2015年北京某医院神经科主诊医师组DRGs指标分析

DRG Index Analysis for Attending Neurologist Groups in a Hospital in 2015

目的分析研究医院神经科部分主诊医师组的DRGs指标,发现优势与不足,为主诊医师绩效考核与管理提供建议。方法以国家版DRGs(CN-DRGs)分组方式,运用病例组合指数、费用消耗指数、时间消耗指数等指标对2015年神经科脑血管病、癫痫、神经介入各主诊医师组进行分析。结果神经介入主诊医师组的CMI最高,癫痫主诊医师组的CMI最低,全部主诊组的费用消耗指数均小于1,癫痫主诊组的时间消耗指数均超过1,介入主诊组的时间消耗指数最低,为0.5。结论应用DRGs指标,评价各主诊医师组的住院绩效情况,可以客观、公平地评价其医疗能力与医疗效率,树立标杆,促进各主诊组竞争。

Objectives To analysis the DRG indicators for attending neurologist groups relevant sections in research hospital, discover the advantages and disadvantages to provide recommendations for the development of attending groups.Methods To analyze on patients discharged from the hospital with the application of case-mixindex（CMI）, time-consuming index, cost-consuming index, as well as other indicators according to CN-DRG grouping packet mode, in neurological cerebrovascular disease, epilepsy, neuropathic involvement of each attending group.Results Neural involvement attending group＇s CMI was the highest, epilepsy attending group＇s CMI was the lowest.All of the attending groups cost-consumption index was less than 1, both the epilepsy attending groups time-consuming index was over 1, and involved attending groups time-consuming index was the lowest, which was 0.5. Conclusions Applications DRG indicators to evaluate inpatient performance situation of each attending group can objectively and fairly evaluate their medical capabilities and medical efficiency, establish a benchmark,promote the competition among each attending groups.