基于熵权-TOPSIS-RSR联合法的三甲医院绩效评价研究  

Comprehensive evaluation of performance in clinical specialties based on entropy weight-TOPSIS-RSR

作　　者：吴玉高 罗明薇 成卓[1] 郭光会 李容跃 WU Yugao;LUO Mingwei;CHENG Zhuo;GUO Guanghui;LI Rongyue(Panzhihua Central Hospital,Panzhihua 617067,China)

机构地区：[1]攀枝花市中心医院,四川攀枝花617067

出　　处：《现代医院》2025年第2期238-242,共5页Modern Hospitals

基　　金：攀枝花市统计科学研究计划项目(2024pzh29)。

摘　　要：目的对某三甲医院2023年医疗服务绩效进行综合评价,为医院精细化管理和学科发展提供决策依据。方法通过四川省DRGs平台获取样本医院2023年出院患者的DRG相关数据,运用应用熵权TOPSIS和RSR联合法进行综合评价。结果医疗服务范围较广、收治病例平均难度较大的前三位是神经外科、骨科、心血管内科,且均高于本市和本省平均水平。TOPSIS-RSR联合法二者评价6项指标权重前三位均为CMI、总权重、诊断相关组数。DRGs绩效评价共将30个临床科室分为3档,各档科室数量分别为5、21和4个,各档间病种结构特征存在差异。结论DRG相关指标结合综合评价法能有效应用于住院患者医疗服务绩效评价,为促进病区提升医疗服务能力、改善医疗服务效率、优化安全质量考核指标、实现整体均衡发展提供建议与策略。Objective To evaluate the medical service performance of a hospital in 2023,providing references for the refined management and discipline advancement.Methods The DRG-related data of patients discharged from the sample hospital in 2023 were obtained through the DRGs in Sichuan Province.A comprehensive evaluation was performed by using the integrated approach of TOPSIS and RSR with entropy weight.Results The top three specialties offering a wide range of medical services and handling more complex cases on average were neurosurgery,orthopedics,and cardiovascular medicine.The difficulty level of cases in these departments exceeded the average for both the city and the province.TOPSIS-RSR method was used to evaluate six weights of the index,and the top three ones were CMI,total weight,and number of diagnostic-related groups.In the DRG performance evaluation,30 clinical departments were divided into 3 grades,with 5,21,and 4 departments in each grade,respectively,revealing differences in case structure across grades.Conclusion The combination of DRG-related indicators and comprehensive evaluation method can be effectively applied to the performance evaluation of medical service for inpatients,thus providing suggestions and strategies for promoting the improvement of medical service capacity,improving medical service efficiency,optimizing safety and quality assessment indicators,and achieving overall balanced development in wards.

关 键 词：疾病诊断相关分组 绩效评价 TOPSIS法 秩和比法 

分 类 号：R197.3[医药卫生—卫生事业管理]