公立医院优势学科病种绩效管理研究:以骨科为例  

Performance Management of Diseases in Dominant Disciplines in Public Hospitals:Taking Orthopedics Department as an Example

作　　者：罗莉[1,2] 殷佳[1,2] 魏伟 狄建忠[1,2] LUO Li;YIN Jia;WEI Wei(Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Center for Hospital Management Research of China Hospital Development Institute, Shanghai, 200233, China)

机构地区：[1]上海交通大学附属第六人民医院,上海200233 [2]上海交通大学中国医院发展研究院医院运营研究所,上海200233

出　　处：《中国卫生质量管理》2021年第7期48-51,共4页Chinese Health Quality Management

基　　金：上海申康医院发展中心管理研究项目(2019skmr_19);上海交通大学中国医院发展研究院建设地方高水平大学医院管理专项(CHDI-2019-C-05);上海申康医院发展中心临床管理优化项目(SHDC12019646);上海市第六人民医院管理基金(lygl201702)。

摘　　要：目的从循证视角建立公立医院优势学科病种绩效管理工具。方法以波士顿矩阵理论为指导,以“病种均次毛利率、病种均次住院日”为主要指标,“日均毛利率”为辅助指标,采用Microsoft office EXCEL 365软件进行分析。结果2019年骨科平均住院日为4.99 d,均次平均毛利率为23.62%,日均毛利率平均值为4.73%。骨科200例以上病种、不同亚专科病区病种、同一亚专科病区内不同病种、不同亚专科病区相同病种,绩效均存在差异。结论管理者应对不同病种绩效指标进行适当校正,探索精细化病种诊疗与管理模式。Objective To establish the performance management tool of diseases in dominant discipline in public hospitals from an evidence-based perspective.Methods Guided by the Boston Consulting Group(BCG)Matrix theory,the average gross profit margin per disease and average length of stay were used as the main indicators and average gross profit margin per day as the auxiliary indicator.The Microsoft office EXCEL 365 software was used for analysis.Results In 2019,the average length of stay in the Orthopedics Department was 4.99 days,average gross profit margin per discharge was 23.62%,and average gross profit margin per day was 4.73%.The performance of disease with more than 200 cases in the Orthopedics Department,diseases in different subspecialty wards,different diseases in the same subspecialty wards,and the same diseases in different subspecialty wards were different.Conclusion Managers should properly calibrate the performance indicators of different diseases and explore refined disease diagnosis,treatment and management modes.

关 键 词：波士顿矩阵 优势学科 骨科 亚专科 病种绩效 

分 类 号：R197.323[医药卫生—卫生事业管理] R68[医药卫生—公共卫生与预防医学]