基于诊断相关分类数据的中医优势病种研究

Study on TCM Dominant Diseases Based on Diagnosis Related Groups Data

目的以北京市某三甲中医医院为例,从服务效率、服务质量及安全性等方面筛选中医优势病种。方法根据该中医医院的诊断相关分类(DRGs)数据,筛选各个疾病大类(MDC)中的常见病种,提取例均费用、例均住院日、抗生素使用率、用血率及死亡率5个方面的数值与三级综合医院平均值进行对比分析。结果共筛选出27个常见病种,在服务效率、安全性及服务质量等方面均具有优势的病种3个,安全性优势病种14个,服务质量优势病种13个。结论与三级综合医院相比,该医院多数常见病种的安全性和服务质量的优势都比较明显,但大多数常见病种住院日较长,患者例均费用较高,在服务效率方面无明显优势。

Objective To screen TCM dominant diseases from service efficiency, service quality and security by taking a three-A-grade TCM hospital as example. Methods According to the diagnosis related data of the TCM hospital, the common diseases in major disease categories （MDC） were screened out. Average cost of hospitalization, average hospitalization days, antibiotic use rates, blood use rates, and mortality rates were compared with the average level of tertiary general hospitals. Results Totally 27 common diseases were screened out. Three diseases had advantages in terms of service efficiency, security and service quality; 14 diseases had security advantage; 13 diseases had advantage in service quality. Conclusion Compared with three-A-grade general hospitals, most of the common diseases in the hospital has obvious advantages in security and service quality, but the average length of hospitalization in the hospital is longer, and the average cost of most of the common diseases is higher than the general hospital, without advantages in service efficiency.