运用DRG指标改善医院医师专业能力的效果分析

Analysis of the effect of Using DRG Index to Improve The Professional Ability of Doctors in a Hospital

目的运用疾病诊断相关分组(DRG)指标在卫生专业技术职称评定时对医师专业能力进行考核,同时分析其效果。方法采用对比分析的方法调取某三级甲等综合医院1184名医师实施晋级政策前后2年的DRG指标进行统计分析。采用Wilcoxon秩和检验比较医师病例组合指数(CMI)、DRG组数、总权重、时间消耗指数以及费用消耗指数的差异。结果引入DRG指标后,医师的CMI、DRG组数以及总权重均有上升趋势,其中CMI从1.17提升至1.20,时间消耗指数降低,费用消耗指数差异无统计学意义(P>0.05),医院收治患者难度与医疗效率提升。结论运用DRG指标作为考核医师专业能力对医院有积极作用,能够提升诊疗质量、提高效率、优化病患分组及医疗组分工,DRG指标可以作为考核医生专业能力的工具。

Objective Using Disease Diagnosis Related Grouping(DRG)index to assess the professional compe-tence of physicians in the evaluation of health professional and technical titles,and analysing their effectiveness.Methods The DRG indexes of 1184 physicians were statistically analyzed before and after the implementation of DRG promotion policy.After normal test,Wilcoxon rank sum test was used to compare the CMI,number of DRG groups,total weight,time consumption index and cost consumption index of 1184 physicians in a hospital before and after applying DRG index to assess individual ability.Results The study found that after the introduction of DRG in-dex,CMI,number of DRG groups and total weight of physicians all showed an increasing trend,in which CMI in-creased from 1.17 to 1.20,time consumption index decreased,cost consumption index had no statistical signifi-cance(P>0.05),and the difficulty of hospital treatment and medical efficiency improved.Conclusion The use of DRG index to assess doctors’professional ability has a positive effect on hospitals,which can improve the quality of diagnosis and treatment,improve efficiency,optimize patient grouping and medical division.DRG index can be used as a tool to assess doctors’professional ability.