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                [1]葉明剛 鄒媛 彭理 斌趙鋒.DRGs在某三甲醫院外科中心績效評價中的應用[J].中國衛生質量管『理,2019,26(06):014-18.[doi:10.13912/j.cnki.chqm.2019.26.6.05]
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                DRGs在某三甲醫院外科中心績效評價中的應用
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                《中國ㄨ衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

                卷:
                第26卷
                期數:
                2019年06期
                頁碼:
                014-18
                欄目:
                特別關註
                出版日期:
                2019-11-28

                文章信息/Info

                作者:
                葉明剛 鄒媛 彭理 斌趙鋒
                新疆醫科大學第一附屬醫院
                關鍵詞:
                醫院外科中心DRGs指標績效評價
                Keywords:
                Hospital Surgical Center DRGs Index Performance Evaluation
                DOI:
                10.13912/j.cnki.chqm.2019.26.6.05
                摘要:
                探索疾病診斷空中轉了半個圈相關組(DRGs)評價指標在某三甲醫院外科中心醫療績效評價體系中的應用。方法提取該院外科中心2018年 1月-12月出院病案首頁,通過“BJ-DRGs”分組器對之自動化分組,從醫療服務只見別墅外面一片燈光照射的“能力”“效率”和“醫療安全”等方面進行績效評價。結果該中心收治疾病大類(MDC)組數為18組,DRGs組數為95組,病例組合指數(CMI)為0.697,處於全院較低水平;時間消耗指數、費用消耗指數均接近1,處於全院平均水平。治療疾病範圍最Ψ 廣的是A病區,DRGs組數為68組;C病區技術難度最高,CMI指數為0.718;A病區住院時間消↓耗最短,費用消耗最低,效按照他率分數為1.305。TOPSIS綜合評價顯示,A病區績效最優,C1醫師績效最優。結論DRGs 評價指標既能夠評價我不殺你科室綜合服務能力、服務效率和服務質量,又能夠針對不同級別的醫師進行綜合評價。
                Abstract:
                To explore the application of Diagnosis Related Groups (DRGs) evaluation index in the medical performance evaluation system of a surgical center in the tertiary hospital.MethodsThe first page of medical records from the surgical center discharged from January to December 2018 was extracted, and its automatic grouping was carried out by "BJ-DRGs" grouper. The performance of a surgical center was evaluated in terms of "ability", "efficiency" and "medical safety",etc.ResultsThere were 18 groups of major diseases categories (MDC), 95 groups of DRGs and case-mix index (CMI)of 0.697 in the center, which were at the lower level of the whole hospital. Time consumption index and cost consumption index were close to 1, which were at the average level of the whole hospital. The most widely treated diseases was the A ward with 68 DRGs, the C ward with the highest technical difficulty with a CMI of 0.718, and the A ward with the shortest hospitalization time, the lowest cost and the efficiency score of 1.305. TOPSIS comprehensive evaluation showed that the performance of the A ward was the best, and that of physician of the C1 was the best.Conclusion DRGs evaluation index can not only evaluate the comprehensive service ability, service efficiency and service quality of departments, but also comprehensive evaluation for different levels of doctors.

                參考文獻/References:

                [1]張恩思,邱平珍,歐陽慰英,等.基於DRGs病例組▅合指數在醫院住院科室績效評價中的應用研究到[J].中國醫學創①新,2016,13(21):129-131.

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                更新日期/Last Update: 2019-11-28