基于DRGs对某院主诊医师组住院医疗绩效服务的评价

Evaluation of In-Patient Medical Performance Services of the Attending Physicians by Diagnosis Related Groups Method

目的利用DRGs方法评价2016年某医院神经内科主诊医师组的住院医疗绩效服务。方法以2016年某医院重点专科神经内科17组主诊医师为对象,通过评价主诊医师的医疗服务能力、医疗服务效率和医疗服务安全,根据德尔菲法制定的各指标的权重系数评价住院医疗服务的综合得分,比较17组主诊医师的住院医疗服务水平。根据‘二八法则’,评价17组主诊医师收治同一DRGs组的例数、医疗服务效率和安全。结果综合得分最高的前3位的主诊医师分别是主诊医师P、F和E;得分最低的后3位的主诊医师组分别是主诊医师M、N和Q。主诊医师C治疗同一DRGs组BR-23患者的医疗服务水平最高。结论基于DRGs方法对该医院主诊医师组住院医疗绩效服务的评价,结果客观、可行和可信。

Objective to evaluate hospital medical service performance of the attending physician group of neurologyin 2016 using the DRGs method.Methods The study compared the medical service ability, efficiency and security among 17 groups of attending physicians. According to the Delphi method to establish the weight coefficient of each index, the study obtained scores of hospital medical service among the 17 groups of attending physicians.According to Twenty-eight Law, the study calculated cases, medical service efficiency and security in the same DRGs group among 17 groups of attending physicians. Results The top three comprehensive score of the attending physicians were, respectively, the attending physician P, F and E. And the lowest three of the attending physicians were M, N and Q. The attending physician C was the highest level of medical service in treating DRGs BR-23.Conclusion According to DRGs method, it＇s feasible, reliable and objective to evaluate the hospital performance service of the attending physician.