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[1]刘杰许媛媛颜涛曹建文周希喆.基于DRG的国家骨科医学中心主体医院床位工作效率及动态配置研究[J].中国卫生质量管理,2026,33(3):28-32.[doi:10.13912/j.cnki.chqm.2026.33.3.07]
　LIU Jie,XU Yuanyuan,YAN Tao.Research on Bed Work Efficiency and Dynamic Allocation in the Primary Hospital of the National Orthopedic Medical Center Based on DRG[J].Chinese Health Quality Management,2026,33(3):28-32.[doi:10.13912/j.cnki.chqm.2026.33.3.07]

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基于DRG的国家骨科医学中心主体医院床位工作效率及动态配置研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年3期页码: 28-32 栏目: 医疗质量出版日期: 2026-03-15

Title:: Research on Bed Work Efficiency and Dynamic Allocation in the Primary Hospital of the National Orthopedic Medical Center Based on DRG

作者:: 刘杰许媛媛颜涛曹建文周希喆; 上海市第六人民医院

Author(s):: LIU Jie; XU Yuanyuan; YAN Tao; Shanghai Sixth People’s Hospital

关键词:: 国家骨科医学中心; DRG; 床位运行效率; 床位配置

Keywords:: National Orthopedic Medical Center; Diagnosis Related Groups (DRG); Bed Operational Efficiency; Bed Allocation

分类号:: R197.32

DOI:: 10.13912/j.cnki.chqm.2026.33.3.07

文献标志码:: A

摘要:: 目的将DRG与床位工作效率指标相结合，评价国家骨科医学中心主体医院的床位使用情况，为公立医院床位管理和资源配置提供参考。方法收集上海某三甲综合医院XH院区2024年各科室CMI、DRG总权重、出院人数以及床位数量等相关数据，运用床位运行效率模型、床位产出效率模型、床位合理配置模型，对40个临床科室床位使用情况进行综合评价。结果23个科室床位数量合理，15个科室需减少床位，2个科室需增加床位；综合评价确定了11个优势型科室，2个潜力型科室，14个合理型科室，13个受限型科室，其中骨科医学中心有9个优势型科室。结论床位效率评估模型为专科建设提供了评价工具，骨科医学中心床位使用效率较高，并辐射带动相关科室发展。主体医院要充分发挥国家骨科医学中心的联动效应，探索床位配置管理视角下科室间的协作模式，通过床位动态调配，提高床位使用价值，进而促进医疗服务能力提升。

Abstract:: ObjectiveTo evaluate the bed utilization of the main hospital of the national orthopedic medical center by integrating diagnosis related groups (DRG) with bed work efficiency indicators, providing references for bed management and resource allocation in public hospitals.MethodsRelevant data, including case mix index (CMI), total DRG weights, number of discharges, and bed counts, were collected for each department at the XH campus of a tertiary general hospital in Shanghai in 2024. Three models—the bed operational efficiency model, the bed output efficiency model, and the bed rational allocation model—were employed to comprehensively evaluate bed utilization across 40 departments in the hospital.ResultsThe bed counts were deemed reasonable in 23 departments, while 15 departments required a reduction in beds and 2 departments required an increase. The comprehensive evaluation identified 11 high-performing departments, 2 potential departments, 14 well-balanced departments, and 13 constrained departments, with 9 high-performing departments located within the orthopedic medical center.Conclusion The bed efficiency evaluation models provide an assessment tool for specialty development. The orthopedic medical center demonstrates high bed utilization efficiency and drives the development of related departments. The main hospital should fully leverage the synergistic effects of the national orthopedic medical center, explore collaborative models among departments from the perspective of bed allocation management, and enhance bed utilization value through dynamic bed allocation, thereby improving overall medical service capabilities.

参考文献/References:

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更新日期/Last Update: 2026-03-15