疾病诊断相关分组在护理人力资源及绩效管理中的应用  

Application of disease diagnosis related grouping in nursing manpower and performance management

作　　者：刘奎[1] 蒋莉[1] 杨淑梅[1] 董旭南[1] 阎景红[2] LIU Kui;JIANGLi;YANG Shumei;DONG Xunan;YAN Jinghong(Department of Medical Record Statistics,the Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi,830011,China)

机构地区：[1]新疆医科大学第五附属医院病案统计科,乌鲁木齐市830011 [2]新疆医科大学第一附属医院病案统计科

出　　处：《中国护理管理》2022年第2期250-254,共5页Chinese Nursing Management

摘　　要：目的:通过建立数学模型,论证疾病诊断相关分组在护理绩效管理应用的可行性。方法:以"护理单元"这一卫生服务供给侧的核心内容为研究对象,对新疆维吾尔自治区某三级甲等医院2019年9月至2020年9月,51个科室106253例患者病案首页信息,进行分类、汇总。结合国家DRG质量控制中心发布的分组方案采用秩和比法构建DRG评价模型。结果:利用护理分级对护理绩效进行评价的结果显示,2个科室(3.92%)位于优档,36个科室(70.59%)位于良档,13个科室(25.49%)位于一般档;纳入DRG后,16个科室(31.37%)位于优档,31个科室(60.78%)位于良档,4个科室(7.85%)位于一般档,科室秩和比最大变动15个顺位,最小变动1个顺位,平均变动8.6个顺位,结果具有统计学意义(F=108.336,P=0.013)。结论:DRG对护理绩效与人力资源科学管理模式形成具有促进作用,应在确保护理质量基础上,重视DRG在护理绩效管理中的应用与研究。Objective:To test the feasibility of disease diagnosis related grouping in nursing manpower and performance management.Methods:The"nursing unit"which is the core content of the health service supplying side was the main research object in the present study.Information in first page of 106253 patients’medical records from 51 departments in a hospital from September 2019 to September 2020 were classified and summarized.The DRG evaluation model was developed with the rank sum ratio method combined CN-DRG grouping scheme.Results:The evaluation of nursing performance by disease diagnosis related grouping showed that 2 departments(3.92%)were on the excellent level,36(70.59%)on the good level and 13(25.49%)on the general level.When DRG was included,16 departments(31.37%)were on the excellent level(31.37%),31(60.78%)in the good level,and 4 departments(7.85%)were in the general level.The maximum RSR change of departments was 15,the minimum was 1,and the average change was 8.6.The results were statistically significant(F=108.336,P=0.013).Conclusion:DRG can promote the formation of nursing performance and scientific management mode of human resources.We should establish performance compensation mechanism on the basis of ensuring nursing quality.Besides,DRG in nursing performance management should be paid more attention to.

关 键 词：诊断相关分组 护理绩效管理 人力资源管理 评价模型 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]