北京某医院试行按病种分组付费重点监测病组的确定与分析  

Dentification and Analysis of Key Monitoring Disease Groups on Diagnosis Related Groups Prospective Payment in a Hospital in Beijing

作　　者：魏俊丽[1] 赵冠宏[1] 张乐辉[1] 杜琨[1] 孙树学[1] 孙晶晶[1] 严松彪[1] 

机构地区：[1]首都医科大学附属北京友谊医院,北京100050

出　　处：《中国卫生经济》2013年第4期56-58,共3页Chinese Health Economics

摘　　要：目的根据医院管理需要,以科室为基础,摸索按病种分组付费管理中需要重点监测病组的确定方法,为医疗质量管理提供方向。方法根据实际工作经验,通过比较分析,以管理成本效果最大化为原则进行筛选。结果按科室例数大于50例,同时该病组例数大于30例、差额率绝对值大于20%进行筛选,并结合科室、病组分别分析情况,确定8个科室的21个病组作为重点病组进行管理,其中神经内科的3个病组将作为今后监测、管理、分析的重中之重。结论医院在管理过程中应当正确认识费用所反映出的实质内容;建立有效的院内监测及质量管理运行机制;有关部门应建立反馈机构,适时调整费用标准。Objective：To explode the method of determining the focus of key monitoring group based on department, according to the direction of hospital quality management. Methods： According to tile practical work experience on hospital management, through the comparative analysis, selecting groups to maximize the cost-effectiveness on management. Results： 8 departments and 21 groups were selected, the 3 disease groups in Department of Neurology will be focused on monitoring. Conclusion ： Hospital managers shouht make a eonect undertanding of the substance reflected by the costs, establish an effective monitoring and quality management mechanism; government departments should establish a feedback mechanism and adjust the standard cost timely.

关 键 词：诊断相关分组 监测 费用 医院管理 

分 类 号：R197.3[医药卫生—卫生事业管理]