基于DRG精准制定科室平均住院日目标的实践与评价  

Practice and Evaluation of Accurate Formulation of the Goal of Average Length of Stay in Clinical Department Based on DRG

作　　者：袁磊[1] 陈子华[1] 黄耿文[1] 潘玲玲[1] 王庆红[1,2] YUAN Lei;CHEN Zi-hua;HUANG Geng-wen(Xiangya Hospital,Central South University,Hunan,410008,China)

机构地区：[1]中南大学湘雅医院,湖南长沙410008 [2]中南大学医院管理研究所,湖南长沙410008

出　　处：《中国医院管理》2021年第6期34-38,共5页Chinese Hospital Management

基　　金：中南大学湘雅医院管理研究基金资助项目(2019GL17)。

摘　　要：目的探讨基于DRG精准制定临床科室平均住院日管理目标。方法采用DRG标杆法,结合病例组合指数对科室平均住院日的管理目标进行测算;采用配对t检验对2018年与2019年的床位周转次数、平均住院日、出院患者数量、手术量进行分析比较。结果2019年较2018年床位周转次数增长0.27次(P<0.001),平均住院日下降0.97天(P<0.001),每月较前多收治出院患者1140.75人次(P<0.001),每月较前多开展手术849.50台次(P<0.001)。结论通过DRG将收治疾病的疑难复杂程度纳入临床科室平均住院日管理目标的测算,更符合临床实际情况,有助于提升医疗效率,降低平均住院日。Objective To accurately set the goal of average length of stay in clinical departments based on DRG.Methods Based on the DRG benchmarking method,combined with Case Mix Index,the management goal of average length of stay of the department was calculated;the number of bed turnover,average length of stay,number of discharged patients and operations in 2018 and 2019 were analyzed by paired t-test.Results Compared with 2018,the number of bed turnover in 2019 increased by 0.27(P<0.001),and the average length of stay decreased by 0.97 days(P<0.001).1140.75 more patients discharged per month than 2018(P<0.001),and 849.50 operations per month were performed more than 2018(P<0.001).Conclusion That the calculation of average length of stay goal of clinical departments includes the difficulty and complexity of the disease through DRG is more conforming to the actual situation,and helps to improve medical efficiency and reduce the average length of stay.

关 键 词：平均住院日 疾病诊断相关分组 病例组合指数 

分 类 号：R197.323.2[医药卫生—卫生事业管理]