DRGs视角下胃癌手术住院患者专科服务绩效评价分析  

Evaluation of Performance on Surgical Gastric Cancer Inpatients in a Certain Oncology Hospital Using DRGs Tool

作　　者：刘利[1] 武爱文[1] 王楠[1] 李航[1] 李蕊[1] 于淼[1] 

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所.恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142

出　　处：《中国医院管理》2017年第12期39-41,共3页Chinese Hospital Management

摘　　要：目的 DRGs视角下评价胃癌手术患者的住院服务综合绩效情况,为肿瘤专科服务持续优化作参考。方法回顾搜集2014—2015年1 938份胃癌手术患者数据,对比DRGs分组情况、权重、平均住院日、次均费用、病例组合指数等指标,进行胃癌手术住院服务绩效分析。结果胃癌手术收治病例基本集中在前5个DRGs组,2014年占比为88.99%,2015年占比为92.0%;不同术式的病例组合指数存在变动;胃肠中心收治病例的综合绩效高于非胃肠中心的综合绩效。结论基于DRGs绩效评价分析,扩大病种收治力度,规范诊疗控制费用,专病专治、合理规划术式,有助于胃癌手术患者收治的绩效持续改进。Objective Through using DRGs tool to evaluate the comprehensive performance for gastric cancer inpa- tients, and provide references for continuous improvement for cancer treatment service. Methods 1 938 surgical cases were collected from 2014 to 2015, and performance indicators including the number of DRGs group, weight, case-mix index （CMI）, and length of stay and cost of per inpatient, were utilized. Results Gastric cancer inpatients were mainly distributed in the first 5 DRGs groups, accounted for 88.9% and 92.0% separately in 2014 and 2015; CMI of different surgical procedures changed; The comprehensive performance of the gastrointestinal center was higher than that of the non-gastrointestinal center. Conclusion Based on the performance evaluation and analysis of DRGs-related indicators, increasing the number of disease treatment, and specializing the cost of diagnosis and treat- ment were recommended. Reasonable diagnosis and treatment and rational selection of operation contribute to the continuous improvement of medical service for gastric cancer surgical inpatients.

关 键 词：疾病诊断相关组 胃癌手术 绩效评价 

分 类 号：R197.323[医药卫生—卫生事业管理] R735.2[医药卫生—公共卫生与预防医学]