术/四级手术占比、CMI值等指标上存在明显差异，通过调整病种收治结构可实现病种收益效率与技术难度评价的大幅度提升。结论通过构建涵盖科室医疗收入分析、病种结构分析、病种结构调整预测等内容的专科运营管理分析体系，可帮助公立医院聚焦专科业务发展，为实现精细化运营管理奠定基础。
Abstract:
ObjectiveTo analyze the relevant indicators of hospital financial and medical quality, improve the specialty operation management analysis system, and promote the scientific, standardized and refined decision-making process of hospital operation management.MethodsBased on the economic indicators such as income and efficiency, direct cost composition and cost compensation, and combined with the treatment structure of specialty diseases, the cost composition of diseases and the structure of DRG diseases were analyzed, and the dominant diseases of specialties were established. The index analysis prediction model was constructed to directly reflect the comprehensive influence of disease structure adjustment on specialty cost compensation and medical index.ResultsThere were obvious differences in the proportion of medical service income, per capita medical service income, direct cost composition, proportion of surgery/grade 4 surgery, CMI and other indicators in the first and second districts of Department-A of a hospital. By adjusting the treatment structure of disease categories, the benefit efficiency and technical difficulty evaluation of disease categories could be greatly improved.Conclusion The construction of specialty operation management analysis system covering medical income analysis, disease structure analysis, disease structure adjustment and prediction can help public hospitals focus on the development of specialist business and lay a good foundation for the realization of fine operation management.

参考文献/References:

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更新日期/Last Update: 2024-03-15