DRGs在胃肠外科住院医疗服务绩效评价中的应用  

Application of DRGs in performance evaluation of inpatient medical service in gastrointestinal surgery

作　　者：刘骏峰[1] 刘莎 辛子艺 Liu Junfeng;Liu Sha;Xin Ziyi(The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China)

机构地区：[1]中山大学附属第一医院,广东广州510080

出　　处：《中国医院统计》2022年第1期69-72,共4页Chinese Journal of Hospital Statistics

摘　　要：目的对某院2020年胃肠外科的DRGs相关指标进行分析,为医院绩效评价和精细化管理提供数据支持。方法收集某院2020年1月1日至2020年12月31日胃肠外科3个病区6570例住院病案首页数据和DRGs平台反馈的数据,运用综合指数法进行数据处理并评价。结果综合指数方面B病区最高,其次为A病区和C病区。胃肠外科收治病种主要集中在RE19、GB23、GB15、GB25、GE15和GR15组,这些DRGs组占胃肠外科分析病例数的80%以上,各病区收治病种各有侧重。胃肠外科时间消耗指数为0.50,费用消耗指数为1.29,说明胃肠外科治疗同类疾病所需要的时间较短、费用较高。结论DRGs指标能够从多个维度对科室的医疗服务绩效进行分析,为医院绩效评价和精细化管理提供数据支持。Objective To analyze the related indicators of DRGs in gastrointestinal surgery in a hospital in 2020,so as to provide data support for hospital performance evaluation and fine management.Methods The data of the first page of medical records of 6570 inpatients in 3 wards of the gastrointestinal surgery department in a hospital from January 1,2020 to December 31,2020 and the feedback data of the DRGs platform were collected,and the comprehensive index method was used for data processing and evaluation.Results The comprehensive index of ward B was the highest,followed by ward A and ward C.The disease types in the gastrointestinal surgery mainly concentrated in RE19,GB23,GB15,GB25,GE15 and GR15 groups.These DRGs groups accounted for more than 80%of the cases in gastrointestinal surgery analysis,and the disease types in each ward were different.The time consumption index of gastrointestinal surgery was 0.50 and the cost consumption index was 1.29,which indicated that gastrointestinal surgery needed shorter time and higher cost to treat similar diseases.Conclusion DRGs indicators can be used to analyze the performance of medical services from multiple dimensions,and provide data support for hospital performance evaluation and refined management.

关 键 词：胃肠外科 综合指数法 医疗服务 评价 诊断相关分组 

分 类 号：R197.32[医药卫生—卫生事业管理]