DRGs在综合医院临床专科评价中的应用  

Application of DRGs in Clinical Specialty Evaluation of a General Hospital

作　　者：梁艳超[1] 巢仰云[1] 王晓岩[1] 姜悦[1] 郭默宁[2] 王文凤 

机构地区：[1]首都医科大学附属北京天坛医院,北京市100050 [2]北京市公共卫生信息中心,北京市100050 [3]北京市医院管理局,北京市100053

出　　处：《中国病案》2017年第8期51-55,共5页Chinese Medical Record

摘　　要：目的评价研究医院各临床专科的医疗服务能力、服务效率和医疗安全,从而为医院专科发展提供建议。方法采用2016年的DRGs指标,比较研究医院与全市三级综合医院各临床专科的医疗服务能力、医疗服务效率、医疗安全及综合得分。结果 26个MDC中,研究医院有4个MDC缺失。其余22个MDC中,只有1个MDC的综合得分低于全市三级综合医院的平均水平,其中有2个MDC的医疗服务效率低于平均水平,1个MDC的医疗安全得分低于平均水平,但是有14个MDC的医疗服务能力低于平均水平。另外,MDCB-神经系统疾病及功能障碍在各指标上均处于较高水平,22个MDC的费用消耗指数得分均高于平均水平。结论研究医院的各MDC综合能力均处于北京市三级综合医院的较高水平,但各专科之间的差距较大,应建立缺失学科,在保持优势学科发展的前提下,加强基础学科的建设,提高医院的综合性。DRGs分组器的调整,要充分征求临床专家意见,贴近临床。Objective To evaluate medical services, service efficiency and medical security of every specialist in a hospital. To provide some suggestions for the development of hospital specialties.Methods Using indexes of DRGs in 2016.Compare with the study hospital and third-tier general hospitals on the medical service ability, medical service efficiency, medical security and comprehensive score.Results In 26 MDC, there are lack of 4 MDC in study hospital.The comprehensive score of one MDC is only lower than average level. Two MDC in medical service efficieny and one in medical safety, are lower than average level. But,there are 14 MDC lower than average levelin medical service ability. neurological diseases and dysfunction are at a high level in each index. All 22 MDC＇s score of medical cost efficiency are higher than average level. Conclusions Overall, the comprehensive ability of MDC in the study hospital is in the higher level of the third-tier hospitals in Beijing. But there is a large gap between different specialists. The hospital should strengthen the construction of basic subjects, while maintaining advantages of discipline development, Improving the comprehensiveness of the hospital. The adjustment of DRGs packet device should be fully consulted by clinical experts and be close to clinical practice.

关 键 词：诊断相关分组 综合医院 临床专科 评价 学科发展 

分 类 号：R197.323[医药卫生—卫生事业管理]