运用功效系数法对某院基于病种分值的绩效分配进行综合评价  

Evaluation of performance allocation based on DIP in hospitals based on efficiency coefficient method

作　　者：张华翠 唐吉 余华俊 张静波 张恩思 Zhang Huacui;Tang Ji;Yu Huajun;Zhang Jingbo;Zhang Ensi(Lianzhou People′s Hospital,Lianzhou 513400,China)

机构地区：[1]连州市人民医院,广东清远513400

出　　处：《中国医院统计》2023年第2期114-118,共5页Chinese Journal of Hospital Statistics

基　　金：广东省清远市科技计划项目(211125114560670)。

摘　　要：目的综合评价某院基于病种分值的住院绩效分配方案的效果,以发现目前绩效分配方案中存在的缺陷,探讨基于病种分值的绩效分配方案的合理性和可行性。方法选取某市某三级综合医院2021年10个外科科室的13项数据作为综合评价指标,采用德尔菲专家咨询法确定评价指标权重,用功效系数法计算总功效系数并进行排序。结果除病种较为单纯的产科,其余外科科室综合评价的结果与实际绩效分配结果一致或者基本一致。结论目前该院基于病种分值的绩效分配方案能够相对合理地体现科室的服务质量和医疗价值。用功效系数法对该院绩效分配结果进行综合评价具有实际指导意义。Objective To comprehensively evaluate the effect of the inpatient performance distribution scheme based on DIP in a hospital,so as to find the existing defects in the current performance distribution scheme and explore the rationality and feasibility of the performance distribution scheme based on DIP.Methods Thirteen data from 10 surgical departments in a tertiary general hospital in Qingyuan City in 2021 were selected as comprehensive evaluation indexes.Delphi expert consultation method was used to determine the weights of evaluation indexes,and the efficacy coefficient method was used to calculate the total efficacy coefficient and rank it.Results Except for obstetrics with simple disease types,the results of comprehensive evaluation of other surgical departments were consistent or basically consistent with the actual allocation results.Conclusion The current performance allocation scheme based on DIP can relatively reasonably reflect the service quality and medical value of the departments.It is of practical guiding significance to comprehensively evaluate the results of performance distribution of the hospital with the efficiency coefficient method.

关 键 词：功效系数法 绩效分配 病种分值付费 综合评价 病例组合指数 

分 类 号：R197.322[医药卫生—卫生事业管理]