摘要
目的测量北京市样本医院DRGs实施效果。方法采取随机抽样方法,提取2所DRGs试点医院数据,同时提取2所同样级别的非试点医院的数据。利用Excel软件处理,比较试点医院和非试点医院的经济性、效率性和效果性。结果以人均费用作为经济性反映指标,DRGs试点医院人均费用下降速度比非试点医院快(-66.83VS75.26);以出院总人次作为效率性反映指标,试点医院出院总人次上升速度比非试点医院快(38.13VS27.4);以住院病人药占比作为效果性反映指标,试点医院药占比下降速度比非试点医院快(-0.002 VS-0.000)。结论实施DRGs后,试点医院的经济性、效率性和效果性指标均比非试点医院有优势。
Objective To investigate the implementation effect of DRGs in sample hospitals in Beijing. Method The data were extracted randomly from two DRGs pilot hospitals and two non -pilot hospitals with same level, and analyzed by using Excel software to compare the implementation effect of DRGs. Result As an economic indicator, cost per patient in pilot hospitals fell faster than that in non - pilot hospitals （ - 66.83 VS 75.26 ）. As an efficiency index, the total number of discharge in pilot hospitals increased faster than that in nonpilot hospitals （ 38.13 VS 27.4 ）. Furthermore, as an effectiveness index, the proportion of pharmacy in pilot hospitals declined faster than that in nonpilot hospitals （ - 0.002 VS - 0.000 ）. Conclusion After the implementation of DRGs, pilot hospitals displayed advantages in economy, efficiency and effectiveness than that of the other hospitals.
出处
《中国卫生质量管理》
2014年第3期25-27,34,共4页
Chinese Health Quality Management
