DIP付费下基于波士顿矩阵的某三级医院运营管理研究  

A Study on the Operation Management of a Certain Tertiary Hospital Based on Boston Matrix under DIP Payment

作　　者：刘天豪 诸葛秀红[2] 李悦言 王丽 LIU Tianhao;ZHUGE Xiuhong;LI Yueyan;WANG Li(School of Public Health,Guilin Medical University,Guilin,Guangxi,541199;Medical Department,Affiliated Hos-pital of Guilin Medical University,Guilin,Guangxi,541001;School of Humanities and Management,Guilin Medical University,Guilin,Guangxi,541199)

机构地区：[1]桂林医学院公共卫生学院,广西桂林541199 [2]桂林医学院附属医院病案科,广西桂林541001 [3]桂林医学院人文与管理学院,广西桂林541199

出　　处：《江苏卫生事业管理》2023年第7期949-953,共5页Jiangsu Health System Management

基　　金：桂林医学院新引进博士科研启动项目(GY122019020);广西“八桂学者”经费资助;广西卫健委自筹经费科研课题项目(Z20211006)。

摘　　要：目的:利用波士顿矩阵分析DIP付费实施后某三级医院各科室、病种运营情况,探讨三级医院费用控制与精细化管理措施。方法:利用波士顿矩阵对医院科室及病种分别进行分析,以结算病例数为横轴,次均费用为纵轴,综合评价确定不同象限的发展策略。结果:DIP组内例数前10的科室及病种中共有“高结算病例数,高次均费用”科室1个、病种1个;“高结算病例数,低次均费用”科室11个、病种2个;“低结算病例数,低次均费用”科室18个、病种4个;“低结算病例数,高次均费用”科室7个、病种3个。结论:DIP付费改革给医院带来了新的机遇与挑战,利用波士顿矩阵可以充分考虑不同科室及病种发展战略的差异性,实现分区施策、精准发力,有效节约医院管理成本。Objective:Using Boston matrix to analyze the operation of each department and disease type in a certaintertiary hospital after the implementation of DIP payment and to discuss cost control and refinement management measures in tertiary hospitals.Meth-ods:The Boston matrix was used to analyze hospital departments and disease types separately,and the number of billing cases was used as the horizontal axis and the sub-average cost was used as the vertical axis to determine the development strategies of different quadrants by comprehensive evaluation.Results:Among the top 10 departments and diseases in the DIP group:1 department and 1 disease type with“high billing cases and high average cost”,11 departments and 2 diseases with“high billing cases and low average cost”,18 departments and 4 diseases with“low billing cases and low average cost”,and 7 departments and 3 diseases with“low billing cases and high average cost”.Conclusion:DIP payment reform has brought new opportunities and challenges to hospitals.Using Bos-ton matrix can fully consider the differences in the development strategies of different departments and disease types to achieve zonal policies and precise efforts,and effectively save hospital management costs.

关 键 词：按病种分值付费 波士顿矩阵 运营管理 

分 类 号：R197.1[医药卫生—卫生事业管理]