基于患者疾病临床复杂程度的评价方法与应用  

The application of PCCL evaluation system in evaluating the service ability of clinical departments in public hospitals

作　　者：魏震[1] 李庆运[1] 李雷[1] 周哲 韩倩 WEI Zhen;LI Qingyun;LI Lei;ZHOU Zhe;HAN Qian(Jining No.1 People's Hospital,No.6,Jiankang Road,Rencheng District,Jining,272000,Shandong Province,PRC)

机构地区：[1]济宁市第一人民医院,山东省济宁市272000

出　　处：《中国医院》2020年第9期72-73,共2页Chinese Hospitals

基　　金：山东省重点研发计划项目(2018GSF118098)。

摘　　要：目的:建立基于患者疾病临床复杂程度的评价方法,运用该体系评估公立医院临床科室服务能力。方法:建立评估体系,纳入的指标包括科室患者危急值率、实施抢救率、检验/检查应用系数等,采用K-均值聚类分析对科室分类,提取2018、2019年上半年住院患者数据进行运算分析。结果:样本医院呼吸内科、消化内科、神经内科各病区2019年患者疾病临床复杂程度均比2018年高,各病区聚类分类无差异。心内科病区间聚类有差异。结论:该评估体系可以对临床服务能力水平进行量化评估;与RBRVS相比,该体系更适合应用于内科及以药物治疗为主的科室绩效评价。Objective:Clinical medical service ability and level is the key to hospital competitiveness,and its evaluation is complex and difficult in hospital management at all levels.Methods:The PCCL evaluation system included the critical value rate of patients in the department,the emergency rescue rate,and the medical laboratory and examination application coefficient.K-means cluster analysis was used to classify the departments.Data of inpatients in the first half of 2018 and 2019 were extracted for operational analysis.Results:The PCCL of 2019 in respiratory medicine,digestive internal medicine,and neurology departments were all higher than 2018,and there was no difference in the cluster classification of each disease area.There were differences in clustering between the wards of the cardiology department.Conclusion:The PCCL evaluation system can be used to evaluate the level of clinical service ability.Compared with RBRVS,the PCCL evaluation system is more suitable for the performance evaluation of the internal medicine department and departments mainly focused on drug therapy.

关 键 词：临床服务能力 患者疾病临床复杂程度 绩效考核 

分 类 号：R197[医药卫生—卫生事业管理]