DRG指标在神经科主诊组绩效评价中的应用

Application of DRG Index in Nerve Attending Groups Performance Evaluation

通过主诊医师组住院医疗绩效评价的实践,探讨应用DRG组数与低风险组死亡率等经典指标评价神经专科主诊医师组绩效的可行性。分析发现由于DRG分组将相似的诊断与治疗归入同一DRG组,力求利用有限的DRG组数实现同类患者的比较,对于具体某个亚专业的主诊医师组,可能并不适用于采用DRG组数评价医疗服务范围,但对于无明确亚专业方向的主诊医师组,划定DRG组范围,评价诊疗能力依然是目前有限的较客观的评价方式。在评价主诊医师组的医疗安全方面,存在低风险组死亡率等指标失效的情况,构建死亡率指数进行评价,能够保证指标可测量。

By attending group practice of medical performance evaluation, to discuss feasibility of evaluating attending group＇s performanceusing-DRG number, low risk group mortality and other classic indicators. An analysis found since DRG grouping by the similar diagnosis and treatment, seek to take advantage of the limited number of DRG groups to compare similar patients. So for a specific sub-specialty attending group, does not apply to the use of DRG number to evaluate medical range, but for a non-specific sub-specialty attending group, mealdaf range can be evaluated by delineation of the DRG scope. In the evaluation of medical safety aspects of attendins groups, the presence of low risk group mortality indicators of failure, construction mortality indicators to evaluate can ensure indicators be measured.