运用DRG指标对普外科进行住院医疗服务评价  

Evaluation of Inpatient Medical Services in General Surgery using DRGs

作　　者：刘天野 高婕 郑博闻 于爽 王倩[1] 赵菲 刘辰龙[1] Liu Tianye;Gao Jie;Zheng Bowen;Yu Shuang;Wan Qian;Zhao Fei;Liu Chenlong(Peking University First Hospital,Beijing 100034,China;不详)

机构地区：[1]北京大学第一医院,北京市100034

出　　处：《中国病案》2020年第6期41-44,共4页Chinese Medical Record

基　　金：北京大学第一医院科研种子基金(2018SF091)。

摘　　要：目的运用DRG指标对普外科四个病房进行评价,为科室的精细化管理和学科建设提供理论支持。方法通过收集某院普外科2018年1月1日-2018年12月31日经北京地区住院医疗服务平台反馈的10333条数据,利用DRG的能力、效率、安全三个维度评价指标,分析了解四个病房的医疗服务现状并做出评价。结果能力方面:D病房分析病例数最多为3902例;B病房DRG组数最广为40组,且CMI值最高为1.09。效率方面:D病房时间及费用消耗指数最低,分别为0.60和0.70。安全方面:仅B病房存在2例低风险死亡病例。结论普外科各病房应根据自身科室的收治病种特点,进行相应的调整,降低时间和费用消耗指数,增加收治病种的广度,提高收治病种的难度,合理控制安全性。Objective The DRG index was used to evaluate the four wards of general surgery to provide theoretical support for the fine management and discipline construction of the department.Methods Through the collection of 10333 data for general surgery from January 1,2018 to December 31,2018 after feedback from the Beijing inpatient medical service platform,use DRGs’ability,efficiency,and safety to evaluate indicators,analyze the status of medical services in the four wards andmake an evaluation.Results In terms of competence:Ward D has the maximum number of cases analyzed numbers is 3902;Ward B has the maximum number of DRGs is 40,and the maximum CMI value is 1.09.In terms of efficiency:Ward D has the lowest time and cost index,0.60 and 0.70 respectively.In terms of security:Only Ward B has 2 low-risk deaths.Conclusion General surgery departments should be based on the characteristics of the disease in their department,make the appropriate adjustments,reduce time consumption index and cost consumption index,increase the breadth of disease treatment,increase the difficulty of treating diseases,reasonable security controls.

关 键 词：DRG 普外科 服务评价 

分 类 号：R197.3[医药卫生—卫生事业管理]