DRGs视角下某三甲医院医疗服务能力变动影响因素分析

Analysis of influencing factors on the change of medical service capability of a tertiary hospital from the perspective of DRGs

目的探讨DRGs视角下医院医疗服务能力的变化情况及应对策略。方法运用因素指数分析法和直接标准化法,分析2017年和2018年医院业务指标的变动情况和影响因素。结果 2018年医院DRGs总量为113 430.12,增长10.94%,其增长主要受出院人次增长的影响,其次受CMI降低的影响。消除科室构成比后,2018年标准化CMI高于2017年。结论某医院的业务发展情况总体上仍属于"规模数量型",需要通过院级统筹和科级的精细化管理来调整业务结构,转变成"质量效率型",实现医疗服务能力的健康、可持续发展。

Objective To explore the change of hospital medical service capability and coping strategies from the perspective of DRGs.Methods Factor index analysis method and direct standardization method were used to analyze the changes and influencing factors of hospital business indicators in 2017 and 2018.Results In 2018,the total amount of DRGs in the hospital was 113430.12,with an increase of 10.94%.The increase was mainly affected by the increase of discharge times,followed by the decrease of CMI.After eliminating the department composition ratio,the standardized CMI in 2018 was higher than that in 2017.Conclusion On the whole,the business development of a certain hospital still belongs to the"scale and quantity type",which needs to adjust the business structure through the coordination at the hospital level and the fine management at the section level,and change to the"quality and efficiency type",so as to realize the healthy and sustainable development of the medical service capacity.