基于DRG指标的非外科治疗病组住院医疗服务评价  

Evaluation of Inpatient Medical Service of Non-surgical Treatment Group based on DRG Index

作　　者：季新强 刘卫平 王小艺 刘晶 王薇 JI Xin-qiang;LIU Wei-ping;WANG Xiao-yi;LIU Jing;WANG Wei(Beijing Cancer Hospital)

机构地区：[1]北京大学肿瘤医院

出　　处：《医院管理论坛》2021年第8期13-19,共7页Hospital Management Forum

摘　　要：目的运用DRG评价指标对样本医院主要非外科治疗DRG住院医疗服务进行分析,为精细化管理和学科建设提供数据支持。方法以“CN-DRG(2018版)”作为风险调整工具,从能力、效率、质量与安全、费用4个维度对样本医院前10位非外科治疗DRG住院医疗服务进行评价。结果与2017年相比,样本医院2018年前10位非外科治疗DRG总体收治病例数增加了26.72%,平均住院日降低了9.77%,死亡率降低了0.04%。2018年,与北京市属医院相比,样本医院前10位非外科治疗DRG总体收治病例数占市属医院比例增加了3.62个百分点;总体平均住院日、死亡率均低于市属医院总体水平;总体例均费用与市属医院总体水平一致。结论2017年至2018年,样本医院前10位非外科治疗DRG医疗服务能力稳步提升;但须注意在保持优势的同时,继续加强相关病种学科建设,以更有效地服务患者。Objective To use DRG evaluation index to analyze the main non-surgical treatment DRG inpatient medical services of sample hospitals,and provide data support for lean management and discipline construction.Methods Using"CN-DRG(2018 Edition)"as a risk adjustment tool,the top 10 non-surgical DRG inpatient medical services of sample hospitals were evaluated from the four dimensions of capacity,efficiency,quality and safety,and cost.Results Compared with 2017,the total number of patients admitted to the sample hospitals for the top 10 non-surgical DRG treatments in 2018 increased by 26.72%,the average hospital stay was reduced by 9.77%,and the mortality rate was reduced by 0.04%.In 2018,compared with Beijing municipal hospitals,the top 10 non-surgical DRG cases in the sample hospitals accounted for an increase of 3.62%in the proportion of the municipal hospitals.The overall average hospital stay and mortality rate were lower than the overall level of the municipal hospitals.The overall average cost of each case was consistent with the overall level of the municipal hospitals.Conclusion From 2017 to 2018,the top 10 non-surgical DRG medical service capabilities of the sample hospitals steadily improved.However,attention must be paid to continuing to strengthen the discipline construction of related diseases to serve patients more effectively while maintaining advantages.

关 键 词：疾病诊断相关分组 精细化评价 学科建设 

分 类 号：R197.5[医药卫生—卫生事业管理]