基于DRGs的妇科专业医疗质量管理体系构建及应用

A DRGs-based medical quality evaluation system for gynecology specialists： establishment and application

目的应用DRGs构建专科医院妇科各病区医疗服务质量管理评价体系。方法应用DRGs对2016年妇科出院的患者信息进行风险调整的基础上，采用医疗能力、效率和安全3个维度构建医疗质量管理体系，并根据各维度分值乘以其权重系数获得综合评分。结果妇科10个病区的综合评分为0．89—1．08，均值为0．99，B病区评分最高，I病区评分最低。医疗能力评分为0．87～1．12，均值为1．00，B病区最高，I病区最低；效率评分为0．93～1．23，均值为1．00，J病区效率最高，E病区效率最低；安全评分为0．89—0．99，均值为0．94，F病区评分最高，A病区评分最低。结论构建的DRGs评价体系能够有效地评价妇科各病区的医疗服务质量水平，为科室精细化管理方向提供依据。

Objective To establish a medical quality evaluation system for gynecology wards in specialized gynecalogy hospitals by means of DRGs. Methods DRGs method was used to adjust risks of the information of gynecology inpatients discharged in 2016. On such basis, the medical quality evaluation system was built on the three dimensions of medical ability, medical efficiency and medical safety, while a general scoring was obtained by multiplying the scoring of the dimension with its respective weighting coefficients. Results The general scoring of the 10 wards ranged between 0.89 - 1.08, averaging 0.99. That of Ward B ranked the highest, and Ward I the lowest of the ten. The medical ability scoring ranged between 0.87 - 1. 12, averaging 1.00;That of Ward B ranked the highest, and Ward I the lowest of the ten. Medical efficiency scoring ranged between 0.93 - 1.23, averaging 1.00 ; That of Ward J ranked the highest, and Ward E the lowest of the ten. Safety scoring ranged between 0.89 - 0.99, averaging 0.94 ; That of Ward F ranked the highest, and Ward A the lowest of the ten. Conclusions The medical quality evaluation system based on DRGs can effectively evaluate wards of a gynecology department, supporting their fine management.