[1]许轲杨剑马建辉邱亭林.DRGs在临床亚专科同行竞争力评价中的应用[J].中国卫生质量管理,2019,26(01):29-32.[doi:10.13912/j.cnki.chqm.2019.26.1.10]

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DRGs在临床亚专科同行竞争力评价中的应用

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第26卷期数: 2019年01期页码: 29-32 栏目: 医疗质量出版日期: 2019-01-28

作者:: 许轲杨剑马建辉邱亭林; 中国医学科学院北京协和医学院肿瘤医院/国家癌症中心

关键词:: 疾病诊断相关组; 临床亚专科; 竞争力; 精细化管理

Keywords:: Diagnosis Related Groups (DRGs); Clinical Subspecialty; Competitiveness; Delicacy Management

DOI:: 10.13912/j.cnki.chqm.2019.26.1.10

摘要:: 目的以“消化系统大手术”亚专科为例，探索运用DRGs管理工具，评价项目医院的同行竞争力。方法以病案首页数据为基础，用北京版疾病诊断相关组（BJ-DRGs）作为风险调整工具，从能力、效率和安全3个维度对“消化系统大手术”亚专科住院医疗服务绩效进行同行间比较。结果2015年该院“消化系统大手术”亚专科4个DRGs组CMI值3.39，略高于市属医院（CMI值3.38）。该院时间消耗指数为0.92，费用消耗指数为0.98，但单日例均费用高出市属医院10.45%。该院4个DRGs组总死亡率为0.09%，远低于市属

Abstract:: ObjectiveTo explore the application of DRGs-related management tool on the clinical subspecialty of “Major Operation of Digestive System Diseases” to assess the peer competitiveness.MethodsBased on information of the home page of medical records, by using BJ-DRG as the basic risk adjustment tool, the performance of inpatient medical service in the "Major Operation of Digestive System Diseases" subspecialty was compared from the three dimensions of ability, efficiency and safety.ResultsIn 2015, the case mix index of the subspecialty was 3.39, which was slightly higher than that of the municipal hospital (CMI was 3.38). The time consumption index was 0.92, and the charge consumption index was 0.98, but the average cost per case in single day was 10.45% which was higher than that of the municipal hospital. The mortality rate was 0.09%, which was lower than the municipal hospital (1.91%), and the mortality rate of GB15 was high.Conclusion DRGs can objectively evaluate the capacity of the subspecialty among hospitals, but more attention should be paid to improve the quality of medical record writing and medical record home page data report. The medical service difficulty of “Major Operation of Digestive System Disease” in our hospital was a bit better. While treat equally difficult disease, the time consumption was shorter, and the charge consumption was less and more safety. However, the average day cost was higher.

参考文献/References:

［1］中华人民共和国国务院.国办发〔2017〕37号关于印发深化医药卫生体制改革2017年重点工作任务的通知［EB/OL］. （2017-05-05）. http://www.gov.cn/zhengce/content/ 2017-05/05/content_5191213.htm.

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更新日期/Last Update: 2019-01-28