山东省某医院基于DRG神经内科服务绩效评价  

Performance Evaluation of DRG Neurology Services in a Hospital of Shandong Province

作　　者：张驰 王孝勇 苏宝利 刘旺 吕梦宇 王志聪 ZHANG Chi;WANG Xiaoyong;SU Bao-li;LIU Wang;LV Meng-yu;WANG Zhi-cong(School of Medical Management,Shandong First Medical University,Jinan 250000,China;Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250000,China;School of Health Care Security,Shandong First Medical University,Jinan 250000,China;School of Public Health,Shandong First Medical University,Jinan 250000,China;Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,NHC Key Lab of Health Economics and Policy Research,Shandong University,Jinan 250000,China)

机构地区：[1]山东第一医科大学医药管理学院,济南市250000 [2]山东第一医科大学附属省立医院,济南市250000 [3]山东第一医科大学医疗保障学院,济南市250000 [4]山东第一医科大学公共卫生学院,济南市250000 [5]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心、国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南市250000

出　　处：《现代医院管理》2024年第3期63-66,共4页Modern Hospital Management

基　　金：2023年度山东省社科联人文社会科学课题项目(2023-JKZX-13)。

摘　　要：目的分析山东省某医院神经内科4个科室患者医疗费用差异,为优化疾病诊断相关分组(DRG)支付方式改革提供经验。方法运用服务能力、服务效率、质量安全等3个维度6项指标对该医院神经内科2022年1—12月的DRG付费数据进行分析。结果科室之间医疗服务绩效差异较大。结论应结合医疗服务绩效评价,实施临床路径管理;优化学科(专科)布局,注重科室差异化发展,支持开展新技术;医疗服务效率欠佳,应合理配置卫生资源;规范诊疗行为,加强医疗成本的合理管控。Objective:To analyze the differences of medical expenses in 4 departments of neurology of a hospital in Shandong Province,and provide experience for optimizing the payment method of DRG.Method:The DRG payment data of the neurology department in the hospital from January to December 2022 was analyzed by using 6 indicators from 3 dimensions,including service capability,service efficiency,quality and safety.Result:There was a great difference in medical service performance between departments.Conclusion:Clinical pathway management should be implemented in conjunction with medical service performance evaluation to optimize the layout of disciplines(specialties);The differentiated development of departments should be focused on to support the development of new technologies;The efficiency of medical service is not good,so health resources should be allocated rationally to standardize diagnosis and treatment behavior and strengthen the reasonable control of medical costs.

关 键 词：DRG 绩效评价 神经内科 

分 类 号：R197[医药卫生—卫生事业管理]