通过DRGs优化手术分级和绩效评价  

Improving Surgical Grading and Performance Evaluation by DRGs

作　　者：王娟 王兴武 张乐辉 李阳[3] WANG Juan;WANG Xingwu;ZHANG Lehui(General Hospital of Datong Coal Mining Group Co.,Ltd,Datong,Shanxi,037003,China)

机构地区：[1]大同煤矿集团有限责任公司总医院,山西大同037003 [2]国药医疗健康产业有限公司,北京100000 [3]北京友谊医院,北京100050

出　　处：《中国卫生质量管理》2019年第5期57-59,共3页Chinese Health Quality Management

摘　　要：目的探讨通过DRGs优化手术分级和手术绩效的可行性.方法采用百分位数法制定手术分级目录,并与临床专家制定的目录进行对比.基于某院2017年住院病案首页,利用CN-DRGs软件进行分组,对手术总权重校正后,用于某院手术科室绩效考核.结果以M DCG消化系统625条手术和操作为例,CN-DRGs法和专家法手术级别对比,完全一致的223条(占36%);较专家法级别高的221条(占35%);较专家法级别低的181条(占29%).结论用手术总权重来代替手术例数,可以优化手术绩效,通过DRGs工具优化手术分级和手术绩效是可行的.ObjectiveTo explore the feasibility of improving surgical grading and performance evaluation by DRGs. MethodsThe percentile method was used to develop the catalogue of surgical grading, which was compared with the catalogue by clinical experts. Based on the data of DRGs from homepage of inpatients' medical records in 2017, the CN-DRGs software was used for grouping, and after correcting the total weight of surgery, it was used for the performance assessment of surgical department in a hospital. ResultsTaking 625 surgeries and operations of MDCG digestive system as an example, compared with CN-DRGs method and expert method, of which 223 (36%) were completely consistent. 221 (35%) were above the level of expert;181 (29%) were lower than the level of expert.Conclusion The surgical performance can be optimized by replacing the number of surgical procedures with total surgical weight. It is feasible to optimize surgical grading and performance through DRGs.

关 键 词：诊断相关分组(DRGs) 手术分级 绩效评价 

分 类 号：R197.323[医药卫生—卫生事业管理]