病种医疗需求强度测量方法研究

Study on the measurement of medical demand intensity by disease

目的：借鉴病例组合指数的思路及疾病严重程度测量方法，提出医疗需求强度概念，并建立按病种的医疗需求强度测量方法，考查疾病对卫生资源的需求程度。方法：对３所医院１９９６年度全部住院病例进行分析，测量医疗服务供给能力与医疗服务需求强度。结果：目前按分级医院评审划分的医院等级规模与其对应的医疗服务供给能力以及需求强度不相符，存在资源配置上的结构性浪费。结论：应按医疗服务供给能力与需求强度等级制定卫生资源的结构配置标准，以及相应的效率考核标准，以实现医疗需求强度与医院等级、资源量及效率相统一的合理运行机制。

Objective:To put forward the concept of medical demand intensity(MDI) and to establish its measurement on the base of case mixed index(CMI) and all kinds of measurement of medical illness severity, it will help examine to which extent the health resources are needed by disease. Methods: All the cases of in patients in 1996 in 3 hospitals were collected to caculate medical demand intensity index(MDII). Results: The current classification of hospital categories and ranks doesn′t suit the MDI degree and the efficiency of health resources. Conclusion: The resource allocation of health service should be based on the MDI, which gives the scientific basis for the reasonable proportion and structure of resource allocation in different type of hospitals, and also make it possible for efficient examination in hospitals.