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目的
运用疾病诊断相关组指标对研究医院“消化系统大手术”亚专科住院医疗服务绩效进行评价，为医院加强精细化医院管理和学科建设提供数据支持。方法 以“国家版诊断相关组”作为风险调整工具，从能力、效率和安全3个维度对样本医院“消化系统大手术”亚专科住院医疗服务绩效进行评价。结果 2008—2015年，样本医院亚专科总权重逐年增加，2015年亚专科病例数占到了市属医院的50.27%；时间消耗指数0.91，但费用消耗较市属医院平均水平高24%；2015年GB15、GB25疾病组死亡率均为0，GB11、GB23疾病组死亡率低于市属医院平均水平。结论 2008—2015年，样本医院“消化系统大手术”亚专科医疗服务能力稳步提升，在市属医院范围内具有明显优势；但须注意在保持服务效率和安全优势的同时，增加GB11、GB23疾病组病例的收治，并应注意严格控制患者住院费用。 |
| 关键词: 疾病诊断相关组 临床亚专科 绩效评价 学科建设 |
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| RGs-based Clinical Service Performance Evaluation of Some Medical Sub Discipline |
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| Abstract: |
| Objective By using DRGs-related indicators to evaluate its clinical service performance of the medical sub discipline“Major Operation of Digestive System Diseases”of a tumor hospital, and to provide data support for fine management and Discipline construction. Methods Evaluating its clinical service performance of the sub disciplines by using the three dimension index of Capacity, efficiency and safety according to CN-DRGs risk adjustment tool. Results From 2008 to 2015,the total weight value of the sub discipline of the tumor hospital increased year by year. In 2015 the number of cases accounted for 50.27% of the entire Municipal Hospital. The time consumption index was 0.91,but charge consumption index was 24% higher than the average level of the entire Municipal Hospital.The mortality rate of disease group GB15 and GB25 was 0, and the mortality rate of GB11and GB23 was lower than the average level of the entire Municipal Hospital in 2015.Conclusion The capacity of the sub discipline of the tumor hospital increased steadily from 2008 to 2015, and had obvious advantages in this range of the entire Municipal Hospital. But the hospital must pay attention to increase cases of disease group GB11, GB23,and control hospitalization expenses of patients strictly while maintaining the service efficiency and security advantages. |
| Key words: Diagnosis Related Groups（DRGs）,medical sub discipline, performance evaluation,discipline construction |
