[1]张雪莉 罗玉英 莫春梅 张子武 韩旭 郭小林 杨珣 段占祺.基于DRGs的四川省儿科医疗服务能力对比分析[J].中国卫生质量管理,2020,27(03):051-54.
　ZHANG Xueli,LUO Yuying,MO Chunmei,et al.Comparative Analysis of Pediatric Medical Service Capacity Based on DRGs in Sichuan Province[J].Chinese Health Quality Management,2020,27(03):051-54.
点击复制

基于DRGs的四川省儿科医疗服务能力对比分析
分享到：

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

卷:
第27卷
期数:
2020年03期
页码:
051-54
栏目:
关注DRG
出版日期:
2020-05-28

文章信息/Info

Title:
Comparative Analysis of Pediatric Medical Service Capacity Based on DRGs in Sichuan Province
作者:
张雪莉 罗玉英 莫春梅 张子武 韩旭 郭小林 杨珣 段占祺
四川省卫生健康信息中心
Author(s):
ZHANG Xueli; LUO Yuying; MO Chunmei; et al
Related Groups;Tertiary Medical Institutions; Pediatrics
关键词:
疾病诊断相关分组; 三级医疗机构; 儿科; 医疗服务能力
Keywords:
Diagnosis Related Groups; Tertiary Medical Institutions;  Pediatrics;  Medical Service Capacity
分类号:
R197.323；R72
文献标志码:
A
摘要:
目的利用DRGs对四川省109家设有儿科服务的不同类别三级医疗机构医疗服务能力进行对比分析，为儿科医疗服务能力发展提供数据支撑。方法通过方差检验对四川省三级医疗机构儿科DRGs评价指标进行统计学分析；采用系统聚类分析方法对绩效评分结果进行分类，并以分类结果为因变量进行单因素方差分析。结果不同类型医疗机构DRGs组数、总权重、CMI值之间差异有统计学意义。将绩效评分结果聚类分成4组，处于一类组和二类组的均只有1家医院，都为专科医院。人员情况、医院经营状况和运行效率情况在不同聚类组别间差异有统计学意义。结论不同类型三级医疗机构儿科医疗服务能力水平差异较大，儿科医疗服务水平整体偏低。应多措并举，稳定医护人员队伍，引进临床亟需设备，建立儿科联合体，提升儿科医疗服务能力。
Abstract:
ObjectiveTo analyze the medical service capabilities of 109 different types of tertiary medical institutions with pediatric services by using the DRGs, to provide support for the development of pediatric medical service capabilities.MethodsThe evaluation indexes of pediatric DRGs in provincial tertiary medical institutions were statistically analyzed by analysis of variance test. The results of performance scoring were classified by cluster analysis, and the results were used as the dependent variable for one-way analysis of variance.ResultsThere were statistically significant differences on the number of DRGs, total weight, and CMI among different types of medical institutions. The results of institutional performance scoring were clustered into four groups, and only one institution was in the first group and in the second group respectively which was specialist hospital. There were statistically significant differences among different cluster groups in personnel status, hospital operation status and operating efficiency.Conclusion The level of pediatric medical service in different types of tertiary medical institutions varied greatly, and the overall level of pediatric medical service was low. Multiple measures should be taken to stabilize the medical staff, introduce urgently needed clinical equipment, establish pediatric consortium, and improve pediatric medical service capacity.

参考文献/References:

［1］高健,徐萍,杜静,等.DRGs评价方法在医院单病种管理中的应用研究［J］.中国卫生统计,2017,34（4）：608-613.

相似文献/References:

[1]董乾 陈金彪 陈虎 房耘耘.DRGs国内发展现状及政策建议[J].中国卫生质量管理,2018,25(02):001.[doi:10.13912/j.cnki.chqm.2018.25.2.01]
[2]李春漾 冯海欢 孙麟.胆囊炎疾病诊断相关分组与细分组研究初探[J].中国卫生质量管理,2018,25(02):009.[doi:10.13912/j.cnki.chqm.2018.25.2.03]
[3]莫陶欣 王丹 杨煦 冷家骅 刘晶 薛冬.基于DRGs肿瘤专科医院精细化管理探讨[J].中国卫生质量管理,2018,25(02):016.[doi:10.13912/j.cnki.chqm.2018.25.2.05]
[4]王艳梅 高桂华 随冬侠 朱文伟.DRGs病组付费下病房护理管理实践[J].中国卫生质量管理,2018,25(02):023.[doi:10.13912/j.cnki.chqm.2018.25.2.07]
[5]王海银 周佳卉 房良 彭颖 金春林.美国DRGs发展演变、支付特征及对我国的启示[J].中国卫生质量管理,2018,25(06):025.[doi:10.13912/j.cnki.chqm.2018.25.6.09]
[6]王笑君 刘国庆 沈汉斌 胡牧 李迎 张斌 向毅 赵亮 卢钰 付霆 潘文晶.医联体内分级诊疗DRGs实证研究[J].中国卫生质量管理,2018,25(06):044.[doi:10.13912/j.cnki.chqm.2018.25.6.15]
[7]晏鑫 刘小平 郭梓鑫 龚斐 王蕾 施娣 梁辰.DRGs相关文献计量学分析[J].中国卫生质量管理,2019,26(04):001.[doi:10.13912/j.cnki.chqm.2019.26.4.01]
[8]李春漾 孙麟.阑尾炎疾病诊断相关分组细分组研究[J].中国卫生质量管理,2019,26(04):009.[doi:10.13912/j.cnki.chqm.2019.26.4.03]
[9]马莎 俞群俊 陆烨 高华斌.基于DRGs的某市三级综合医院绩效评价分析[J].中国卫生质量管理,2019,26(04):013.[doi:10.13912/j.cnki.chqm.2019.26.4.04]
[10]张晶 王富珍 张沛刚 张国华.BJ-DRGs对某女性生殖系统疾病及功能障碍的适用性评价[J].中国卫生质量管理,2019,26(04):025.[doi:10.13912/j.cnki.chqm.2019.26.4.07]

更新日期/Last Update: 2020-05-28