山西省28所三级综合医院基于疾病诊断相关分组的住院医疗服务绩效评价

Evaluation of inpatient medical service performance based on disease diagnosis related group in 28 tertiary comprehensive hospitals in Shanxi Province

目的比较山西省28所三级综合医院疾病诊断相关分组(DRG)指标与传统指标在住院医疗服务绩效评价中的差异,为医院综合评价提供一定的应用价值。方法通过山西省医疗服务评价平台收集2023年1月至12月山西省28所三级综合医院住院病案首页数据,采用综合指数法从医疗服务能力、医疗服务效率、医疗服务质量方面分析DRG指标与传统指标在住院医疗服务绩效评价中的差异。结果传统指标的住院医疗服务绩效评价结果显示,医院4综合指数排名第一,为6.44;医疗服务能力综合指数最高的是医院3,为3.44;医疗服务效率综合指数最高的是医院25,为1.85;医疗服务质量综合指数最高的是医院16,为4.33。DRG指标的住院医疗服务绩效评价结果显示,医院1的综合指数排名第一,为4.68;医疗服务能力综合指数最高的是医院1,为2.79;医疗服务效率综合指数最高的是医院4和医院6,为1.43;21所医院的医疗服务质量综合指数为1.00。结论采用传统指标与DRG指标对28所三级综合医院的住院医疗服务绩效进行评价,结果存在差别,各医院在医疗服务能力、医疗服务效率及医疗服务质量方面不同程度地存在一些问题。与传统指标比较,DRG指标能客观、准确地评价医院住院医疗服务水平,有助于医院精细化管理。

Objective To compare the differences between disease diagnosis related group(DRG)indicators and traditional inpatient indicators in evaluation of inpatient medical service performance,and to provide certain application value for comprehensive evaluation between hospitals.Methods The first page data of inpatient medical records from 28 tertiary comprehensive hospitals in Shanxi Province from January to December 2023 were collected through the Shanxi Provincial Medical Service Evaluation Platform.The comprehensive index method was used to analyze the evaluation of inpatient medical service performance differences between DRG indicators and traditional indicators of medical service capacity,medical service efficiency,and medical service quality.Results The results of the evaluation of inpatient medical service performance with traditional indicators show that hospital 4 composite index ranked the first,with 6.44;the highest comprehensive index of medical service capacity was hospital 3,with 3.44;the highest comprehensive index of medical service efficiency was hospital 25,with 1.85;and the highest composite index of medical service quality was hospitals 16,with 4.33.The results of the evaluation of inpatient medical service performance with DRG indicators showed that the comprehensive index of hospital 1 ranked the first,with 4.68;the highest comprehensive index of medical service capacity was hospital 1,with 2.79;the highest comprehensive index of medical service efficiency was hospitals 4 and 6,with 1.43;and the comprehensive index of medical service quality of 21 hospital was 1.00.Conclusion Traditional indicators and DRG indicators were used to evaluate the medical service performance of 28 tertiary comprehensive hospitals,and the results were different.Each hospital had some problems in terms of medical service capacity,medical service efficiency,and medical service quality to varying degrees.Compared with traditional indicators,DRG indicators can objectively and accurately evaluate the level of inpatient medical services of hospital,which helps to refine hospital management.