疾病诊断相关组在绩效管理体系中的应用研究  

Application research of diagnosis related groups in performance management system of a hospital

作　　者：苗丽琼[1] 山德生[1] 李礼[1] 朱红媛[1] 柯江[1] 李晓翠[1] 杨青[1] 

机构地区：[1]玉溪市人民医院

出　　处：《中国医院统计》2015年第4期258-260,263,共4页Chinese Journal of Hospital Statistics

摘　　要：目的探索疾病诊断相关组（DRGs）在医院绩效管理体系中的应用。方法提取该院2009—2013年的出院病例首页，通过“BJ-DRGs”分组器对其自动化分组，以医疗业务量指标、效率指标、成本控制指标、药品控制指标、医疗质量与医疗安全指标为基础构建绩效评价体系，对医院绩效进行评价。结果自该院引入DRGs进行绩效管理后，有效改善了该院业务评价指标：其医疗业务数量、质量及效率指标等均有完善，提高了工作效率，有效控制了医疗费用增长速度，促进医疗服务导向从经济型向社会型的转变，实现医院“提质增效”的中心目标。结论DRGs的引入在该院绩效考核体系中取得较好效果。Objective The Diagnosis Related Groups （DRGs） were studied to explore it＇s application in performance management system of a hospital. Methods We built the performance evaluation system based on medical business index, effi- ciency indicator, cost control index, drug control index, medical quality and medical safety index by the way of extracting the home page of hospital discharge record from 2009 to 2013 and grouping automatically with the ＂BJ-DRGs＂ grouping machine. Re- sults Since the introduction of DGRs for performance management, the evaluation index of the hospital＇s business has been im- proved. The quantity, quality, efficiency indicators and so on of the medical service in the hospital have been perfected. The work efficiency has been improved. The DGRs has effective control of the growth rate of the medical expense. It promoted the ori- entation of the medical service and made it change from the economic type to the social pattern, to achieve the central targets of the hospital, which was better quality and the higher efficiency. Conclusion The introduction of DRGs achieved great effect in the hospital performance appraisal system.

关 键 词：医院 疾病诊断相关组 绩效管理 

分 类 号：R821[医药卫生—临床医学]