基于DRG的临床医师医疗能力评价体系构建及应用  

Construction and Application of the Evaluation System of Physicians' Medical Competence Based on DRG

作　　者：贺哲 翁雨雄[1] 夏家红[1] 王莉霞 杨超[1] 余晓云[1] 张明[1] 吴少玮[2] HE Zhe;WENG Yuxiong;XIA Jiahong(Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院医务办公室,湖北武汉430022

出　　处：《中国卫生质量管理》2022年第10期58-61,共4页Chinese Health Quality Management

基　　金：湖北省卫健委指定性项目(WJ2019D004)。

摘　　要：目的构建医师医疗能力分层分类评价体系,为客观反映医师能力和人力水平提供参考。方法文献研究法、头脑风暴法、专家咨询法。结果构建包含5个维度、14个评价指标的临床医师医疗能力评价体系。应用后,医院核心人力资源医疗能力评价区分度高,符合临床工作实际。结论将DRG指标和传统医疗指标相结合,可以客观、全面评价医师医疗能力。但还需加强人员信息管理,保证病案首页数据质量,完善特殊科室医师医疗能力评价体系,建立临床科室+医管部门多维度的评价体系等。Objective To construct a hierarchical classification and evaluation system for medical competence of physicians,so as to provide a reference for objectively reflecting the competence and manpower level of physicians.Methods Literature research method,brainstorming method,and expert consulting method.Results A physicians'medical competence evaluation system was established,including 5 dimensions and 14 evaluation indicators.After the application,the evaluation of hospital core human resources medical ability had a high discrimination,which was in line with clinical practice.Conclusion The combination of DRG index and traditional medical index can objectively and comprehensively evaluate the medical competence of physicians.However,it is still necessary to strengthen the management of personnel information,ensure the quality of the first page data of medical records,improve the evaluation system of medical competence of physicians in special departments,and establish a multi-dimensional evaluation system of clinical departments and medical management departments.

关 键 词：核心人力资源 医疗能力评价 指标体系 评价标准 

分 类 号：R192.3[医药卫生—卫生事业管理] R197.323[医药卫生—公共卫生与预防医学]