DRGs绩效评价指标应用于三级综合医院科室医疗服务中的价值探讨

Value applying DRGs performance evaluation indicators in medical service of departments of tertiary general hospitals

目的探讨疾病诊断相关分组(DRGs)绩效评价指标应用于三级综合医院科室医疗服务中的价值。方法将2017年7月至2018年12月清远市人民医院收治的20521例住院患者作为研究对象,男性10521例、女性10000例,年龄(40.26±3.17)岁,以绩效评价系统和医院质量管理作为平台,采用DRGs绩效评价指标对各项情况进行比较。结果医院组数从2017年的610组到2018年的660组,总权重也呈上升趋势,而病例组合指数(CMI)、时间消耗指数以及低风险病死率呈下降趋势,费用消耗指数2年间呈上升趋势;三级综合医院纳入研究的共有8个科室,在上述科室中入组的病例数呈显著上升趋势,DRGs组数2科室存在下降情况,通过对总权重进行分析,所有科室均呈上升趋势。结论DRGs绩效评价指标应用于三级综合医院科室医疗服务中具有显著价值。

Objective To study the value applying disease diagnosis related groups(DRGs)performance evaluation indicators in the medical services in the departments of tertiary general hospitals.Methods From July 2017 to December 2018,20521 inpatients admitted by Qingyuan People's Hospital were taken as the research objects,including 10521 males and 10000 females who were(40.26±3.17)years old.With the performance evaluation system and hospital quality management as the platform,DRGs performance evaluation indicators were used to compare various situations.Results The number of hospital groups increased from 610 in 2017 to 660 in 2018;the total weight also showed an upward trend;the case mix index(CMI),time consumption index,and low-risk mortality showed downward trends;the cost consumption index showed an upward trend in these two years.There were 8 departments in the tertiary general hospital in the study.The number of cases included in the above departments showed a significant upward trend,while the number of DRGs in department 2 showed a downward trend.Through the analysis of the total weight,all the departments showed upward trends.Conclusion The application of DRGs performance evaluation indicators in the medical services of the departments of tertiary general hospitals has significant value.