基于DRG和熵权TOPSIS法的临床重点专科医疗服务绩效评价  

Evaluation of clinical key specialty medical service performance using DRG and entropy weight TOPSIS method

作　　者：刘慧悦[1] 钟彬[1] 曾芳[1] 何玥[1] LIU Huiyue;ZHONG Bin;ZENG Fang;HE Yue(Xiangya Hospital of Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院,湖南长沙410008

出　　处：《现代医院》2025年第2期262-265,共4页Modern Hospitals

基　　金：中南大学湘雅医院管理研究基金(2019GL06)。

摘　　要：目的运用疾病诊断相关分组(DRGs)方法及熵权TOPSIS方法对湖南省某三级甲等综合性医院心血管内科医疗服务绩效进行评价,为学科建设和发展提供建议。方法采集2018—2023年心血管内科住院病案首页数据,运用传统指标和DRGs指标分别对心血管内科整体情况、收治病组结构、不同病区绩效横向比较等方面进行分析。结果样本医院心血管内科出院病例数、收治病例的难度(CMI)波动上升,DRG组数相对稳定,专业覆盖情况较理想。部分重点病组时间、费用消耗指数较高,不同病区医疗服务绩效横向比较存在差异。同时熵权TOPSIS综合评价中,4个病区排名与实际学科发展定位相符。结论DRG方法和熵权TOPSIS法能够有效地对医院学科发展中医疗服务绩效进行评价,评价指标合理,对医院指导临床重点专科发展、提高学科能力水平具有一定的意义。Objective To evaluate the medical service performance of the cardiovascular department in a tertiary hospital in Hunan Province using Diagnosis Related Groups(DRGs)and Entropy Weighted TOPSIS methods,providing suggestions for discipline construction and development.Methods Data from the front pages of hospitalization cases in the Department of Cardiovascular Medicine from 2018 to 2023 were collected.Both traditional indicators and DRG(Diagnosis-Related Group)indicators were utilized to analyze the department’s overall performance,the structure of treated disease groups,and the comparative performance across different wards.Results The number of discharged cases and the Case Mix Index(CMI)in the cardiovascular medicine department of the sample hospital exhibited a fluctuating upward trend,while the number of DRG groups remained relatively stable,reflecting ideal professional coverage.Certain key disease groups demonstrated higher time and cost consumption indices,and variations in medical service performance were observed across different wards.Furthermore,in the Entropy Weighted TOPSIS comprehensive evaluation,the rankings of the four wards aligned with their actual developmental positioning within the discipline.Conclusion The DRG method and Entropy Weighted TOPSIS provide an effective framework for evaluating medical service performance in hospital disciplinary development,utilizing reasonable evaluation indicators.These methods offer valuable insights for guiding the development of key clinical specialties and enhancing the overall level of disciplinary capability.

关 键 词：DRG 熵权TOPSIS法 绩效评价 

分 类 号：R1973.32[医药卫生—卫生事业管理]