DRGs应用于医院绩效管理的实践与思考

Practice and thoughts of application of DRGs in hospital performance management

诊断相关分组(diagnosis related groups,DRGs)作为一个病例组合的管理工具,通过风险调整的思想,给不同难度的病种组合赋予不同的权重,进而实现同一地区不同医院、不同科室之间、相同临床专业但不同病种组合之间以及主治医师团队、各级医师之间开展服务能力、服务效率和服务质量的对比分析和评价。为医院绩效管理提供一种客观、可信的科学评价方法。我院自2015年将DRGs管理思想融入到绩效管理工作中,通过完善绩效考核评价指标体系,提高了绩效考核的客观性和科学性,得到医务人员的认可。近两年来我院的医疗服务能力和医院运营的各项指标均持续提升。我院在运用DRGs技术开展医院绩效管理实践中较好的发挥出绩效管理的评价、考核和引导的作用。虽然DRGs技术在我囯医院管理实践中存在一些不足和限制,但它仍然是一种有效的的管理工具,值得我们探索、研究和创新。

DRGs as a management tool for a combination of case,gives different weights to different combinationsthrough the thought of risk adjustment,the different combinations of different diseases are given different weights.Toachieve the same area between different hospitals,different departments,the same clinical professional but differentcombination between disease and doctor team,between physicians at all levels to carry out analysis and evaluation in theservice capacity and efficiency and quality.It provides an objective and credible scientific evaluation method for hospitalperformance management.Our hospital has integrated DRGs management idea into performance management since2015.By improving the performance evaluation index system,the objectivity and scientific performance appraisal have beenimproved.Performance management has been recognized by medical staff.In the past two years,our hospital medicalservice capacity and hospital operation indicators have been proved continuously.Use of DRGs technology in hospitalperformance management practice has already played an important role in performance management evaluation,assessmentand guidance.Although DRGs technology has some limitations in hospital management practice,it is still an effectivemanagement tool for more exploration,research and innovation.