DRGs产能指标视角下肿瘤专科医院竞争力提升策略研究

Enhancing Competitiveness of Cancer Hospital from the Perspective of DRGs Productivity Index

[目的]基于疾病诊断相关分组(diagnosis-related groups,DRGs)产能指标评价肿瘤专科医院医疗服务绩效情况,探讨提升医院竞争力的客观方法。[方法]收集浙江省肿瘤医院2016年1月1日—2020年12月31日的病案首页数据共573151例,经过DRGs分组器分组,根据DRGs数据,对病例组合指数(case mix index,CMI)值、DRG相对权重(relative weight,RW)等进行分析评价。[结果]2016年1月1日—2020年12月31日期间,该院年度出院人次增加,DRGs总量增加,但是CMI先上升后下降;RW<2患者占比逐年增加;DRGs化疗组患者占比先下降后上升;住院1 d化疗患者比例逐年升高。[结论]为提升肿瘤专科医院竞争力,应合理配置住院医疗资源,减少住院化疗患者比例,提高全院CMI。

[Purpose]To evaluate the medical service performance in cancer specialized hospital based on diagnosis-related groups(DRGs)productivity index.[Methods]The data of 573151 patients discharged from Zhejiang Cancer Hospital from January 1,2016 to December 31,2020 were collected from medical records.The case mix index(CMI)and the DRGs relative weight(RW)were analyzed.[Results]During the period from January 1,2016 to December 31,2020 the total number of discharged patients and the amount of DRGs were increasing,but the CMI increased first and then decreased;the proportion of RW<2 was increasing year by year;the proportion of patients in chemotherapy group decreased first and then increased;and the proportion of patients for day chemotherapy was also increasing year by year.[Conclusion]The study suggests that to enhance the competitiveness of the cancer hospital the inpatient medical resources should be allocated rationally,the proportion of inpatients with chemotherapy should be reduced,and the CMI of the hospital should be improved.