基于病案首页的神经外科住院绩效分析  

Analysis of hospitalization performance of Department of Neurosurgery based on the medical record homepage

作　　者：杨林朋[1] YANG Linpeng(Department of Medical Record Management,the First Affiliated Hospital of Zhengzhou University,Henan,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院病案管理科,河南郑州450052

出　　处：《中国医药科学》2025年第1期179-182,共4页China Medicine And Pharmacy

基　　金：河南省医学科技攻关计划项目(RKX202202030)。

摘　　要：目的基于病案首页的神经外科疾病诊断相关组(DRG)住院绩效分析,结合神经外科医疗水平的核心指标,实现资源合理配置,提升医疗效率。方法抽取郑州大学第一附属医院2023年7月1日至12月31日出院的住院病案首页6217份,采用常规指标,利用DRG组数、相对权重(RW)、DRG总量、病例组合指数(CMI)、费用消耗指数、时间消耗指数、手术分级、病种结构等指标对2023年7月1日至12月31日神经系统疾病住院医疗服务绩效进行评价。结果神经外科出院人次6217人次,DRG总量12736.72,CMI值2.0487,DRG组数151组,费用指数1.01,时间指数0.99,RW≥2为3107人次,占比49.97%,手术人次4024人,手术人次占比64.73%,三、四级合计3118人,三、四级占比77.49%。结论神经外科主要以收治疑难重症为主,DRG住院绩效反映的结果科学、客观。Objective To achieve rational allocation of resources and improve medical efficiency,based on the hospitalization performance analysis of the Department of Neurosurgery disease diagnosis related group(DRG)on the medical record homepage,combined with the core indices of Department of Neurosurgery medical level.Methods A total of 6217 inpatient medical record homepages discharged from the First Affiliated Hospital of Zhengzhou University from July 1 to December 31,2023 were selected.The performance of inpatient medical service for nervous system diseases in July 1 to December 31,2023 was evaluated by using conventional indices,such as the number of DRG groups,relative weight(RW),total DRG,case-mix index(CMI),cost consumption index,time consumption index,operation classification and disease structure.Results There were 6,217 patients discharged from the Department of Neurosurgery.The total number of DRG was 12736.72,the CMI value was 2.0487,the number of DRG groups was 151,the cost index was 1.01,and the time index was 0.99.There were 3107 patients with RW≥2,accounting for 49.97%.There were 4024 patients with surgery,accounting for 64.73%.Meanwhile,there were a total of 3118 patients with gradeⅢandⅣ,accounting for 77.49%.Conclusion Department of Neurosurgery mainly treats difficult and severe cases,and the results reflected by DRG hospitalization performance are scientific and objective.

关 键 词：疾病诊断相关组 神经外科 住院绩效 统计分析 

分 类 号：R197.32[医药卫生—卫生事业管理]