某传染病专科医院临床科室医疗服务能力评价与分析  

Evaluation and Analysis of Medical Service Capability of Clinical Departments in a Certain Infectious Disease Specialized Hospital

作　　者：朱慧[1] 吴俊霞[1] ZHU Hui;WU Junxia(Nantong Third People's Hospital,Nantong,Jiangsu,226006,China;不详)

机构地区：[1]南通市第三人民医院/南通大学附属南通第三医院,江苏南通226006

出　　处：《中国卫生质量管理》2023年第8期30-34,共5页Chinese Health Quality Management

基　　金：江苏省医院协会现代医院管理研究中心课题(编号:JSYGY-3-2021-16)。

摘　　要：目的对某传染病专科医院临床科室医疗服务能力进行评价,为医院精细化管理和高质量发展提供依据。方法选取平均住院日、床位使用率、平均病床工作日、CMI值、医疗服务收入、DRG组数、总权重等指标,运用矩阵图对32个临床科室进行床位使用效率评价,O/E指数评价床位产出效率,DRG综合指数分析临床综合能力。结果床位使用效率方面,10个高效率高负荷科室需优先配置床位资源,4个高效率低负荷科室需适当减少床位,11个低效率高负荷科室应加快床位周转,7个低效率低负荷科室需转型发展;床位产出效率方面,15个科室产出效率较低,应增加疑难危重病例收治比例,提升技术水平;临床综合能力方面,只有1/2科室DRG组数超过全院平均数,应拓展服务范围,32个科室综合指数差异较大,应及时调整发展策略。结论后疫情时代传染病专科医院应围绕DRG开展内部医疗服务能力评价,实现内部资源的动态调整与整合,构建“专科突出、综合保障”发展模式,强化内涵建设。Objective The medical service ability was evaluated to provide the basis for the management and high-quality development of a specialized hospital.Methods Key indicators including average hospital stay,bed utilization rate,average bed working days,CMI value,medical service income,DRG group number and total weight were selected and Boston matrix was used to evaluate the bed utilization efficiency of 32 clinical departments.The O/E index was used to evaluate bed output efficiency,and the medical service capacity was analyzed by the DRG comprehensive index.Results The result of matrix analysis indicated that ten high load and high efficiency departments need to prioritize bed resource allocation,and four high efficiency and low load departments need to appropriately reduce bed allocation.Eleven low efficiency and high load are recommended to accelerate the turnover of bed resources,and seven low efficiency and low load departments need transformational development.Bed output efficiency analysis demonstrated that fifteen departments was relatively low,and the admission of difficult and critical cases should be increased to improve technical level.Analysis of DRG comprehensive index indicated that only half departments’DRG groups exceeded the average number of the entire hospital and the scope of services should be expanded.The comprehensive index of 32 departments is of great difference and development strategies should be adjusted in a timely manner.Conclusion In the post epidemic era,an evaluation of the hospital’s internal medical service capacity should be carried out around DRG to dynamically adjust and integrate internal resources.Development model of specialty highlighting,comprehensive support should be built to provide scientific basis for strengthening connotation construction.

关 键 词：DRG 医疗服务能力 科室评价 传染病专科医院 

分 类 号：R197.5[医药卫生—卫生事业管理]