论DRGs和平衡计分卡在住院医疗服务管理中的作用  

Impacts of Diagnosis Related Groups and Balanced Score-card on inpatient medical services

作　　者：张大发 邓小虹 师淑英[3] 张远[4] 马翔伟[3] 徐涛[5] 彭红[4] 陈静[5] 郭默宁 郑杰[6] 孙德尧[6] 张修梅[3] 简伟研[7] 卢铭[8] 杜圣普[9] 胡牧[9] 

机构地区：[1]北京市医疗保险协会,100021 [2]北京市医院管理研究所 [3]北京市财政局 [4]北京市发展和改革委员会 [5]北京市卫生局 [6]北京市人力资源和社会保障局 [7]北京大学公共卫生学院 [8]北京大学基础医学院 [9]北京大学第三医院

出　　处：《中华医院管理杂志》2011年第11期801-808,共8页Chinese Journal of Hospital Administration

基　　金：北京大学医学部“工程”二期建设项目

摘　　要：目的建立患者住院医疗服务的战略规划，从而提高医疗行业整体价值。方法战略地图勾勒出当地政府要实施的目标；同时采用诊断相关组（DRGs）使住院产出得到标准化分类并对各病例组赋予权重；将战略地图的目标和DRGs结果转化为平衡计分卡；再在此基础上确定行动计划，完成战略任务图。结果在客户、内部流程、学习与成长、财务4个方面建立了16个目标、23项指标和13项任务。结论战略地图有助于实现一个地区完整的住院医疗服务战略规划；诊断相关组是落实以患者为中心服务产出的管理核心工具；平衡记分卡有助于实现北京市住院医疗服务从宏观到微观的持续改进。Objective To improve overall value of healthcare industry through setting up critical inpatient medical services strategic plan. Methods Identify major objectives which the local government expects to achieve through strategic map; Standardize inpatient output and assign weight to each group through diagonosis related groups; Translate the objectives of strategic map and result of diagnosis related group to Balanced Score-card） Finally build up strategic map and according action plans. Results Preliminarily established 16 objectives, 23 measures and 13 tasks in four perspectives including customer, internal work flow, learning and growing and finance. Conclusion The strategy map and the balanced scorecard can help implement full strategic plan of regional inpatient medical services） DRGs is a core management tool of patient-centred service output management;Balanced Score-card is able to realize continuous improvement of Beijing inpatient medical services from macro to micro perspetive.

关 键 词：战略地图 平衡计分卡 诊断相关组 住院医疗服务 

分 类 号：R197.3[医药卫生—卫生事业管理]