山东省某医院基于DRG神经内科服务绩效评价

Performance Evaluation of DRG Neurology Services in a Hospital of Shandong Province

目的分析山东省某医院神经内科4个科室患者医疗费用差异,为优化疾病诊断相关分组(DRG)支付方式改革提供经验。方法运用服务能力、服务效率、质量安全等3个维度6项指标对该医院神经内科2022年1—12月的DRG付费数据进行分析。结果科室之间医疗服务绩效差异较大。结论应结合医疗服务绩效评价,实施临床路径管理;优化学科(专科)布局,注重科室差异化发展,支持开展新技术;医疗服务效率欠佳,应合理配置卫生资源;规范诊疗行为,加强医疗成本的合理管控。

Objective:To analyze the differences of medical expenses in 4 departments of neurology of a hospital in Shandong Province,and provide experience for optimizing the payment method of DRG.Method:The DRG payment data of the neurology department in the hospital from January to December 2022 was analyzed by using 6 indicators from 3 dimensions,including service capability,service efficiency,quality and safety.Result:There was a great difference in medical service performance between departments.Conclusion:Clinical pathway management should be implemented in conjunction with medical service performance evaluation to optimize the layout of disciplines(specialties);The differentiated development of departments should be focused on to support the development of new technologies;The efficiency of medical service is not good,so health resources should be allocated rationally to standardize diagnosis and treatment behavior and strengthen the reasonable control of medical costs.